Should we operate discs early
Admin
Should we operate discs early #InTrials:
Mutubuki et al conducted an RCT and an economic analysis that followed 72 adults who were stuck on a waiting list for surgery for lumbar herniated discs. The researchers randomly divided them into two groups: one got the traditional care approach, while the other received a two-pronged strategy combining Mechanical Diagnosis & Treatment (MDT, a targeted exercise-based therapy) alongside a transforaminal epidural steroid injection (TESI). Over a year, the combo group showed impressive results: vastly fewer of those patients ended up needing surgery, and they saved around €1,700–€2,300 per person, depending on whether you’re looking at healthcare costs or broader societal costs. In short, this combo intervention didn’t just ease pain and avoid surgery—it also made serious economic sense.
It’s the kind of study that might change how we tackle lumbar disc issues, especially when surgical resources are tight or patients prefer to skip cutting altogether.
Don’t forget to check the full study!
