Discogenic low back pain.
Most lumbar disk herniations improve over time with or without medical treatment. Disk herniations and annular tears may not be symptomatic and are shown to exist in patients without any symptoms. In some patients, chronic low back pain may result from the syndrome of internal disk disruption. Treatment of chronic pain of diskal cause can be challenging and have varying results in terms of success. The diagnosis, cause, and treatment options are reviewed in this article.
Department of Physical Medicine and Rehabilitation, Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: jeremyisimon@gmail.com.
Jeremy
J
Simon
Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, 25 South 9th Street, Philadelphia, PA 19107, USA.
Matthew
M
McAuliffe
Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, 25 South 9th Street, Philadelphia, PA 19107, USA.
Fehreen
F
Shamim
Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, 25 South 9th Street, Philadelphia, PA 19107, USA.
Nancy
N
Vuong
Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, 25 South 9th Street, Philadelphia, PA 19107, USA.
Amir
A
Tahaei
D015670:Acupuncture Therapy / Q000379:methods; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000700:Analgesics / Q000627:therapeutic use; D001521:Behavior Therapy / Q000379:methods; D059350:Chronic Pain; D003131:Combined Modality Therapy; D004576:Electromyography / Q000379:methods; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D055959:Intervertebral Disc Degeneration / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017116:Low Back Pain / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D059408:Pain Management / Q000379:methods*; D026741:Physical Therapy Modalities; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D013123:Spinal Fusion / Q000379:methods*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000700:Analgesics
Annular tear; Discogenic low back pain; Internal disk disruption; Low back pain; Lumbar disk disease; Lumbar disk herniation