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Volume 8

Journal of Sports Medicine & Doping Studies

ISSN: 2161-0673

Sports Medicine 2018

November 14-15, 2018

November 14-15, 2018 | Edinburgh, Scotland

4

th

International Conference on

Sports Medicine and Fitness

Lumbar disc herniation in the athlete: considerations for management and surgical treatment

Michiel Frederik Vande Kerckhove

St. Trudo Hospital, Belgium

A

lumbar disc herniation in an athlete can cause significant morbidity and loss of playing time. It can also lead to financial

loss, loss of status, psychological problems or even the end of a sports career. Lumbar disc herniation is a mechanical failure

of the intervertebral disc to contain the disc material in the intervertebral disc space. This can possibly lead to a mechanical

conflict and/or chemical irritation of the neurological structures in the lumbar spinal column. As such it can lead to irradiating

pain in one or two legs, back pain, sensory and/or motor disturbances. The practice recommendations endorse an algorithmic

approach to management that begins with observation, physical therapy and possibly epidural injections as the initial steps

for treatment. Surgery is reserved for those who do not respond well to conservative care. In the general population, surgical

treatment for lumbar disc herniation in the form of microdiscectomy has been shown to have excellent outcomes across

several randomized controlled trials, with high success rates, return to work, and cost-effectiveness. This paradigm is also true

in the athlete population. Studies suggest that a high level of return to sport is possible following lumbar disc surgery. This

presentation depicts why it is important to give extra consideration regarding the management, the timing of surgery and the

surgical options in lumbar disc herniation in the athlete.

Biography

Michiel Frederik Vande Kerckhove has completed his Medical studies at the University of Ghent, Belgium. He is in his fifth year of medical training at the University Hospital

of Aachen, Germany. He is working as a Resident in the Orthopedic Surgery Department of Prof. Dr. Lauweryns. He has special interest in Spine Surgery.

Michielvdk@gmail.com

Michiel Frederik Vande Kerckhove, J Sports Med Dop Stud 2018, Volume 8

DOI: 10.4172/2161-0673-C2-017