Journal List > J Korean Soc Spine Surg > v.8(3) > 1035961

Park: Non-operative Management of Lumbar Disc Herniation

Abstract

A Wide variety of non- operative treatments are advocated in management of lumbar disc herniations. Unfortunately the mul-tiplicity of treatment methods implies the absence of a clearly superior treatment program. Because of the great expense created by the chaotic array of conservative care measures and arbitrary selection of these measures by different subspecialist, Quebec Task Force, the A gency for Health Care Policy and Research, A A OS/NA SS spine A lgorithm Task Force developed the guidelines for conservative treatments. It is generally accepted that past medical recommendations may have been overly cautious in returning patients to activity to their possible detriment, thereby slowing recovering and worsening prognosis were resulted. Therefore there is a shifts towards more active therapy with involvement of the patient in various excercise programs recently. In this articles various conservative treatments were reviewed in order to help in managing the patient with lumbar disc herniation.

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Table 1.
임상 증상에 따른 굴곡 운동의 적응증
Pain relief on :
Sitting
and with :
Repeated forward bending
Increased lumbar lordosis
Fixed lumbar lordosis with bending
Pain exacerbation on :
Walking
Standing
and with :
Sustained forward bending
Repeated backward bending
Sustained backward bending
Pain unchanged on :
Stooping
Table 2.
임상 증상에 따른 신전 운동의 적응증
Pain relief on :
Lying
Walking
and with :
Repeated backward bending
Decreased lumbar lordosis
Pain exacerbation on :
Sitting
Driving
Arising from chair
Stooping
Bending
and with :
Forward bending
Repeated forward bending
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