The role of conservative treatment in lumbar disc herniations: WFNS spine committee recommendations

The role of conservative treatment in lumbar disc herniations: WFNS spine committee recommendations

2024 | Onur Yaman, Artem Guchkha, Sandeep Vaishya, Mehmet Zileli, Corinna Zygourakis, Joachim Oertel
The article "The role of conservative treatment in lumbar disc herniations: WFNS spine committee recommendations" by Onur Yaman et al. aims to provide evidence-based recommendations for the conservative management of lumbar disc herniations (LDH). The study involved a systematic literature review from 2012 to 2022, resulting in 12 final manuscripts. These were presented at two international consensus meetings of the World Federation of Neurosurgical Societies (WFNS) Spine Committee, where the Delphi method was used to reach consensus. The key findings and recommendations are as follows: 1. **Conservative Treatment as First Line**: In the absence of cauda equina syndrome, motor deficits, or other serious neurological deficits, conservative treatment should be the first line of treatment for LDH. 2. **Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)**: NSAIDs can significantly improve acute low back and sciatic pain caused by LDH. 3. **Combination Therapy**: A combination of activity modification, pharmacotherapy, and physical therapy provides good outcomes in most LDH patients. The article also discusses various aspects of conservative therapy, including pharmacological treatments (such as acetaminophen, NSAIDs, muscle relaxants, and opioids) and non-pharmacological treatments (such as physical therapy, traction therapy, bed rest, traditional medicine, injections, and intradiscal interventions). The WFNS Spine Committee's recommendations emphasize the importance of conservative treatment for LDH, particularly when it does not involve severe neurological deficits.The article "The role of conservative treatment in lumbar disc herniations: WFNS spine committee recommendations" by Onur Yaman et al. aims to provide evidence-based recommendations for the conservative management of lumbar disc herniations (LDH). The study involved a systematic literature review from 2012 to 2022, resulting in 12 final manuscripts. These were presented at two international consensus meetings of the World Federation of Neurosurgical Societies (WFNS) Spine Committee, where the Delphi method was used to reach consensus. The key findings and recommendations are as follows: 1. **Conservative Treatment as First Line**: In the absence of cauda equina syndrome, motor deficits, or other serious neurological deficits, conservative treatment should be the first line of treatment for LDH. 2. **Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)**: NSAIDs can significantly improve acute low back and sciatic pain caused by LDH. 3. **Combination Therapy**: A combination of activity modification, pharmacotherapy, and physical therapy provides good outcomes in most LDH patients. The article also discusses various aspects of conservative therapy, including pharmacological treatments (such as acetaminophen, NSAIDs, muscle relaxants, and opioids) and non-pharmacological treatments (such as physical therapy, traction therapy, bed rest, traditional medicine, injections, and intradiscal interventions). The WFNS Spine Committee's recommendations emphasize the importance of conservative treatment for LDH, particularly when it does not involve severe neurological deficits.
Reach us at info@study.space
Understanding The role of conservative treatment in lumbar disc herniations%3A WFNS spine committee recommendations