Literature Review of Lumbar Disc Lesions: from Onset to Return to Activity
Panzella, Grant C., 1995--
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The purpose of this thesis was to construct a literature review based upon an applicable topic to the field of athletic training/physical therapy. With non-descriptive low back pain being one of the most common conditions seen throughout the human lifespan, looking at a specific disorder in depth equips a clinician with more knowledge to successfully treat a larger patient population. The disorder is lumbar intervertebral disc lesions. There were no specific limitations for this review other than being restricted to lumbar intervertebral disc lesions. The most common patient demographics were looked at, as well as an athletic population experiencing lumbar disc lesions (for the purposes of being related to athletic training). The scope of research included spine anatomy and physiology, the anatomy and physiology of lumbar intervertebral disc lesions, intervertebral disc biomechanics, acute vs chronic mechanism of injury, how a patient will present during an evaluation, treatment options, the rehabilitation process, and returning to activity/play. After researching the literature, there are pros and cons to both conservative and non-conservative routes for treatment. With different levels of injury severity and the effects of injury differing with each patient, this is a decision that is patient specific.