Lumbosacral Disc Injuries Follow-up

Updated: Oct 12, 2015
  • Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Craig C Young, MD  more...
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Follow-up

Return to Play

Return to play is an individualized process. [46, 47] No specific time frame exists for a particular injury. Safe return to play is allowed after the appropriate sport-specific rehabilitation program is completed and the athlete demonstrates full pain-free range of motion and proper neutral spine posture with sport-specific activities. [48]

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Complications

Complications of surgical intervention include bleeding, infection, nerve damage, chronic dural leak, and scar-tissue formation surrounding or compressing nervous tissue. Fortunately, these complications do not happen often, but when they do, they may cause the patient to be in worse shape than before having had surgery.

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Prevention

Injury prevention is best accomplished through good coaching, proper techniques during sport-specific activities, adequate preparticipation training, and appropriate safety measures, including proper protective equipment and adherence to the rules of the game.

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Education

Inform patients that the natural history of an acute radiculopathy suggests that most patients recover within several weeks to months and that surgery is generally not necessary. Educate patients regarding home program activities, which may be performed on a routine basis to help strengthen their spine and associated muscle groups that may help prevent injury in the future.

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