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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(1):89-93.
Effect of Intensive Conservative Treatment on Extraforaminal Lumbar Disc Herniations - 1 Year Prospective Follow-up Study.
Cho, Yun Woo
Department of Physcical Medicine and Rehabilitation, Spine Center, Yeungnam University College of Medicine, Korea. tra5705@hanmail.net
추간공외 요추간판 탈출의 적극적 보존 치료 효과 - 1년 전향적 추적연구
조윤우
영남대학교 의과대학 재활의학교실 및 척추센터
Abstract
Objective
To evaluate the outcomes of intensive conservative treatment on extraforaminal lumbar disc herniations.
Method
Twenty five patients with extraforaminal lumbar disc herniations with symptomatic radicular pain were included. Under fluoroscopic guidance, 40 mg of triamcinolone was infused around the nerve root after provocation of patient's usual radicular pain. Lumbosacral dynamic stabilization exercise, thermal and electrical therapy, and education of posture correction were added. The clinical outcomes were measured by visual analogue scale (VAS) and Oswestry disability index (ODI) before treatment, one, three, six, and twelve months after the treatment. After twelve months, patients' satisfaction was classified to four categories: excellent, good, fair, or poor. Four patients were dropped out.
Results
Follow-up VAS and ODI significantly decreased since post-treatment one month (p<0.0001). The average score of VAS for lower extremity and back pain reduced significantly from 6.6, 4.5 at pretreatment to 1.5, 1.9 at 12 months post-treatment, respectively (p<0.0001). The averages of ODI reduced significantly from 65.4% at pretreatment to 25.4% at post-treatment 12 months (p<0.0001). In patients' satisfaction, seventeen patients (81.0%) were recorded as excellent or good after post-treatment 12 months.
Conclusion
Intensive conservative treatment was effective on patients who underwent extraforaminal lumbar disc herniation. Pain relief and functional improvement sustained for 12 months. (J Korean Acad Rehab Med 2009; 33: 89-93)
Key Words: Extraforaminal lumbar disc herniations, Intensive conservative treatement, Transforaminal epidural steroid injection


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