Tratamiento ortopédico de la hernia discal lumbar previo a la cirugía

Abstract

Lumbar disc herniation is a pathology considered one of the main causes of work disability, due to the symptoms it causes, such as lumbar pain with radiculopathy. It is estimated that approximately 90% of people worldwide suffer from low back pain at some point in their lives, The diagnosis of a lumbar hernia can be suspected clinically by having positive signs such as Lasegue's sign or Braggard's sign, in addition to the patient manifesting a burning or burning pain that radiates towards any of the lower limbs and is sometimes accompanied by muscle weakness, However, although the clinic gives us a high suspicion, the diagnosis is made through images being magnetic resonance imaging the Gold Standard, the management of lumbar disc herniation is based essentially on conservative treatment which should be multidisciplinary, accompanied by both pharmacological treatment such as nonsteroidal anti-inflammatory drugs, opioids, corticosteroids, etc.. There are other alternatives for the management of lumbar hernia that should be considered when the initial treatment was not effective, such as ozone therapy and percutaneous endoscopic discectomy, etc. Therefore, the purpose of this paper is to identify the orthopedic treatment performed in patients with lumbar disc herniation prior to spine surgery through a thorough review of the updated literature on the PUB MED platform.