Prevalencia de hernia discal lumbar en pacientes de 30 a 50 años con lumbalgia crónica del Hospital de la Policía Nacional Guayaquil N°2 en el período de enero a diciembre del 2021.

Abstract

In recent years it has been established that lumbar disc herniation is a very frequentdisease that affects the entire population and has important consequences at a personal, work and emotional level, therefore considered a public health problem. Low back pain has a classification based on the origin, and can be discogenic pain,radicular pain, and facet pain. Pain with its discogenic origin is characterized by being of a nociceptive and neuropathic type, thus posing various causes that make it difficult for us to reach a diagnosis. and its treatment, these causes can be specificor multifactorial. Therefore, this pathology has been associated with various causesthat can be prevented, raising awareness of good health in the population. Objective: To determine the prevalence of lumbar disc herniation in patients between 30 and 50 years of age at the Guayaquil National Police Hospital No. 2. Patients and methods: The present study was retrospective, non-experimental, in which the clinical histories of 315 female and male patients between the ages of 30 and 50 diagnosedwith herniated disc were reviewed according to the inclusion and exclusion criteria who were treated for low back pain63 chronic in the Hospital "National Police Guayaquil No. 2". Results: It was determined that the patients with the greatest involvement of lumbar disc herniation correspond to the male sex with 96%, 2 the incidence of protruding herniawith 42% is the most frequent, 72% of the patients of the HDPNG 2, remains in a conservative treatment, while 28% required a surgical procedure. Conclusion: The present study resulted in the efficacy of conservative treatment, having this asthe first line in the treatment of lumbar hernia pathology, with excellent results and with a lower percentage of patients taken to surgery, as a reference of the literature established at the national level. Worldwide, this study establishes therecommendation to start with conservative treatment.