PDF(Pubmed)
Abstract：
A herniated disc is a condition in which the nucleus pulposus is displaced from the intervertebral space. It usually leads to back pain, thus being the most common reason for it. Patients often describe the first symptoms of a herniated disc as extreme and decisive pain. Unlike the usual mechanical back pain, a herniated disc is often related to a stinging or burning sensation that often spreads to the lower extremities and proves to be continuous at lower temperatures. We present a case of a 58-year-old male patient who visited the Acibadem City Clinic with complaints of pain initially starting from his hip, which in time extended to his left leg (L5 radiculopathy) and a few days later to his right leg (L5 radiculopathy). Before visiting the clinic, he had been treated in Germany with physiotherapy and supplements, which had proved ineffective. After an MRI, which revealed an L4-L5 herniated disc, he underwent conservative treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) and proton pump inhibitors (PPIs) for 14 days in addition to Medrol 4mg tablets (3x1 per day for 10 days). On the third day of the treatment, 60% of the symptoms had subsided. Seven months later, he came in for a scheduled checkup, and 95% of the symptoms were gone. A controlled MRI was done, and the herniated disc had completely vanished. We hope that this type of research will benefit medical professionals, patients, researchers, doctors, and students, among others. Such cases also contribute to the quality of care for such patients and help set regulated factual guidelines regarding their treatment as a whole.
摘要：
椎间盘突出是髓核从椎间隙移位的病症。它通常会导致背痛，因此是最常见的原因。患者通常将椎间盘突出的最初症状描述为极端和决定性的疼痛。不像通常的机械性背痛,椎间盘突出通常与刺痛或灼烧感有关，这种感觉经常扩散到下肢，并被证明在较低温度下是连续的。我们介绍了一例58岁的男性患者，他去了AcibademCity诊所，抱怨最初从臀部开始疼痛，及时延伸至他的左腿（L5神经根病），几天后延伸至他的右腿（L5神经根病）。在去诊所之前，他在德国接受了理疗和补品治疗，这被证明是无效的。核磁共振后,显示L4-L5椎间盘突出，他接受了非甾体类抗炎药(NSAIDs)和质子泵抑制剂(PPI)的保守治疗14天,此外还接受了Medrol4mg片剂(每天3x1,共10天).在治疗的第三天，60%的症状已经消退。七个月后,他是来做例行检查的,95%的症状消失了。做了一个受控的核磁共振,突出的椎间盘完全消失了.我们希望这类研究能使医疗专业人士受益,病人,研究人员,医生,和学生，在其他人中。此类病例也有助于提高此类患者的护理质量，并有助于制定有关其整体治疗的规范事实指南。
