For citation purposes: Kaya E, Ozyurek S, Kaplan C, Gokcen B, Kose O. Regression of an extruded lumbar disc herniation after thermomechanical massage bed therapy. OA Orthopaedics 2013 Aug 01;1(2):15.

Case report

 
Diagnosis & Treatment

Regression of an extruded lumbar disc herniation after thermomechanical massage bed therapy

E Kaya, S Ozyurek, C Kaplan, B Gokcen, O Kose
 

Authors affiliations

(1) Department of Physical Medicine and Rehabilitation, Bursa Military Hospital, Bursa, Turkey

(2) Department of Orthopedics and Traumatology, Aksaz Military Hospital, Marmaris/Mugla, Turkey

(3) Department of Neurology, Bursa Military Hospital, Bursa, Turkey

(4) Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul, Turkey

(5) Department of Orthopedics and Traumatology, Antalya Education and Research Hospital, Antalya, Turkey

*Corresponding author Email: drozkankose@hotmail.com

Abstract

Introduction

Many patients with extruded lumbar disc herniation require surgical intervention but some neurological symptoms of intervertebral disc herniation may often improve with conservative treatment. Although the spontaneous regression in size of a herniated disc is well known, a large extruded disc has been rarely reported. This case report discusses a regression of an extruded lumbar disc herniation after thermomechanical massage bed therapy.

Case Report

A 42-year-old man with a 1-month history of lower back and left leg pain was admitted to our Department. A large extruded disc fragment was found on the left side of the spinal canal at the L4-5 level on T2-weighted MRI.

Conclusion

The case reported here is the regression of a large lumbar disc extrusion after 1 year of thermomechanical massage bed treatment. The disc regressed with clinical improvement and was documented as a follow-up MRI study 9 months later.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)