Herniated Nucleus Pulposus

Sign/Symptoms
Muscle Deterioration (Rhabdomyolysis) Muscle Spasm (Twitching) Muscle Weakness Pain Back Lumbar Pain Buttock Pain Leg Pain Neck Skin Tingling Or Numbness (Paresthesias)

Drugs

Our Records are Incomplete for Drugs

Treatments
Surgery Laminectomy Arthroplasty Arthrodesis Diskectomy Microdiskectomy Chemonucleolysis IDET Hemilaminectomy Lumbar Fusion Dynamic Stabilization Artificial Disc Replacement Nucleoplasty Medical Procedure Non-Surgical Spinal Decompression Spinal Manipulation Vitamins Calcium Supplement No Recommendation Very Low Evidence Phosphate Supplements No Recommendation Very Low Evidence Vitamin D3 No Recommendation Very Low Evidence Minerals Calcium Supplement No Recommendation Very Low Evidence Phosphate Supplements No Recommendation Very Low Evidence Lifestyle Changes Lumbosacral Back Control Weakly in Favour Low Evidence Weight Reduction Strongly in Favour High Evidence Medical Therapy Non-Surgical Spinal Decompression Weakly in Favour Low Evidence Spinal Manipulation Weakly in Favour Low Evidence Arthrodesis Weakly in Favour Low Evidence Arthroplasty Weakly in Favour Low Evidence Artificial Disc Replacement Weakly in Favour Low Evidence Chemonucleolysis Weakly in Favour Low Evidence Diskectomy Weakly in Favour Low Evidence Dynamic Stabilization Weakly in Favour Low Evidence Laminectomy Weakly in Favour Low Evidence Lumbar Fusion Weakly in Favour Low Evidence Hemilaminectomy Weakly in Favour Low Evidence IDET Weakly in Favour Low Evidence Microdiskectomy Weakly in Favour Low Evidence Nucleoplasty Weakly in Favour Low Evidence

Attributes

Our Records are Incomplete for Condition Attributes

Further Tests

Our Records are Incomplete for Further Tests

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Vitamin D Supplement [1]:

Please note, this management does NOT treat the condition itself. It may mildly help in preventing some of the symptoms, and even then has insufficient evidence to back up this claim at present. Please note, this acts as a PREVENTATIVE treatment, and not necessarily symptomatic relief.

Recommendation: No recommendation (There is insufficient evidence to show that vitamin D supplements are able to help those with herniated nucleus pulposus. More studies are needed)

Grade of Evidence: Very low quality of evidence

Calcium Supplement:

Recommendation: No recommendation (There is insufficient evidence to show that calcium supplements are able to help those with herniated nucleus pulposus. More studies are needed)

Grade of Evidence: Very low quality of evidence

Phosphate Supplements [15, 16]:

Recommendation: No recommendation (There is insufficient evidence to show that phosphate supplements are able to help those with herniated nucleus pulposus. More studies are needed)

Grade of Evidence: Very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190421/

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