Reduced Hospital Stay Without Complication
Conditions
Keywords
Discectomy, 1st postoperative day, Intensive exercise training, Randomized controlled trial
Brief summary
After lumbar discectomy 1st postoperative day high intensity exercise training reduced hospital stay, pain and sick leave without side effects in the two year follow-up period.
Detailed description
Postoperative pain is a major cause of delayed convalescence after discectomy. Different analgesic treatments with the use of local analgesics and steroid can reduce the immediate postoperative pain and convalescence after surgery. In orthopaedic and abdominal surgery accelerated stay programs with early mobilisation have reduced pain in the early postoperative periode. The late convalescence after discectomy for herniated disc disease can be reduced with the use of epidural steroids.
Interventions
Care program with multimodal pain treatment including epidural steroid
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with primary lumbar herniated disc disease who have received and performed a standardized conservative treatment program with intensive exercises. * Oral and written acceptance. * Age 18 and above.
Exclusion criteria
* Patients with central or lateral spinal stenosis due to spondylosis or disc degeneration who needed bilateral decompression, laminectomy or fusion. * Patients with cauda equina syndrome who needed acute operative treatment.
Countries
Denmark