Regression in the Symptoms and Discal Hernia in Case of Lumbar Radiculopathy

  • M. A. Ivanova Department of Nervous Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Street, 119991, Moscow, Russia
  • V. A. Parfenov Department of Nervous Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Street, 119991, Moscow, Russia
  • Ekaterina Silina Department of Nervous Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Street, 119991, Moscow, Russia
  • A. I. Isaykin Department of Nervous Diseases and Neurosurgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Street, 119991, Moscow, Russia
Keywords: lumbar discogenic radiculopathy, regression of discal hernia, magnetic resonance imaging

Abstract

BACKGROUND: Discogenic lumbar radiculopathy has a favorable potential for survival; the regression of clinical symptoms may outpace the subsidence of discal hernia.

AIM: The objective of the study is comparing the clinical data and the results of magnetic resonance imaging (MRI) in patients with discogenic lumbar radiculopathy over 1 year of observation.

MATERIALS AND METHODS: Thirty-two patients (13 males at the average age of 39.1 ± 11.8 years) with discogenic lumbar radiculopathy confirmed by MRI were examined in the study. The intensity of pain condition was assessed using the numerical rating scale; disability was assessed using the Oswestry disability index. Sixteen patients were subjected to repeated MRI.

RESULTS: Statistically significant (p < 0.01) reduction of the average pain intensity and intensity of disability more than 2 times was observed as early as in the first 2 weeks. Gradual reduction of pain and disability was observed during the year. Reduction of discal hernia by more than 50% was observed on average after 8.7 ± 4.7 months.

CONCLUSION: In the case of discogenic radiculopathy, the reduction of pain and related disability far outstrips the regression of the herniation of intervertebral disk.

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Published
2020-06-01
How to Cite
1.
Ivanova MA, Parfenov VA, Silina E, Isaykin AI. Regression in the Symptoms and Discal Hernia in Case of Lumbar Radiculopathy. Open Access Maced J Med Sci [Internet]. 2020Jun.1 [cited 2020Oct.29];8(B):216-20. Available from: https://www.id-press.eu/mjms/article/view/3772
Section
Radiology and Radiotherapy