Regression of lumbar disc herniation with a self-managed comprehensive exercise program: A case report

Abstract

Background: Conservative therapeutic interventions may improve the regression of lumbar disc herniations, reducing the demand for surgical intervention. However, the vast number of conservative methods, variability in treatment combinations, including patient treatment preferences, delay the time-to-recovery and impact the recovery rates of patients. Current study presents the methods and outcomes of 15-week self-managed functional rehabilitation training. Case presentation: Patient is a 40-year-old recreational female runner with L4-L5 disc herniation, which occurred after lifting a heavy object three weeks prior. After initial three weeks of rehabilitation program, patient’s pain reduced from 8/10 to 5/10 to VAS scale, and after 12 weeks of stabilization and functional program, patient has regained full functionality with pain score of 0/10 on VAS scale. Conclusion: The presented case demonstrates that a self-managed functional rehabilitation exercise program may lead to regression of lumbar disc herniation and full reduction of symptoms after 15 weeks.