Evidence map›Paper›PMID 39991391›Full record

ArticleCureus2025

Management of Lumbar Disc Herniation With Nerve Compression in a 21-Year-Old Male: A Case Report Exploring Multifactorial Causes of Disc Herniation.

Porus Palluppetta, Constantino G Lambroussis, Arjun Dhillon, Nathan Nuengchana, Rahul Rajput, Osamah Baig, Sanjana D Nalla

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Porus PalluppettaCollege of Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Constantino G LambroussisFamily Medicine, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Arjun DhillonMedical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.
Nathan NuengchanaCollege of Medicine, University of New England College of Osteopathic Medicine, Biddeford, USA.
Rahul RajputMedical Education, Lake Erie College of Osteopathic Medicine, Erie, USA.
Osamah BaigSurgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Sanjana D NallaObstetrics and Gynecology, Lifeline Medical Associates, Edison, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbar disc herniation (LDH) is a major cause of low back pain traditionally associated with age-related degenerative changes of intervertebral discs in adults aged 30-50 years. Symptoms of LDH can include pain, sensory disturbances, or motor deficits depending on the degree of nerve root compression. This case report highlights a 21-year-old male college student with LDH and nerve root compression, complicated by a prior anterior cruciate ligament (ACL) injury and a sedentary lifestyle. Magnetic resonance imaging (MRI) findings revealed a left L4 nerve root compression and a central-to-right paracentral herniation affecting the right S1 nerve root. The assessment demonstrated significant pain and reduced range of motion (ROM) in hip flexion and extension. Physical therapy utilizing a multimodal approach emphasizing spinal stabilization, postural correction, and mobility exercises was implemented to enhance the patient's function and recovery process. Over the course of treatment, notable improvements in ROM and pain levels were observed. Treatment successfully culminated in minimal pain by the patient's final session. After physical therapy had concluded, and our patient resumed regular activities, he was able to achieve complete pain remission in approximately three months with ROM also returning to baseline. This case report underscores the multifactorial contributors to LDH in young adults, emphasizing the importance of a comprehensive approach to rehabilitation in managing spinal injuries for optimal outcomes.

Indexed as

compressiondischerniationlumbarnerve

Identifiers

PMID39991391
PMCPMC11847557

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.