Care Pathway for the Management of Lumbar Disc Herniation with Radiculopathy
Assess the prognostic factors for delayed recovery. Most patients recover from their injury. Patients with the following prognostic factors may have a higher risk for delayed recovery:
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depression
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passive coping strategies
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job dissatisfaction
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high disability levels
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disputed compensation claims
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somatization
No
No
No
Yes
Are symptoms ≤3 months?
Yes
Management of Symptoms
Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:
Yes
Yes
No
No
Discharge
Are symptoms >3 months?
Yes
Yes
Yes
Discharge
No