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REVIEW article

Front. Med.

Sec. Geriatric Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1633762

Lumbar Disc Herniation Reabsorption: A Review of Clinical Manifestations, Mechanisms, and Conservative Treatments

Provisionally accepted
Yuan  ChaiYuan Chai1Xuyu  ShenXuyu Shen2Zixin  WangZixin Wang2Xiaoyun  ZhangXiaoyun Zhang2Zhiqiang  WangZhiqiang Wang1Xinchen  ZuoXinchen Zuo1Jintao  LiuJintao Liu1*
  • 1Nanjing University of Chinese Medicine, Nanjing, China
  • 2GuangXi University of Chinese Medicine, Nanning, China

The final, formatted version of the article will be published soon.

Lumbar disc herniation (LDH) is a common and frequently occurring condition primarily caused by lumbar intervertebral disc degeneration (LIVDD) and protrusion of the NP, with low back pain and lower limb pain as the main clinical manifestations. It is characterized by a prolonged disease course and a high recurrence rate, with patients often experiencing long-term suffering, significantly impairing their quality of life and mental health. Studies have found that some LDH patients, without undergoing surgery or chemonucleolysis, experience spontaneous shrinkage and resorption of the intervertebral disc (IVD) tissue, along with relief of back and leg pain-a phenomenon referred to as LDH reabsorption. Modern medical research suggests that this reabsorption process is closely related to factors such as inflammatory responses, macrophage activation, extracellular matrix enzyme balance, neovascularization, ferroptosis, mitochondrial function, oxidative stress, and cellular autophagy. However, the precise mechanisms of LDH reabsorption and commonly used clinical therapies remain unclear, leading to suboptimal treatment outcomes. This study systematically reviews the relevant literature on LDH reabsorption, focusing on clinical diagnosis, underlying mechanisms, and common therapeutic strategies, aiming to summarize recent research progress and provide theoretical references for future clinical prevention and treatment of LDH.

Keywords: Lumbar disc herniation, reabsorption, mechanisms of action, Treatment, Research progress

Received: 23 May 2025; Accepted: 16 Jul 2025.

Copyright: © 2025 Chai, Shen, Wang, Zhang, Wang, Zuo and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jintao Liu, Nanjing University of Chinese Medicine, Nanjing, China

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