Relationship between atherosclerotic disease and disc herniation in patients with integral conservative management

Introduction: Atherosclerosis is the leading cause of general mortality and hospital morbidity. The prevalence of lumbar intervertebral disc degeneration related to atherothrombotic pathology has been increasing, and the incidence of low back pain reaches its peak after 45 years. A relationship between the decrease in apolipoprotein A1 and hypertriglyceridemia as related factors, as well as hypertension, elevated LDL levels and a high Framingham score, but it has yet to be seen if the treatment is compromised in that aspect. Methods: Retrospective observational study in patients with herniated disc treated with combined conservative therapy, comparing their effectiveness depending on the cardiovascular risk presented. Results: A total of 171 patients were analyzed. 25.7% presented adequate weight, 41.5% overweight and 32.8%, obesity. In all, 42.7% had hypertension, 19.3% diabetes mellitus, 15.3% smoked, no patients had physical activity and 24% had a high or very high cardiovascular risk. There was no difference between the results presented with the combined conservative treatment. Conclusion: In addition to the physical components that cause disc herniation, there is a compromised circulatory component, which was not affected after the combined conservative treatment, which is why it is recommended the timely treatment of the herniated disk and its risk factors.