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Steroid injections prove effective in treatment of lumbar disc herniations
February 13, 2012
SAN FRANCISCO, CA - The use of epidural steroid injections may be a more efficient treatment option for lumbar disc herniations, according to research presented today at the American Orthopaedic Society for Sports Medicine's Specialty Day in San Francisco. "Our study showed an 89% success rate in athletes returning to play after suffering an injury during practice or a game," commented lead author Aaron J. Krych, MD, from the Mayo Clinic's Department of Orthopaedic Surgery. "These injections are a safe initial therapy in athletes that do not have neurological deficits, allows them to participate effectively in physical therapy sooner, and can significantly reduce the time a player misses." Lumbar disc herniation is a back injury common in sports such as football, which involve direct contact and sometimes jumping or twisting motions. The study examined cases of 17 professional American football players from one team between 2003 and 2010. Participants received injections consisting of 80-160 mg of Triamcinolone and anesthetic, with an average loss of 2.8 practices and 0.6 games. "While we are excited to see the positive results with this treatment, it cannot be viewed as a cure-all," cautioned Dr. Krych. "At the end of the day, certain injuries will still require surgery and long-term recovery." American Orthopaedic Society for Sports Medicine

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The Lumbar Intervertebral Disc
by Frank M. Phillips (Editor), Carl Lauryssen (Editor)
Written by leading authorities in the field of spine care, this book is a comprehensive reference for the latest techniques for managing intervertebral disc disorders affecting the lumbar spine. Divided into four main sections, the book opens with a review of fundamental basic science concepts, including epidemiology, anatomy, pathophysiology, biology, biomechanics, and mechanisms of pain. The second section focuses on the management of disc herniation, with chapters guiding clinicians from the pathophysiology of the herniated disc to clinical presentation to various treatment strategies. The final sections of the book present in-depth coverage of degenerative disc disease and provide essential information for imaging and testing, diagnosis, patient screening, treatment, and...
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Principles of Microsurgery for Lumbar Disc Disease
by John A. McCulloch (Author)
This complete, step-by-step guide covers all aspects of microsurgery of the spine, from preoperative evaluation of patients to choice of instruments, surgical techniques, and postoperative care. The clearly written text is complemented by more than 500 scans, photographs, and drawings that aid in interpreting preoperative radiologic findings and depict key surgical maneuvers.The book begins with reviews of information essential to diagnosis and treatment planning, including surgical anatomy of the lumbar spine; biology and pathology of lumbar disc disease; pathogenesis of sciatica; and the clinical syndrome of lumbar root compression caused by a herniated nucleus pulposus. A chapter on patient evaluation highlights the vital role of computed tomography and magnetic...
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Lumbar Disc Herniation
by Robert Gunzburg (Author), Robert Gunzburg Hentz (Editor), Marek Szpalski (Editor)
Written by an international group of recognised experts, this volume is the most comprehensive and up to date reference on lumbar disc herniation. The contributors thoroughly examine the causes, natural history, and diagnostic workup of disc herniation, the full range of current nonsurgical and surgical treatment options, and also the economic and ethical aspects of patient management.Chapters offer practical advice on when to treat nonsurgically and when to operate and provide complete information on all current surgical procedures, including discectomy, microdiscectomy, automated percutaneous discectomy, laser discectomy, arthroscopic discectomy, and lumbar posterior endoscopic microdiscectomy. There are also recommendations for managing failed back surgery
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Lesions of the Lumbar Intervertebral Disc With Special Reference to Rupture of the Annulus Fibrosus with Herniation of the Nucleus Pulposus
by R. GLENN SPURLING (Author)
The author presents a simple, concise, practical account of the lumbar intervertebral disc and the pathologic processes which may occur in it, particularly rupture of the annulus fibrosus with herination of the nucleus pulposus.
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How To Cure Backache Caused By Disc Problems! (My Back Hurts)
If you are suffering from a bulging disc... or a herniated disc, ruptured disc, slipped disc. Or even degenerative disc disease, you've come to the right place!
Were you aware that back problems are the number 1 leading cause of missed work? Studies show that as many as 80% of all Americans will miss work at some point due to back problems.
"How To Cure Back Backache Caused By Disc Problems!" thoroughly explains what a disc is, what it does, how it can be injured, how to cure the various sorts of injury, and finally how to prevent injury in the first place!
Get started reading now and in an hour or so, you will have the knowledge needed to save Thousands of dollars in lost wages and medical bills!
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Lumbar Spinal Imaging in Radicular Pain and Related Conditions: Understanding Diagnostic Images in a Clinical Context
by J.T. Wilmink (Author)
A general consensus exists,that lumbosacral nerve root compression is the primary cause of sciatica and neurogenic claudication, although humoral and vascular factors certainly play a role as well. This book focuses on imaging the various ways in which nerve root compression can come about, and determining which anatomic features are reliably associated with the production of radicular pain. After a discussion of the nature of radicular pain and related symptoms, spinal imaging techniques and options are reviewed, with emphasis on the role of MR myelography in assessing the intradural nerve roots. A chapter on normal topographic, sectional, and functional radiologic anatomy is followed by presentations on pathologic anatomy, addressing mechanisms of nerve root compression, and on pre- and...
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Lumbar Disc Herniation
by Franco Postacchini (Author)
This most complete monograph so far published on the subject analyses all aspects related to the etiopathogenesis, pathomorphology, diagnosis and treatment of lumbar disc herniation. Five chapters are dedicated to biological and pathomorphologic aspects, while five deal with the clinical presentation and diagnostic tests in both extreme depth and breadth. Much space is devoted to conservative, percutaneous and surgical treatments, as well as the causes and management of failed back syndrome.
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Lumbar Disc Lesions
by James Rowan Armstrong (Author)
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Lumbar Disc Lesions: Pathogenesis and Treatment of Low Back Pain and Sciatica
by J. R. Armstrong (Author)
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Lumbar Disc Lesions : Pathogenesis and Treatment of Low Back Pain and Sciatica
by J. R. Armstrong (Author)
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