Department of Massage, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, P.R. China.
J Int Med Res. 2021 Jun;49(6):3000605211020636. doi: 10.1177/03000605211020636.
To date, only a few reports have described the regression of lumbar disc herniation, which may be because of a failure to follow up patients treated conservatively. We report a case of a 25-year-old man who presented with a 2-month history of pain and soreness owing to lumbar disc herniation. He was managed conservatively, and his presenting symptoms and scoliosis gradually decreased over approximately 5 months. Two years later, he returned unexpectedly and was advised to undergo magnetic resonance imaging, which revealed regression of the disc herniation; the patient also confirmed that the pain had not recurred. After 8 months, he underwent repeat magnetic resonance imaging, and the findings pertaining to disc herniation were normal. Our findings suggest that previous cases should be retrospectively studied to establish a prediction model for the outcomes of conservative treatment in patients with lumbar disc herniation. We also emphasize the significance of selecting suitable patients for conservative treatment to obtain the best therapeutic outcomes. The CARE guidelines have been followed in the reporting of this case.
迄今为止，仅有少数几篇报道描述了腰椎间盘突出症的消退，这可能是因为保守治疗的患者未能得到随访。我们报告了 1 例 25 岁男性患者，其因腰椎间盘突出症出现 2 个月的疼痛和酸痛病史。他接受了保守治疗，大约 5 个月后，其症状和脊柱侧凸逐渐减轻。2 年后，他意外返回并被建议进行磁共振成像检查，结果显示椎间盘突出症消退；患者还确认疼痛未再复发。8 个月后，他再次进行磁共振成像检查，椎间盘突出症的检查结果正常。我们的研究结果表明，应该对以往的病例进行回顾性研究，以建立腰椎间盘突出症保守治疗结果的预测模型。我们还强调了为获得最佳治疗效果而选择合适的患者进行保守治疗的重要性。本病例报告符合 CARE 指南。
