Seki Takeshi, Aihara Takato, Endo Kenji, Murakami Yuichiro, Haraguchi Takahisa, Matsunaga Ryo, Sando Takashi, Yamamoto Kengo
Orthopedic Surgery, Tokyo Medical University, Tokyo, JPN.
Orthopedic Surgery, Antlers Sports Clinic, Kashima, JPN.
Cureus. 2025 Feb 19;17(2):e79270. doi: 10.7759/cureus.79270. eCollection 2025 Feb.
Although there are reports on good short-term outcomes of condoliase injection therapy for lumbar disc herniation (LDH), reports on the improvement of motor deficits, athlete-specific outcomes, or physiotherapy are lacking. We present a case of a 20-year-old male professional footballer who had low back pain, right gluteal pain, and numbness in the right lateral lower leg. The conservative treatment for L4/L5 disc herniation did not improve his symptoms, which were accompanied by incomplete motor deficits of the tibialis anterior (TA) and extensor hallucis longus (EHL) muscles. Thus, he was administered condoliase injection therapy. Approximately 13 weeks after the injection, his symptoms had completely disappeared, and his motor deficits had improved. After 14 weeks, the patient was able to return to competition. Condoliase injection therapy for athletes is one of the useful treatments with the potential to avoid surgery and return to competition, and it may also be effective for athletes with mild incomplete motor deficits.
尽管有报告称condoliase注射疗法对腰椎间盘突出症(LDH)有良好的短期疗效,但关于运动功能障碍改善情况、运动员特定结局或物理治疗的报告却很缺乏。我们报告一例20岁男性职业足球运动员的病例,该患者有腰痛、右臀痛以及右小腿外侧麻木感。针对L4/L5椎间盘突出症的保守治疗未能改善其症状,且伴有胫骨前肌(TA)和拇长伸肌(EHL)的不完全运动功能障碍。因此,对他进行了condoliase注射治疗。注射后约13周,他的症状完全消失,运动功能障碍也有所改善。14周后,该患者能够重返赛场。Condoliase注射疗法对运动员来说是一种有用的治疗方法,有可能避免手术并重返赛场,对轻度不完全运动功能障碍的运动员可能也有效。