Conservative And Surgical Treatment Of Lumbar Disc Herniation
Authors:   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Santos Guilherme I. , Alineri Thalita P.M. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Malaquias Délio T. M. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Paschoal Juliana ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Oliveira sabeli G. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., M.R. Oliveira Brenda M. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Prezotto Eliza F. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Soler Isadora O. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Araujo Bruna D. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Golin Caroline P. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., S Guzzi Maria Gabriela ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Forechi Igor F. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., G. Martins Guilherme ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., F. Parreira Ana Clara ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Sanches Samantha R.G. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Viana Delgado Adriana F. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Mariz Diego P. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Dias Karina F. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., . Faria Agatha A.M ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Calheiros Julio E. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Lopes Talita R.Q. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Camargo Elysa F. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., O. Beloto Cristiana N. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Clara G. Costa Maria ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., R De Souza Ana Clara P. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Silva Leonardo Da ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Victorello Giovana R. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., F.Krebs Isabela ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Fujishima Hiromi M.K. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil., Trigueiro Thiago G. ,   Academic In Medicine. University Potiguar, Natal, Rio Grande Do Norte, Brazil., O. Carriço Hamilton R. M. De ,   Academic In Medicine. University Potiguar, Natal, Rio Grande Do Norte, Brazil., R. Do Vale Ana Carolina ,   Medical Student. Nove De Julho University, São Bernardo Do Campo, São Paulo, Brazil., R. Borges Raquel S. ,   Bachelor Of Medicine. Nove De Julho University, São Bernardo Do Campo, São Paulo, Brazil, Lopes Camila C. ,   Bachelor Of Medicine. Nove De Julho University, São Bernardo Do Campo, São Paulo, Brazil., R. Bezerra Thiago A. ,   Academic In Medicine. University Of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil.,Bachelor’s Degree In Physical Education. Federal University Of São Carlos. MSc And PhD In Orthopaedics, Traumatology And Rehabilitation Of The Locomotor System. Ribeirão Preto Medical School. University Of São Paulo. Brazil., Mendes Faria Leonardo ,   Bachelor Of Medicine. Federal University Of Minas Gerais, Belo Horizonte-MG. Medical Residency In Orthopaedics And Traumatology At Irmandade Santa Casa De Santos-SP. Specialization In Orthopaedics And Traumatology In The Area Of Shoulder And Elbow. Postgraduate Latu Sensu In Chronic Pain Intervention. Member Of The Brazilian Orthopaedic Society.
Published: February 2024

Introduction: A herniated disc occurs when the disc that acts as a cushion between the vertebrae of the spine shifts and presses on nearby nerves. The L4-L5 region refers to the lumbar vertebrae located in the lower back. A herniated disc in this region can cause pain, tingling, muscle weakness and even the inability to perform daily tasks. Evidence comparing the effectiveness of surgical and conservative treatment for symptomatic lumbar disc herniation is controversial. Objectives: The aim of this study is to discuss, through a literature review, the pros and cons of conservative and surgical treatment for herniated discs, as well as their risks and benefits according to current medical advances. Results and Discussion: Compared to conservative therapy, surgical treatment provided faster relief of low back pain symptoms in patients with lumbar disc herniation, but showed no benefits over conservative treatment in medium and long-term follow-up. Final considerations: Surgical treatment may therefore be attractive for patients with debilitating pain symptoms who are looking for rapid relief or who have not achieved satisfactory improvement with conservative treatment.