Retraction of lumbar disc herniation achieved by noninvasive techniques: A case report

October 9, 2021

Case Reports

. 2021 Sep 26;9(27):8082-8089.

doi: 10.12998/wjcc.v9.i27.8082.

Affiliations

¹ State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Tianjin 300072, China.
² Medical Rehabilitation Research Center, Shandong Institute of Advanced Technology, Chinese Academy of Sciences, Jinan 250000, Shandong Province, China.
³ Bone Biomechanics Engineering Laboratory of Shandong Province, Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Jinan 250062, Shandong Province, China.
⁴ Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin 300072, China.
⁵ Shandong First Medical University and Shandong Academy of Medical Sciences, Neck-Shoulder and Lumbocrural Pain Hospital, Shandong Medicinal Biotechnology Center, Jinan 250062, Shandong Province, China.
⁶ School of Control Science and Engineering, Biomedical Engineering Institute, Shandong University, Jinan 250061, Shandong Province, China. [email protected].

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Case Reports

Ping Wang et al.

World J Clin Cases.

2021.

. 2021 Sep 26;9(27):8082-8089.

doi: 10.12998/wjcc.v9.i27.8082.

Affiliations

¹ State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Tianjin 300072, China.
² Medical Rehabilitation Research Center, Shandong Institute of Advanced Technology, Chinese Academy of Sciences, Jinan 250000, Shandong Province, China.
³ Bone Biomechanics Engineering Laboratory of Shandong Province, Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Jinan 250062, Shandong Province, China.
⁴ Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin 300072, China.
⁵ Shandong First Medical University and Shandong Academy of Medical Sciences, Neck-Shoulder and Lumbocrural Pain Hospital, Shandong Medicinal Biotechnology Center, Jinan 250062, Shandong Province, China.
⁶ School of Control Science and Engineering, Biomedical Engineering Institute, Shandong University, Jinan 250061, Shandong Province, China. [email protected].

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Abstract

Background:

Lumbar disc herniation (LDH) has emerged as one of the most common causes of low back pain. The routine treatment approach involves chemonucleolysis therapy, discectomy by percutaneous endoscopy, and percutaneous laser disc decompression. Unfortunately, all of these methods carry inherent risk of causing harm to the patient and, as such, there is an unmet but urgent need for an effective and safe noninvasive treatment for LDH. The purpose of this report is to describe a non-invasive method for re-absorption of LDH.

Case summary:

A 34-year-old woman was admitted with a complaint of waist pain that she reported as having become acutely aggravated over the past 3 d and accompanied by discomfort in the right lower limb. Her self-reported medical history included persistent postpartum low back pain from 7 years prior. Physical exam showed positivity for neck flexion test (Lindner sign) and supine abdomen test; the straight leg-raising test showed right 60(+) and left 80(-). Findings from standard imaging (magnetic resonance) and collective physical examinations indicated a L5/S1 herniated lumbar disc. Treatment consisted of three-dimensional (balanced regulating) spinal manipulation and acupuncture, upon which the LDH resolved by retraction.

Conclusion:

Following L5/S1 herniated lumbar disc diagnosis, three-dimensional (balanced regulating) spinal manipulation combined with acupuncture therapy is an effective treatment.

Keywords:

Balance regulating; Case report; Low back pain; Lumbar disc herniation; Manipulation; Retraction; Three-dimensional spinal manipulation.

Conflict of interest statement

Conflict-of-interest statement: Dr. Li reports grants from Science and Technology Department of Shandong Province and from Ministry of Science and Technology of the People’s Republic of China during the conduct of the study.

Figures

**Figure 1**

**Magnetic resonance images obtained upon admission.** The orange arrows indicate the location of disc herniation.

**Figure 2**

**Magnetic resonance images obtained at 15 mo after discharge from hospital.** The orange arrows show the location of disc herniation retraction.

**Figure 3**

**Magnetic resonance images obtained at 44 mo after discharge from hospital.** The orange arrows show the location of disc herniation retraction.

**Figure 4**

Direction of spinal movement.

References

1. Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation. 2014;17 Suppl 2:3–10.
  
  –
  
  PubMed
1. Comer C, Conaghan PG. Tackling persistent low back pain in primary care. Practitioner. 2009;253:32–34, 3.
  
  –
  
  PubMed
1. Awad JN, Moskovich R. Lumbar disc herniations: surgical versus nonsurgical treatment. Clin Orthop Relat Res. 2006;443:183–197.
  
  –
  
  PubMed
1. Li Y, Fredrickson V, Resnick DK. How should we grade lumbar disc herniation and nerve root compression? Clin Orthop Relat Res. 2015;473:1896–1902.
  
  –
  
  PMC
  
  –
  
  PubMed
1. Chen XL, Hai Y, Guan L, Liu YZ, Yang JC, Su QJ, Kang N, Meng XL, Yang L, Wang Y. [Topping-off surgery versus double-segment fusion for treatment of lumbar degenerative disease with mid-long term follow-up] Zhonghua Yi Xue Za Zhi. 2017;97:857–863.
  
  –
  
  PubMed