Summary: Low back pain is common among people between the ages of 30 and 65, and herniated lumbar discs are one of the main causes of this condition. In most cases, the reduction in pain and clinical manifestations is associated with a decrease in the size of the hernia or its resorption, which is the natural process of reduction or complete disappearance of the hernia without the need for surgical intervention. Currently, there are several intensive physical therapy methods that influence the process of hernia resorption, making conservative treatment preferable.
Purpose: demonstration of the results of experience in the use of high-intensity physiotherapeutic methods of influencing the process of resorption of herniated intervertebral discs of the lumbar spine.
Materials and methods: At the Expert Neuro clinic, as part of a dissertation research from 2023 to 2024, 30 patients with a confirmed diagnosis of “herniated intervertebral discs of the lumbar spine” were analyzed based on the results of magnetic resonance imaging (MRI). The main group of patients received conservative treatment using modern high-intensity physiotherapy methods, the control group received classical methods of conservative treatment.
Results and discussion: According to MRI of the spine, 3 patients developed resorption of a herniated intervertebral disc. In all patients, radiculopathy symptoms improved after 1 month and low back pain symptoms improved after 2 to 3 months.
Conclusion: According to our clinical experience and relevant literature, sequestered disc herniations have a high rate of resorption. Pathophysiological processes of inflammation and regeneration are the main mechanisms of this phenomenon. Conservative management of such patients in the absence of definitive surgical indications should not be underestimated.