[Non-surgical treatment of lumbar radiculopathy]

Ugeskr Laeger. 2017 Nov 13;179(23):V05170397.
[Article in Danish]

Abstract

The objective of this paper is to give insight into evidence-based recommendations on key clinical questions regarding treatment of lumbar disc herniation with radiculopathy. This paper is based on the recently published Danish national clinical guideline for non-operative treatment. Limited evidence is found regarding non-surgical treatment of patients with lumbar radiculopathy. Physiotherapy, in the form of group sessions, seems to have the best level of evidence. However, evidence is still very limited and of poor quality. No evidence has been found with regards to acupuncture or manipulation therapy.

Publication types

  • Review

MeSH terms

  • Acupuncture Therapy
  • Analgesics, Non-Narcotic / therapeutic use
  • Bed Rest
  • Denmark
  • Evidence-Based Medicine
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use
  • Humans
  • Injections, Epidural
  • Intervertebral Disc Displacement / complications
  • Intervertebral Disc Displacement / drug therapy
  • Intervertebral Disc Displacement / therapy*
  • Lumbar Vertebrae*
  • Manipulation, Chiropractic
  • Physical Therapy Modalities
  • Practice Guidelines as Topic
  • Radiculopathy / drug therapy
  • Radiculopathy / etiology
  • Radiculopathy / therapy*

Substances

  • Analgesics, Non-Narcotic
  • Glucocorticoids