Evidence map›Paper›PMID 38034203›Full record

ReviewCureus2023

Management of Lumbar Disc Herniation: A Systematic Review.

Akram M Awadalla, Alaa S Aljulayfi, Abdulaziz R Alrowaili, Hatem Souror, Fay Alowid, Abdulaziz Mahdi M Mahdi, Remaz Hussain, Mujib M Alzahrani, Ahmad N Alsamarh, Esam A Alkhaldi and 1 more

2 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06869889 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Fluoroscopy-Guided Retrolaminar Block Versus Local Wound Infiltration for Post Lumbar Discectomy Analgesia: A Double-Blinded, Randomized Trial

TypeinterventionalSponsorZagazig UniversityRan2025 to 2026Enrolled130ConditionsAnalgesia, Disk Herniated Lumbar, Local InfiltrationArmsRetrolaminar plane block, Local wound infiltration
NCT06956664 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Efficacy of Physiotherapeutic Exercise Regimens Implemented After Caudal Epidural Steroid Injection

TypeinterventionalSponsorÇankırı Karatekin UniversityRan2025 to 2026Enrolled42ConditionsIntervertebral Disc Displacement, Low Back Pain, RadiculopathyArmsConventional Physiotherapy, Aerobic Exercise Programme, Core-Stabilization Exercise Programme
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 2 countries.

Akram M AwadallaNeurological Surgery, King Salman Armed Forces Hospital, Tabuk, SAU.
Alaa S AljulayfiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Abdulaziz R AlrowailiFaculty of Medicine, University of Tabuk, Tabuk, SAU.
Hatem SourorMedicine and Surgery, University of Jeddah, Jeddah, SAU.
Fay AlowidCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Abdulaziz Mahdi M MahdiOrthopedic Surgery, University of Jeddah, Jeddah , SAU.
Remaz HussainPlastic and Reconstructive Surgery, Taibah University, Medina, SAU.
Mujib M AlzahraniFaculty of Medicine, Al Baha University, Al Baha, SAU.
Ahmad N AlsamarhFaculty of Medicine, Al Jouf University, Sakaka, SAU.
Esam A AlkhaldiFaculty of Medicine, King Khalid University, Abha, SAU.
Reem C AlanaziFamily Medicine, Primary Health Care Corporation, Riyadh, SAU.
King Saud bin Abdulaziz University for Health Sciences · SAUniversity of Jeddah · SAAl Baha University · SAArmed Forces Hospital · SAJouf University · SAKing Khalid University · SAPrimary Health Care · QATaibah University · SAUniversity of Tabuk · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A herniated disc in the spine is a condition during which a nucleus pulposus is displaced from intervertebral space. It is a common cause of back pain. The patients who experience pain related to a herniated disc often remember an inciting event that caused their pain. This activity reviews the evaluation and management of lumbar disc herniation and discusses the role of the healthcare team in evaluating and improving care for patients with this condition. Data sources were PubMed/Medline and Embase. Our review investigated English-language articles (from 2010 to 2023) according to the PRISMA guidelines. Overall, there were seven articles. Surveys and analyses of national databases were the most widely used methods (n=7). The search identified 777 studies; 7 were eligible for inclusion in the analysis. Further understanding of spinal disc herniation and treatment protocols may help improve evaluation and management in the future. Our research covered a range of management options. Disc herniation is a frequent problem for internists, emergency department doctors, nurse practitioners, and primary care physicians. To manage efficiently, an interprofessional team is needed. The first course of treatment is conservative, with paracetamol and anti-inflammatories being frequently used to relieve pain. A chemist must supervise the use of opioid analgesics in certain situations. Although surgery is sometimes the final option, patients frequently have neurological damage and lingering discomfort. In circumstances where physical treatment is not working, MRI interpretation becomes necessary. Primary care physicians or mental health professionals should handle back pain as it is frequently linked to mental health issues. Results can be enhanced by regular exercise and preserving a healthy body weight.

Indexed as

back painligamentum flavumlumbar disc herniationsciaticasurgical treatment

Identifiers

PMID38034203
PMCPMC10683841
OpenAlexW4388161879

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.