A Recurrent Huge Sequestered Lumbar Disc Treated with Non-Operative Measures

Abstract

Lumbar disc herniation (LDH) is a common cause of lower back pain and sciatica. It is usually benign in majority cases. However, massive extrusion and sequestration are generally treated with surgical evacuation due to accompanying neurologic deficits and intolerable pain. In this report, we present a case of 75-year-old man with severe leg pain and paresthesia caused by recurrent extremely large herniated disc which was significantly improved with conservative treatment including nerve blocks and pulsed radiofrequency treatment.