Comparison of intravenous NSAIDs and trigger point injection for low back pain in ED: A prospective randomized study

The purpose of the study is to show the effects and evolution of patients with back pain treated with a different dose of betamethasone, analyzing both their evolution in terms of pain perception and lifestyle. In this study, 43 patients diagnosed with back pain in the lumbar region were included over a 12-month period. Patients were divided into two categories, depending on the dose of betamethasone administered. At 1 month control after the last injection, the first group of patients, a total of 22, given the local injection of betamethasone, trigger point injection, administering the usual dose: 1 ampoule of betamethasone 1 mL + 1 ampoule 1% xyline, at the clinical examination, they claimed that pain was reduced by about 70%, sustaining the improvement of the quality of life. The same group of patients, called for the final evaluation, at 3 month, claimed the pain was reduced by about 95%, as compared to the initial pain before starting the treatment. In the second category, where 21 patients were treated by local injections, trigger point injection, administering the modified dose of betamethasone: � ampoule of betanethasone 0.5 mL + 1 ampule 1% xyline, at 1 month control after the last injection, at the clinical examination they claimed thtat the pain was reduced with just 40%, sustaining an average quality of life. Even if a low dose of betamethasone shows significantly less systemic effects, a higher dose is required in the treatment of low back pain to have the desired effect and to significantly improve the quality of life of the patient.

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Faculty of 1000 evaluation for Lateral parasagittal versus midline interlaminar lumbar epidural steroid injection for management of low back pain with lumbosacral radicular pain: a double-blind, randomized study.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718016059.793478414 ◽

2013 ◽

Author(s):

Jan Jakobsson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Steroid Injection ◽

Randomized Study ◽

Radicular Pain ◽

Epidural Steroid Injection ◽

Low Back ◽

Double Blind ◽

Epidural Steroid

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The Automatization of a New Thermography Method Using Invasive Nociceptive Stimulation to Confirm an Autonomic Phenomenon within a Trigger Point Referred Pain Zone

Brain Sciences ◽

10.3390/brainsci11070893 ◽

2021 ◽

Vol 11 (7) ◽

pp. 893

Author(s):

Elżbieta Skorupska ◽

Tomasz Dybek ◽

Michał Rychlik ◽

Marta Jokiel ◽

Paweł Dobrakowski

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Trigger Point ◽

Invasive Procedure ◽

Trigger Points ◽

International Classification Of Diseases ◽

Referred Pain ◽

Low Back ◽

Classification Of Diseases ◽

Software Utility

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p < 0.05). The maximum AURP value was confirmed at 13′30″ (p < 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%; p = 0.000; CI (0.347,0.348)).

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Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results

Orthopedic Reviews ◽

10.4081/or.2018.7791 ◽

2018 ◽

Vol 10 (4) ◽

Cited By ~ 2

Author(s):

Cordelia Schott ◽

Sonja Zirke ◽

Jillian Marie Schmelzle ◽

Christel Kaiser ◽

Lluis Aguilar I Fernández

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Study ◽

Cost Of Care ◽

Modular System ◽

Low Back ◽

Modular Systems ◽

Frequency Of Use ◽

Modular Groups ◽

The Cost

Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups. Three Orthoses by the TIGGES-Zours GmbH were prescribed; a demountable two-step lumbar orthosis, three-step bridging orthosis and a four-step flexion orthosis modular system. Each were compared to the nonmodular equivalent. All six groups showed improvement in pain intensity and functional capacity at 6 and 12 weeks. The modular groups were found to have improvement in the frequency of use. The subjective effectiveness and sensitivity for the modular and non-modular groups was assessed as being good. In the literature, there are no clear guidelines for an orthotic supply. The studies do not seem to be meaningful and universal due to the difficult ascertainability of pain. There is a need for further research here. Nevertheless, the authors of this review are of the opinion that the implementation of trunk orthoses is void of side effects and beneficial to patients. The modular systems seem to have an advantage as well as higher patient satisfaction.

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Comparison among different therapeutic techniques to treat low back pain: a monitored randomized study

Ozone Therapy ◽

10.4081/ozone.2016.5842 ◽

2016 ◽

Vol 1 (1) ◽

pp. 17

Author(s):

Luca Morelli ◽

Simona Carla Bramani ◽

Marco Cantaluppi ◽

Mara Pauletto ◽

Alessandro Scuotto

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Study ◽

Functional Limitation ◽

Low Back ◽

Ozone Therapy ◽

Pain Disability ◽

Treatment Data ◽

Disability Questionnaire

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear® therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the Oswestry low back pain disability questionnaire to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar® therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.

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