Lumbar disc herniation
Conditions
Interventions
Shock wave therapy group:Conventional treatment and radial extracorporeal shock wave therapy
Conventional treatment group:Conventional treatment
Sponsors
The First Affiliated Hospital of China Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Meeting the diagnostic criteria of lumbar disc herniation: (1) Symptoms: acute or chronic low back pain, limited lumbar activity; radial pain; muscle weakness and/or sensory abnormalities in the nerve controled area of the involved nerve roots; cauda equina syndrome (including defecation disorder, abnormal sensation in the sellar area, etc.); (2) Signs: local tenderness of lumbar vertebrae, limitation of lumbar movement, tension or spasm of paraspinal muscles; motor and/or sensory disturbance of affected nerve roots, weakened tendon reflex, muscle atrophy; positive nerve traction test; those who have cauda equina syndrome may have perineal sensory disturbance, anal sphincter weakness and relaxation; (3) Auxiliary examination: lumbar CT or MRI indicates intervertebral disc herniation, neuroelectrophysiological examination indicates that the corresponding segmental nerve roots are involved; 2. Aged >= 18 years; 3. 3 <= VAS score <= 7; 4. There are acute or chronic low back pain, limitation of lumbar movement, radiation nerve root pain, muscle weakness and/or abnormal sensation in the innervation area of the involved nerve roots, cauda equina syndrome; 5. Lumbar CT or MRI suggests intervertebral disc herniation; 6. Agree to participate in this study and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Previous lumbar surgery, or local infection such as trauma, scar or furuncle, carbuncle, etc.; 2. Serious waist and leg pain, or recurrent, or after non-operative treatment for more than half a year without effect while the condition gradually worsened; 3. Contraindications of radial extracorporeal shock wave therapy, ultrashort wave therapy, direct current iontophoresis therapy , ultrasound therapy and intermediate frequency electrotherapy (such as pregnancy, coagulation dysfunction or in the period of taking anticoagulant drugs, thrombosis, malignant tumor, with pacemaker, severe cardiopulmonary insufficiency, severe kidney disease, acute septicemia, persistent high fever, with local metal foreign bodies, severe cognitive impairment or mental illness); 4. Complicated with other low back diseases (such as congenital spinal stenosis, lumbar spondylolisthesis, lumbar anterior displacement, lumbar tuberculosis, ankylosing spondylitis, facet joint disease, etc.); 5. Complicated with other neuromuscular diseases or osteoarticular diseases that affect walking ability; 6. Those who are unable to cooperate with treatment and evaluation due to various reasons (such as cognitive impairment, severe cardiopulmonary diseases, etc.).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;Low back pain score of Japanese Orthopaedic Association(JOA);Oswestry Disability Index(ODI);Surface Electromyography; | — |
Secondary
| Measure | Time frame |
|---|---|
| Lumbar range of motion;Bilateral straight leg raising angle; | — |
Countries
China
Contacts
Public ContactMa Yuewen
The First Affiliated Hospital of China Medical University
Outcome results
None listed