Back to Journals » International Journal of General Medicine » Volume 3

Treatment of lumbar disc herniation: Evidence-based practice

Authors Schoenfeld AJ, Weiner B

Published 9 July 2010 Volume 2010:3 Pages 209—214


Review by Single anonymous peer review

Peer reviewer comments 3

Andrew J Schoenfeld1, Bradley K Weiner2

1Department of Orthopedic Surgery, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, TX, USA; 2Weill Cornell Medical College and The Methodist Hospital, Houston, TX, USA

Clinical question: What is the best treatment for lumbar disc herniations?
Results: For patients failing six weeks of conservative care, the current literature supports surgical intervention or prolonged conservative management as appropriate treatment options for lumbar radiculopathy in the setting of disc herniation. Surgical intervention may result in more rapid relief of symptoms and restoration of function.

Implementation: While surgery appears to provide more rapid relief, many patients will gradually get better with continued nonoperative management; thus, patient education and active participation in decision-making is vital.

Keywords: lumbar disc, herniation, back pain, spine

Creative Commons License © 2010 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.