Outcome of non-invasive treatment modalities on back pain: an evidence-based review

Lower Back Pain can have causes that aren’t due to underlying diseases and this pain refers to the pain that usual- ly begins in the lower back region, radiating to the sacroiliac regions and buttocks.[1] People with chronic pain often find it difficult to cope with work, family and social activities which is the significant cause of disability worldwide. Eighty percent of the population is affected by this symptom sometimes in life.[2] Increased preva- lence of low back pain and temporary and reduced success rates in invasive contemporary treatment measures has drawn considerable attention towards alternative, effective, non-invasive treatment modalities. Katishoola, a Vata vyadhi diagnosed with cardinal symptoms as Pain in Kati Pradesha. In Ayurveda, a holistic approach has been adopted that includes the use of oral Ayurvedic formulations, Panchakarma procedures like Snehana karma (unc- tion therapy), Swedana karma (sudation therapy) etc. [3] Here In this article a case of low Back Pain treated with Kati Pichu with Masha taila with good outcomes are reported. Keywords: Katishoola, Low Back Pain, Masha Taila, Kati Pichu

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Completion Rates and Clinical Changes of Patients Seeking Non-Invasive Treatment for Low Back Pain in 13 Centres of a Sports Medicine Institute in India

Complementary Medicine Research ◽

10.1159/000504015 ◽

2019 ◽

Vol 27 (2) ◽

pp. 89-96

Author(s):

Priyadarshini Rajamani ◽

Hemant Deepak Shewade ◽

Debashish Kundu ◽

Kishore Kumar Sekaran ◽

Santhanam Daniel Amalan ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Sports Medicine ◽

Functional Disability ◽

Trigger Point ◽

Visual Analogue Scale Pain ◽

Low Back ◽

Completion Rates ◽

Invasive Treatment ◽

Non Invasive

Background/Aim: Low back pain (LBP) is the major cause of disability worldwide. The existing treatments are expensive and associated with complications. The present study aimed to determine the proportion of patients completing therapy and rehabilitation phases and describe the changes in self-reported symptoms and functional disability among LBP patients enrolled in a private sports medicine institute. Methods: This is a cohort study involving review of case records. We studied 2 phases out of 3 of non-invasive treatment of LBP: therapy of around 10 days (myofascial trigger point release therapy, cryotherapy, aqua therapy and acupuncture) and rehabilitation of around 3 weeks (muscle strengthening exercises). Results: A total of 443 patients were enrolled; their mean (SD) age was 46 (15) years, 46% were male, and 193 (44%) presented with chronic (>6 months) pain. The numbers of patients who completed the therapy and rehabilitation phases were 327 (74%) and 115 (26%), respectively. The median (IQR) visual analogue scale pain scores were 7 (6–9) at entry, 2 (1–3) at completion of therapy and 1 (0–2) at completion of rehabilitation (p < 0.001). The median (IQR) functional disability scores were 32 (22–53) at entry, 15 (6–26) at completion of therapy and 4 (0–14) at completion of rehabilitation (p < 0.001). Conclusion: Low completion rates were observed. Patients who completed therapy reported reduction in pain and improved functionalities.

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Current strategies for the treatment of aneurysmal bone cysts

Orthopedic Reviews ◽

10.4081/or.2015.6182 ◽

2015 ◽

Vol 7 (4) ◽

Cited By ~ 28

Author(s):

Panagiotis Tsagozis ◽

Otte Brosjö

Keyword(s):

Open Surgery ◽

Early Adulthood ◽

Surgical Excision ◽

Functional Results ◽

Treatment Modalities ◽

Bone Cysts ◽

Invasive Treatment ◽

Non Invasive ◽

Aneurysmal Bone Cysts ◽

Good Local Control

Aneurysmal bone cysts are benign bone tumors that usually present in childhood and early adulthood. They usually manifest as expansile osteolytic lesions with a varying potential to be locally aggressive. Since their first description in 1942, a variety of treatment methods has been proposed. Traditionally, these tumors were treated with open surgery. Either intralesional surgical procedures or <em>en</em> <em>bloc</em> excisions have been described. Furthermore, a variety of chemical or physical adjuvants has been utilized in order to reduce the risk for local recurrence after excision. Currently, there is a shift to more minimally invasive procedures in order to avoid the complications of open surgical excision. Good results have been reported during percutaneous surgery, or the use of embolization. Recently, sclerotherapy has emerged as a promising treatment, showing effective consolidation of the lesions and functional results that appear to be superior to the ones of open surgery. Lastly, non-invasive treatment, such as pharmaceutical intervention with denosumab or bisphosphonates has been reported to be effective in the management of the disease. Radiotherapy has also been shown to confer good local control, either alone or in conjunction to other treatment modalities, but is associated with serious adverse effects. Here, we review the current literature on the methods of treatment of aneurysmal bone cysts. The indication for each type of treatment along reported outcome of the intervention, as well as potential complications are systematically presented. Our review aims to increase awareness of the different treatment modalities and facilitate decision-making regarding each individual patient.

