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Phys Med Rehabil Clin N Am. 2014 May;25(2):305-17. doi: 10.1016/j.pmr.2014.01.006. Epub 2014 Feb 28.

Discogenic low back pain.

Author information

1
Department of Physical Medicine and Rehabilitation, Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: jeremyisimon@gmail.com.
2
Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, 25 South 9th Street, Philadelphia, PA 19107, USA.

Abstract

Most lumbar disk herniations improve over time with or without medical treatment. Disk herniations and annular tears may not be symptomatic and are shown to exist in patients without any symptoms. In some patients, chronic low back pain may result from the syndrome of internal disk disruption. Treatment of chronic pain of diskal cause can be challenging and have varying results in terms of success. The diagnosis, cause, and treatment options are reviewed in this article.

KEYWORDS:

Annular tear; Discogenic low back pain; Internal disk disruption; Low back pain; Lumbar disk disease; Lumbar disk herniation

PMID:
24787335
DOI:
10.1016/j.pmr.2014.01.006
[Indexed for MEDLINE]

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