title: [Lumbar disc herniation--diagnosis and treatment].
abstract: A lumbar disc herniation (LDH) is a condition frequently encountered in primary care medicine. It may give rise to a compression of one or more nerve roots, which can lead to a nerve root irritation, a so-called radiculopathy, with or without a sensorimotor deficit. The majority of LDHs can be supported by means of a conservative treatment consisting of physical therapy, ergotherapy, analgetics, anti-inflammatory therapy or corticosteroids, which may be eventually administered by infiltrations. If a clinico-radiological correlation is present and moderate neurological deficit appears suddenly, if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during four to six months, surgery is then recommended.
authors: M-V
authors: MV
authors: Corniola
authors: E
authors: E
authors: Tessitore
authors: K
authors: K
authors: Schaller
authors: O P
authors: OP
authors: Gautschi
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D007405:Intervertebral Disc Displacement / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D008159:Lumbar Vertebrae / Q000601:surgery; D011843:Radiculopathy / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy