Impact of Non-surgical Spinal Decompression Combined Protocol on a Lumbar Disc Herniation Predisposing the Patient to Surgical Intervention - A Case Study

Author(s): Cristiano Vicari

Background:

Although conservative treatment is the first choice for patients with lumbar disc herniation symptoms, in the case of sciatica, progressive neurological deficits and confirmation of extensive herniation from MRI, surgical intervention is indicated. Despite the existence of factors predisposing the patient to surgery, around 3% to 43% of patients experience recurrence of their symptoms following lumbar decompressive surgery.

Case Report:

A 49-year-old female recreational kite surfer doing a sedentary job as a secretary complained of acute sciatic pain after intensive gardening. The initial physical therapy examination revealed a suspicion of a herniated disc in the L5 area, which was confirmed by an MRI. Despite the length of the herniation exceeding 1 cm associated with significant sciatic symptoms predisposing the patient to surgery, a non-invasive approach combining non-surgical spinal decompression with high-intensity repetitive peripheral magnetic stimulation (RPMS) was chosen. The final examination revealed a significant improvement in symptoms and MRI findings after ten combined sessions.

Conclusion:

The combination of non-surgical spinal decompression and RPMS therapy represents a promise for patients who are indicated for surgical intervention, but prefer an alternative non-invasive treatment without the risk of side effects and the need for post-operative recovery.