Case Report
 
Spontaneous regression of lumbar disc herniation: Conservative treatment in a case with motor deficit
Saliha Eroğlu Demir1, Nihal Özaras2, Ebru Aytekin3
1MD, Associated Professor, Physical medicine and Rehabilitation Specialist, Bezmialem Vakif University, Physical Medicine and Rehabilitation Department, Istanbul, Turkey.
2MD, Associated Professor, Bezmialem Vakif University, Physical Medicine and Rehabilitation Department, Istanbul, Turkey.
3MD, Physical medicine and Rehabilitation Specialist, Ministry of Health, Istanbul Research and Training Hospital, Physical Medicine and Rehabilitation Clinic, Istanbul, Turkey.

doi:10.5348/ijcri-2013-10-384-CR-13

Address correspondence to:
Saliha Eroğlu Demir
MD, Physical Medicine and Rehabilitation Department Bezmialem Vakif University Medical Faculty
Department of Physical Medicine and Rehabilitation
Istanbul
Turkey
Phone: +90 212 523 37 19
Fax: +90 212 533 23 26
Email: saliha45@yahoo.com

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How to cite this article:
Demir SE, Özaras N, Aytekin E. Spontaneous regression of lumbar disc herniation: Conservative treatment in a case with motor deficit. International Journal of Case Reports and Images 2013;4(10):578–581.


Abstract
Introduction: Conservative healing of lumbar disc herniation (LDH) exists. Most surgical studies have followed a minimum six-week trial of conservative therapy before surgical intervention. Patients who do not present with emergency surgery indications may be treated initially with conservative methods.
Case Report: A case of 32-year-old female with motor deficit caused by an extruded herniated disc. Physical and medical therapy was given because she refused to undergo surgery. After the treatment, her motor deficits improved. Magnetic resonance imaging scan showed totally regression of the extruded disc.
Conclusion: Although a single case cannot confirm the validity of conservative management of LDH with motor deficits, patient preference and severity of the disability from pain are important factors when choosing treatment modalities.

Keywords: Intervertebral disk displacement, Lumbosacral region, Low back pain, Neurologic manifestations, Physical therapy modalities.


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Author Contributions
Saliha Eroğlu Demir – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nihal Özaras – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ebru Aytekin – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Saliha Eroğlu Demir et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)