I had a misconcept regarding management of disk (nucleus Pulposus) Herniation , when you consider a case for a disk herniation , the best next step in Management isn't always or better to say- basically - Radiological investigation through X-rays , CT scans or even better MR Imaging.
in fact radiological investigations are only preserved for those patients suscpected or at high risk of development cancers (elderly- positive family history) or the Pain is associated with fever and constitutional symptoms associated with infections.
the Ideal management would always to promote Bed rest for 1-2 days followed by NSAIDs for 6 weeks duration, if conservative measures didn't show relieving signs, you may consider physiotherapy or even surgery !
in fact radiological investigations are only preserved for those patients suscpected or at high risk of development cancers (elderly- positive family history) or the Pain is associated with fever and constitutional symptoms associated with infections.
the Ideal management would always to promote Bed rest for 1-2 days followed by NSAIDs for 6 weeks duration, if conservative measures didn't show relieving signs, you may consider physiotherapy or even surgery !
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