Online ISSN: 2515-8260

Keywords : sciatica

A prospective study of outcome of surgical management of patients presenting with lumbar disc herniation by open discectomy

Dr.Manoj Kumar Ramachandraiah,Dr.Ravi Kumar Naganur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2411-2414

Lumbar intervertebral disc herniation is one of the main causes of low back ache and sciatica,
which might incapacitate a person. There are many techniques available for treating lumbar
disc herniation. But conventional standard open discectomy is still the most acceptable
method today. Numerous retrospective and some prospective reviews of open disc surgeries
are available. These studies have reported excellent results in 46 to 97% of the patients.30
Cases of lumbar disc herniation which have been treated by open discectomy, satisfying
inclusion and exclusion criterias, admitted in Hospital were studied. Preoperative and
postoperative scores were taken and the rate of improvement in terms of percentage was
calculated using Japanese Orthopaedic Association Low Backache score.In our study we
achieved 90% good results, 6.67% fair results, poor outcome of 3.33%, and the results were
comparable to other studies.There are many techniques for treatment of lumbar disc
herniation but conventional standard open discectomy is still the most acceptable method for
the Indian scenario

Subsiding of Dependent Oedema Following Chiropractic Adjustment for Discogenic Sciatica

Eric C. P. Chu; John T. H. Wong

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 12-15

Background: Subsiding of dependent oedema with chiropractic treatment for sciatica has not been described in the literature. Case presentation: A 40-year-old woman presented with unbearable sciatic nerve pain which restricted her in doing daily activities. She also had bilateral leg swelling for some time and no apparent physical causes could be found after being reviewed by a cardiologist. The patient subsequently sought chiropractic care to relieve her pain. She unexpectedly experienced a beneficial outcome from spinal adjustment in which both sciatic nerve pain and leg oedema were simultaneously resolved. It is reasonable to say that ease of mobility from pain relief and increased lymphatic return from sympathetic responses can help eliminating leg oedema following spinal adjustment. Conclusions: The pathophysiology of oedema formation is multifactorial and the therapeutic role of chiropractic remains inconclusive in this case. Further researches are need in this area before the integration of chiropractic into cardiovascular practice.