The relapse
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People tend to believe that a painful crisis will happen only once. In reality, once the battle is won, the war is not over. The real problem of articular lesion is not so much the single episode, from which you can recover, but the tendency to relapse later on. There is no therapy (pharmacological, physical or surgical) that can regenerate a degenerated disc. This explains the difficulty and even the failures that are encountered in the treatment of a degenerated disc, and even more so if the degenerated discs are multiple or if there are complications (protrusion, hernia, arthrosis, spondylosis, compromised ligaments, insufficient neuromuscular adaptability, narrowed spinal canal, spondylolysis, spondylolisthesis, etc.). Studies show a 60 percent probability of a painful relapse within a year of the first episode, with a third of those people unable to work. The probability of relapse seems the same with or without surgery for a lesioned disc.
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But this phenomenon applies not only the lumbar spine. Any health problem associated with locomotor dysfunction has a risk of relapse. The relapse in any case is not a sign of something serious, but the recurrence of an event to which you are predisposed. Awareness of your predisposition to relapse and the proper self-management in everyday life is a fundamental factor in personal risk management. Then, there is the possibility to anticipate your cure to reduce risk of symptomatic relapse. A simple periodic check-up, according to the nature of your pre-existing condition, your lifestyle, among other factors is part of good risk management and above all to feel better. For further explanation read what's happening and testimonials.
Low back pain: what is the long-term course? A review of studies of general patient populations.
Hestbaek L1, Leboeuf-Yde C, Manniche C.
Eur Spine J. 2003 Apr;12(2):149-65. Epub 2003 Jan 28.
Link: U.S. National Library of Medicine, National Institutes of Health
Recurrence of Radicular Pain or Back Pain After Nonsurgical Treatment of Symptomatic Lumbar Disk Herniation
Pradeep Suri, MD, MS,1,2,3,4 James Rainville, MD,3,4 David J. Hunter, MBBS, PhD,3,6 Ling Li, MPH,3 and Jeffrey N. Katz, MD, MS5 Arch Phys Med Rehabil. 2012 Apr; 93(4): 10.1016/j.apmr.2011.11.028.
Link: U.S. National Library of Medicine, National Institutes of Health
On the course of low back pain in general practice: a one year follow up study
Hans J M van den Hoogena, Bart W Koesa, Jacques Th M van Eijka, Lex M Boutera, Walter Devilléa
Ann Rheum Dis 1998;57:13-19 doi:10.1136/ard.57.1.13
Link: Annals of Rheumatic Diseases
Low back pain: an intermittent and remittent predicament of life
NORTIN M HADLER, TIMOTHY S CAREY
Ann Rheum Dis 1998;57:1-2 doi:10.1136/ard.57.1.1
Link: Annals of Rheumatic Diseases
Relapse and short sickness absence for back pain in the six months after return to work.
C Infante-Rivard and M Lortie
Occup Environ Med. 1997 May; 54(5): 328–334.
Link: Occupational and Environmental Medicine
Low back pain: what is the long-term course? A review of studies of general patient populations.
Hestbaek L1, Leboeuf-Yde C, Manniche C.
Eur Spine J. 2003 Apr;12(2):149-65. Epub 2003 Jan 28.
Link: U.S. National Library of Medicine, National Institutes of Health
Recurrence of Radicular Pain or Back Pain After Nonsurgical Treatment of Symptomatic Lumbar Disk Herniation
Pradeep Suri, MD, MS,1,2,3,4 James Rainville, MD,3,4 David J. Hunter, MBBS, PhD,3,6 Ling Li, MPH,3 and Jeffrey N. Katz, MD, MS5 Arch Phys Med Rehabil. 2012 Apr; 93(4): 10.1016/j.apmr.2011.11.028.
Link: U.S. National Library of Medicine, National Institutes of Health
On the course of low back pain in general practice: a one year follow up study
Hans J M van den Hoogena, Bart W Koesa, Jacques Th M van Eijka, Lex M Boutera, Walter Devilléa
Ann Rheum Dis 1998;57:13-19 doi:10.1136/ard.57.1.13
Link: Annals of Rheumatic Diseases
Low back pain: an intermittent and remittent predicament of life
NORTIN M HADLER, TIMOTHY S CAREY
Ann Rheum Dis 1998;57:1-2 doi:10.1136/ard.57.1.1
Link: Annals of Rheumatic Diseases
Relapse and short sickness absence for back pain in the six months after return to work.
C Infante-Rivard and M Lortie
Occup Environ Med. 1997 May; 54(5): 328–334.
Link: Occupational and Environmental Medicine