ArticleArchives of physical medicine and rehabilitation2012
Recurrence of radicular pain or back pain after nonsurgical treatment of symptomatic lumbar disk herniation.
Article in Archives of physical medicine and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 43 citations in OpenAlex.
- Compositional magnetic resonance imaging in the evaluation of the intervertebral disc: Axial vs sagittal TJournal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020Trial
- Recurrence of Pain After Usual Nonoperative Care for Symptomatic Lumbar Disk Herniation: Analysis of Data From the Spine Patient Outcomes Research Trial.PM & R : the journal of injury, function, and rehabilitation · 2016Trial
- Combined Analysis of Gait Cycle and Imaging Parameters in Patients with Lumbar Disc Herniation: An Exploratory Study.Annals of biomedical engineering · 2026Article
- Central and peripheral factors moderating pain effects on motor control and disability in chronic lumbosacral radicular pain.Journal of neuroengineering and rehabilitation · 2025Article
- Prognostic factors for treatment success of conservative management and role for physiotherapy in radicular pain caused by a lumbar disc herniation: a systematic review.Brain & spine · 2025Article
- Effects of Tuina combined with traditional Chinese exercises on function disability in patients with lumbar disc herniation: a multicentre, randomised, controlled clinical trial.Frontiers in neurology · 2025Article
- The Flexion Relaxation Phenomenon in Patients with Radiculopathy and Low Back Pain: A Cross-Sectional Study.Journal of functional morphology and kinesiology · 2024Article
- Previous Lumbar Spine Surgery Decreases the Therapeutic Efficacy of Dorsal Root Ganglion Pulsed Radiofrequency in Patients with Chronic Lumbosacral Radicular Pain.Journal of personalized medicine · 2023Article
- Total Resorption of a Chronic L4-L5 Disc Extrusion After Application of the Atlasprofilax Method: A Case Report.The American journal of case reports · 2022Article
- Comparing the efficacy of two different temperature stimulation in warm acupuncture on acute low back pain: A randomized controlled trial.Integrative medicine research · 2022Article
- Effect of traditional Chinese exercise combined with massage on pain and disability in patients with lumbar disc herniation: A multi-center, randomized, controlled, assessor-blinded clinical trial.Frontiers in neurology · 2022Article
- Effect of traditional Chinese manual therapy on alleviating pain and dysfunction of lumbar disc herniation: a randomized controlled pilot study.American journal of translational research · 2022Article
- Prediction of Lumbar Disk Herniation and Clinical Outcome Using Quantitative Magnetic Resonance Imaging: A 5-Year Follow-Up Study.Investigative radiology · 2019Article
- Characterization of novel lnc RNAs in the spinal cord of rats with lumbar disc herniation.Journal of pain research · 2019Article
- Article
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study.BMC musculoskeletal disorders · 2015Observational
- Evidence-based prognostication in a case of sciatica.The Journal of the Canadian Chiropractic Association · 2015Article
- Co-presentation of unilateral femoral and bilateral sciatic nerve variants in one cadaver: A case report with clinical implications.Chiropractic & manual therapies · 2012Article
- Fluoroscopically guided interlaminar needle for lumbar disc herniation: a series of 43 patients.Annals of Saudi medicineArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesTo determine recurrence rates of lower-extremity radicular pain after nonsurgical treatment of acute symptomatic lumbar disk herniation (LDH), and to identify predictors of recurrence.
designProspective inception cohort.
settingOutpatient spine clinic.
participantsPatients (N=79) reporting resolution of radicular pain after magnetic resonance imaging confirmation of LDH.
interventionsIndividualized nonsurgical treatment tailored to the patient. All patients received education, but other treatments varied depending on the individual.
main outcome measuresResolution of radicular pain was defined as a pain-free period of ≥1 month. Patients who reported resolution of radicular pain within 1 year after seeking care for acute LDH were asked whether pain had recurred at 1 year after seeking care and were also reassessed 1 year after the time of resolution of radicular pain and 2 years after seeking care. Patients reported on recurrence and the date of recurrence, if any. We evaluated the 1-year incidence of recurrence, using Kaplan-Meier survival plots. We examined predictors of recurrence using bivariate and multivariate Cox proportional hazards models. We examined the secondary outcome of back pain recurrence using identical methods.
resultsTwenty-five percent (95% confidence interval [CI], 15-35) of individuals with resolution of radicular pain for at least 1 month reported subsequent recurrence of pain within 1 year after resolution. The only factor independently associated with radicular pain recurrence was the number of months prior to resolution of pain (hazard ratio per month=1.24; 95% CI, 1.13-1.37; P<.001). The 1-year incidence of back pain recurrence was 43% (95% CI, 30-56), and older age decreased the hazard of recurrence.
conclusionsRecurrence of radicular pain is relatively common after nonsurgical treatment of LDH and is predicted by longer time to initial resolution of pain.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.