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The relationship between pain and herniation radiology in giant lumbar disc herniation causing severe sciatica: 15
Tuncer Tascioglu1, Omer Sahin2
1Department of Neurosurgery, Ankara Training and Research Hospital, Ankara, Turkey.
British Journal of Neurosurgery
|December 28, 2020
Summary
Conservative treatment effectively reduces severe pain in patients with giant lumbar disc herniation. Significant pain relief was observed within two months, irrespective of herniation size, demonstrating successful outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Radiology
Background:
- Giant lumbar disc herniation often causes extreme pain.
- Conservative treatment is a potential management option.
Purpose of the Study:
- To evaluate conservative treatment for giant lumbar disc herniation.
- To assess pain changes and radiological findings over time.
Main Methods:
- 15 patients with severe pain and giant lumbar disc herniation were treated conservatively.
- Pain levels (VAS) and medication use were assessed weekly.
- MRI scans evaluated disc herniation volume at baseline, 2 months, and 4 months.
Main Results:
- Pain significantly decreased from an average VAS of 90.8 to 13.53 at 2 months and 3.13 at 4 months.
- Disc herniation volume showed an average regression of 20.3% by 2 months and 20.4% by 4 months.
- No correlation was found between pain levels and the degree of disc herniation regression.
Conclusions:
- Conservative treatment is highly effective for giant lumbar disc herniation without neurological deficits.
- Patients should be encouraged to pursue conservative management for significant pain relief.
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