Non-operative Management of Lumbar Disc Herniation / 대한척추외과학회지

ABSTRACT

A Wide variety of non-operative treatments are advocated in management of lumbar disc herniations. Unfortunately the multiplicity of treatment methods implies the absence of a clearly superior treatment program. Because of the great expense created by the chaotic array of conservative care measures and arbitrary selection of these measures by different subspecialist, Quebec Task Force, the Agency for Health Care Policy and Research, AAOS/NASS spine Algorithm Task Force developed the guidelines for conservative treatments. It is generally accepted that past medical recommendations may have been overly cautious in returning patients to activity to their possible detriment, thereby slowing recovering and worsening prognosis were resulted. Therefore there is a shifts towards more active therapy with involvement of the patient in various excercise programs recently. In this articles various conservative treatments were reviewed in order to help in managing the patient with lumbar disc herniation.