Patient Experience and Outcomes in the First Year of Conservative Management for Prolapsed Intervertebral Disc (PIVD)
Dr Sankhadeb Acharya (Consultant Orthopaedics, Durgapur, West Bengal)
Year: 2024, Volume: 1, Issue: 3, Page 197- 212, Date of Publication: 30 November 2024;
Abstract: Introduction: Prolapsed intervertebral disc (PIVD) is a common spinal disorder causing pain and functional limitations. Conservative management, including physical therapy, medications, and lifestyle modifications, is often the first line of treatment. This study explores the experiences and outcomes of patients undergoing conservative management during their first year of PIVD diagnosis. Methods: A retrospective and descriptive analysis was conducted on patients diagnosed with PIVD who opted for conservative management. Data on patient-reported outcomes, pain levels (using a Visual Analog Scale), functional status (assessed via Oswestry Disability Index), and overall satisfaction were collected through interviews and medical records over 12 months. Results: Among the 100 patients studied, 75% reported significant pain reduction by the end of the first year, while 68% experienced improved functional abilities. Early compliance with physical therapy and adherence to prescribed medications were strongly correlated with better outcomes. However, 12% required surgical intervention due to persistent or worsening symptoms. Challenges reported included difficulty maintaining therapy routines, delayed symptom relief, and the emotional burden of chronic pain. Conclusion: Conservative management for PIVD can effectively alleviate symptoms and improve function during the first year for most patients. Early intervention, patient education, and tailored treatment plans are critical to achieving optimal outcomes. Addressing patient concerns and barriers to compliance can further enhance the success of conservative approaches.
Keywords: PIVD, conservative management, patient experience, physical therapy, pain management, functional recovery.