Review : Discogenic Back Pain: Update on Treatment

Purpose of Review: Lower back pain (LBP) has a lifetime prevalence of 80% in the United States population. Discogenic back pain (DBP), a subcategory of LBP, occurs as a result of the interverbal disc degeneration without disc herniation. Diagnosis relies on history, physical exam, and imaging such as MRI, provocative discography, or CT discography.

Recent Findings: Treatment of DBP involves a multifaceted approach with an emphasis on conservative measures including behavioral modification, pharmacologic management, and other non-pharmacologic interventions with invasive therapy reserved for select patients. Due to the paucity of data on the treatment of DBP, treatment also relies on data derived from treatment of chronic LBP (CLBP).

Summary: Despite the scarcity of data for the treatment of DBP, treatments do exist with varying efficacy for DBP. Novel techniques such as the use of biologics may provide another avenue for treatment though further studies are needed to better evaluate the most efficacious regimen for both novel and existing treatments.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Orthopedic reviews - 15(2023) vom: 29., Seite 84649

Sprache:

Englisch

Beteiligte Personen:

Remotti, Edgar [VerfasserIn]
Nduaguba, Chinoso [VerfasserIn]
Woolley, Parker A [VerfasserIn]
Ricciardelli, Ryan [VerfasserIn]
Phung, Anh [VerfasserIn]
Kim, Rosa [VerfasserIn]
Urits, Ivan [VerfasserIn]
Kaye, Alan David [VerfasserIn]
Hasoon, Jamal [VerfasserIn]
Simopoulos, Thomas [VerfasserIn]
Yazdi, Cyrus [VerfasserIn]
Robinson, Christopher L [VerfasserIn]

Links:

Volltext

Themen:

Allogeneic disc tissue
Biologics
Chronic lower back pain
Discogenic back pain
Discography
Journal Article

Anmerkungen:

Date Revised 28.09.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.52965/001c.84649

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361397771