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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Medicine
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DOI: 10.5272/jimab.2025312.6251
Published online: 03 June 2025
Case report
J of IMAB. 2025 Apr-Jun;31(2):6251-6255
DECOMPRESSIVE THERAPY IN A YOUNG PATIENT WITH A HERNIATED DISC
Gergana Gecheva-Fermendzhieva
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Physiotherapy and Rehabilitation Department, Trakia University, Stara Zagora, Bulgaria.
ABSTRACT:
This case is presented by a 23-year-old male patient when he attended the department for the first time in 2024 with complains of lower back pain and left foot pain with tingling down the S1 dermatome started on the left. Reports inability to walk independently, inability to bend forward, difficulty standing up from a sitting position, accompanied by severe pain. Based on medical history, he has been playing water polo intensively for several years. Тhe complaints appeared during physical exertion. He has not taken any treatment, and the pain syndrome increased and appeared scoliosis. The MRI scan established a L5-S1 disc herniation - large paramedian disc herniation on the left with a wide base, reaching the left neuroforamen, measuring over 10mm with initial caudal migration. The patient refused surgery. In October 2024 he was admitted for treatment at the Pavel Banya Medical Center in the town of Pavel Banya with increasing lower back pain and left foot tingling, difficulty walking on his own for more than 10 meters and severe vertebral syndrome. In this case were used 3 courses of 10 underwater lumbar spinal decompression procedures by the method of Prof. G. Gechev in Medical center for rehabilitation that is adapted for these devices.
Keywords: MRI, vertebrology, scoliosis, spinal decompression, herniated disk,
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Please cite this article as: Gecheva-Fermendzhieva G. Decompressive therapy in a young patient with a herniated disc. J of IMAB. 2025 Apr-Jun;31(2):6251-6255. [Crossref - 10.5272/jimab.2025312.6251]
Correspondence to: Dr Gergana Gecheva – Fermendzhieva, Medical center “Pavel banya” ltd.; 16, Petko Kolev Str., Pavel banya, Bulgaria; E-mail: dr.ggecheva@abv.bg
REFERENCES:
1. Zhang AS, Xu A, Ansari K, Hardacker K, Anderson G, Alsoof D, et al. Lumbar Disc Herniation: Diagnosis and Management. Am J Med. 2023 Jul;136(7):645-651. [PubMed]
2. Luo D, Ji C, Xu H, Feng H, Zhang H, Li K. Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report. Medicine (Baltimore). 2020 Feb;99(7):e19025. [PubMed]
3. Naik A, Ramachandran K, Prasad Shetty A, Kanna RM, Shanmuganathan R. Double Level Non-Contiguous Traumatic Lumbar Disc Herniation Presenting With Cauda Equina Syndrome: A Case Report and Literature Review. JBJS Case Connect. 2024 Apr 26;14(2):e23.00473. [PubMed]
4. Oh Y, Eun J. Posterior epidural migration of lumbar disc fragment: Case reports and literature review. Medicine (Baltimore). 2021 Dec 10;100(49):e28146. [PubMed]
5. Low JCM, Rowland D, Kareem H. L1/2 Intradural Disc Herniation with Compression of the Proximal Cauda Equina Nerves: A Surgical Challenge. World Neurosurg. 2020 Oct;142:147-151. [PubMed]
6. Ghaffari-Rafi A, Nosova K, Kim K, Goodarzi A. Intradural Disc Herniation in the Setting of Congenital Lumbar Spinal Stenosis. Neurochirurgie. 2022 Apr;68(3):335-341. [PubMed]
7. Waxenbaum JA, Reddy V, Futterman B. Anatomy, Back, Intervertebral Discs. 2023 Dec 9. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. [PubMed ]
8. Lee JH, Cheng KL, Choi YJ, Baek JH. High-resolution Imaging of Neural Anatomy and Pathology of the Neck. Korean J Radiol. 2017 Jan-Feb;18(1):180-193. [PubMed]
9. Bulloch L, Thompson K, Spector L. Cauda Equina Syndrome. Orthop Clin North Am. 2022 Apr;53(2):247-254. [PubMed]
10. Kapetanakis S, Chaniotakis C, Kazakos C, Papathanasiou JV. Cauda Equina Syndrome Due to Lumbar Disc Herniation: a Review of Literature. Folia Med (Plovdiv). 2017 Dec 20;59(4):377-386. [PubMed]
Published online: 03 June 2025