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Utility of Photodynamic Therapy in Dentistry: Current Concepts

Dentistry Journal ◽

10.3390/dj8020043 ◽

2020 ◽

Vol 8 (2) ◽

pp. 43

Author(s):

Anette Stájer ◽

Szilvia Kajári ◽

Márió Gajdács ◽

Aima Musah-Eroje ◽

Zoltán Baráth

Keyword(s):

Photodynamic Therapy ◽

Clinical Success ◽

Maxillofacial Surgery ◽

Treatment Method ◽

Treatment Modalities ◽

Oral And Maxillofacial Surgery ◽

Invasive Treatment ◽

Advantages And Disadvantages ◽

Non Invasive ◽

Wide Range

The significant growth in scientific and technological advancements within the field of dentistry has resulted in a wide range of novel treatment modalities for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. The aim of this review article is to summarize the history, general concepts, advantages and disadvantages of PDT and to provide examples for current indications of PDT in various subspecialties of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), in addition to presenting some images from our own experiences about the clinical success with PDT.

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Non-Invasive Treatment To Reduce Low Back Pain Among Treatment Acupunture, Massage, Spinal Manipulation, Yoga, And Tai Chi A Systematic Review

Journal of Maternity Care and Reproductive Health ◽

10.36780/jmcrh.v1i1.9 ◽

2018 ◽

Vol 1 (1) ◽

Author(s):

Cecep Eli Kosasih ◽

Tetti Solehati ◽

Agus Cakrahayat

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Spinal Manipulation ◽

English Language ◽

Tai Chi ◽

Age Factors ◽

Low Back ◽

Invasive Treatment ◽

Non Invasive ◽

Long Time

Background: Low back pain (LBP) is one of the many spinal cord-positioning conditions commonly experienced by adults. Age factors affect the seriousness of trauma to the spine as in patients with osteoporosis under unusual conditions caused by radiculopathy or spinal stenosis, fracture, tumor or infection. This article aimed to identify the most effective non-invasive treatment in treating pain in Low Back Pain (LBP). Methods: cirtical review was used in making this article. Articles were collected through Medline, Google Scholar, Science Direct, Pubmed databases using the keywords: treatment, non-invasive, Low Back Pain from the quantitative studies. The selected articles were those that met the criteria based on PICO, published in the 2010-2017, and used English language. Articles were then evaluated using critical appraisal and PRISMA guides. Based on the evaluation, there are 6 (six) articles that match the purpose and criteria of review. From the literature search results found ways to reduce pain through non-invasive treatment such as Acupunture, Massage, Spinal Manipulation and Yoga can reduce LBP pain. Conclusion: The result of the literature that the most effective method of reducing pain is spinal manipulation where the effect of reducing pain can be maintained for a long time and is more applicable because without the use of aids, nevertheless treatment combined with other treatments and done on an ongoing basis will better results.Keywords: treatment, non infasif, Low Back Pain

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Effect of different non-invasive and micro-invasive treatment modalities of white spot lesions on microhardness of human enamel

Egyptian Dental Journal ◽

10.21608/edj.2021.93361.1774 ◽

2021 ◽

Vol 67 (4) ◽

pp. 3767-3775

Author(s):

Hend Ahmed

Keyword(s):

White Spot ◽

Treatment Modalities ◽

White Spot Lesions ◽

Invasive Treatment ◽

Non Invasive ◽

Human Enamel

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Pelvic Congestion Syndrome: A Review of Current Diagnostic and Minimally Invasive Treatment Modalities

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.012s27 ◽

2012 ◽

Vol 27 (1_suppl) ◽

pp. 52-57 ◽

Cited By ~ 22

Author(s):

