Early individualised manipulative rehabilitation following lumbar open laser microdiscectomy improves early post-operative functional disability

Lumbar open laser microdiscectomy has been shown to be an effective intervention and safe approach for lumbar disc prolapse, although early post-operative physical disability affecting daily activities have not been reported consistently. This study aimed to evaluate the feasibility of using early individualised manipulative rehabilitation to improve early post-operative functional disability after lumbar discectomy. Early post-operative physical disability was improved with a 55% reduction by early individualised manipulative rehabilitation, compared to that of control care with a 5% increase. Early post-operative residual leg pain was reduced with rehabilitation (55%) and control care (9%).

This pilot study supports the feasibility of a future definitive randomised control trial and suggests that a rehabilitation such as this may be a significant option for post-operative management after spinal surgery.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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