Disentangling the lumbar pivd puzzle: A narrative review

Abstract

Lumbar prolapse intervertebral disc (PIVD) is a common back related disability throughout the world. It is one of common cause for work absenteeism and pose high economic burden on society. Till date, the etiology of lumbar PIVD has not been clearly established. Mechanical compression and chemical irritation are the major pathophysiological changes in lumbar PIVD. The accurate diagnosis of lumbar PIVD is a prerequisite for appropriate therapy. Lumbar PIVD results in significant disability and loss of productivity. Therefore, it is pertinent to summarize the in-tricacies and nuances of Lumbar PIVD as well as its evidence based management. Various cost effective and time saving protocols are available in surgical and non-surgical management of lumbar PIVD. In the present review, an attempt has been made to highlight etiology, underlying pathophysiological mechanisms of lumbar PIVD, as well as evidence based management of lumbar PIVD.