D D Kies ◽

H S Kim

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Medical Condition ◽

Treatment Modalities ◽

Invasive Treatment ◽

Cross Sectional ◽

Pelvic Congestion Syndrome ◽

Non Invasive ◽

Cross Sectional Imaging ◽

Pelvic Congestion

Chronic pelvic pain is a debilitating medical condition with a host of potential causes. Although often overlooked, pelvic congestion syndrome (PCS) is a well-established cause of chronic pelvic pain due to abnormal ovarian and pelvic varices. The diagnosis is established with modern non-invasive cross-sectional imaging, preferably contrast enhanced magnetic resonance imaging. Although medical and open surgical therapies exist, transcatheter percutaneous embolotherapy has been shown to be a safe, effective and durable therapy for the treatment of PCS. Further prospective randomized studies are needed to refine optimal technique and assess long-term patient outcomes.

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About Cantilevered Resin Bonded Bridges

Integrative Journal of Medical Sciences ◽

10.15342/ijms.2021.529 ◽

2021 ◽

Vol 8 ◽

Author(s):

Soraya El Yaagoubi ◽

Morchad Bouabid ◽

Amal El Yamani

Keyword(s):

Periodontal Diseases ◽

Survival Rates ◽

Clinical Situation ◽

Treatment Modalities ◽

Invasive Treatment ◽

Non Invasive ◽

Fixed Dental Prosthesis ◽

Significant Difference ◽

All Ceramic ◽

Post Traumatic

Resin bonded bridge technique was first introduced in 1963 by Rochette. It was the first type of non-invasive fixed dental prosthesis because the abutment tooth didn’t undergo any prior preparation. As early as 1996, Hussey and Linden studied cantilever resin bonded bridges and showed that there was no significant difference in the survival rates of a conventional bridge and cantilever resin bonded bridges. The main indications for a resin bonded bridge in children are post-traumatic edentulousness, during the early detection of agenesis and pre-implant temporization situations. Resin bonded bridges are also recommended in adults when the implant context is unfavourable or contraindicated (periodontal diseases and / or anatomical and prosthetic obstacles). Cantilever resin bonded bridge has many advantages compared to the traditional bridge: simpler and faster to make, more economical for the patient, easier hygiene and absence of partial detachment that can lead to secondary caries lesion.The preparation criteria will be adapted to the clinical situation, which will take into account the patient's age, the extent of edentulousness, the extent of occlusal loads and dental mobility. Thus, when the joint is subject to excessive stress, retention devices will complete the preparation. With the continuous development of materials as well as new minimally invasive treatment modalities, the alternative solution of the bonded bridge in the anterior region now corresponds to the realization of an all-ceramic zirconia cantilever bridge with a single wing.

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Photostability of Topical Agents Applied to the Skin: A Review

Pharmaceutics ◽

10.3390/pharmaceutics12010010 ◽

2019 ◽

Vol 12 (1) ◽

pp. 10 ◽

Cited By ~ 7

Author(s):

Agata Kryczyk-Poprawa ◽

Anna Kwiecień ◽

Włodzimierz Opoka

Keyword(s):

Chemical Structure ◽

Antifungal Drugs ◽

Treatment Modalities ◽

Invasive Treatment ◽

Non Invasive ◽

Pharmaceutical Substances ◽

Other Substances ◽

Systemic Side Effects ◽

Inflammatory Drugs ◽

The Impact

Topical treatment modalities have multiple advantages starting with the convenient application and non-invasive treatment and ending with the reduction of the risk of the systemic side effects. Active pharmaceutical substances must reach the desired concentration at the target site in order to produce a particular therapeutic effect. In contrast to other dosage forms topical agents applied to the skin may also be susceptible to photodegradation after application. That is why the knowledge of the susceptibility of these topical drugs to UV irradiation, which may contribute to their degradation or changes in chemical structure, is very important. Active pharmaceutical substances used in dermatology may differ both in chemical structure and photostability. Furthermore, various factors—such as light intensity and wavelength, pH, temperature, concentration—can influence the photodegradation process, which is reflected in particular in kinetics of photodegradation of active pharmaceutical substances as well as both the quantitative and qualitative composition of by-products. The aim of this study was to conduct a systematic review of the photostability of dermatological drugs, as well as of other substances commonly applied topically. The photostability of glucocorticosteroids, retinoids, and antifungal drugs as well as non-steroidal anti-inflammatory drugs applied topically and selected UV-filters have been discussed. Furthermore, the impact of photoinstability on the effectiveness of pharmacotherapy and some photostabilization strategies have been also included.

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