Prädiktoren der Lebensqualität nach orthopädischer Behandlung lumbaler "bandscheibenbedingter" Rückenschmerzen/ Predictors of quality of life after orthopedic treatment of lower back pain due to lumbar intervertebral disc disorders

Author(s):  
Ralf Nickel ◽  
Ulrich Tiber Egle
Ozone Therapy ◽  
2016 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Maria Laura Rosato ◽  
Marco Mainini ◽  
Margherita Luongo ◽  
Luigi Mascolo ◽  
Silvana Mattera ◽  
...  

Lower back pain and sciatica are clinical symptoms with debilitating effects on the quality of life; they are extremely common in the population. The treatment of patients affected by sciatica, and in particular of those incurred by herniated discs, may be medical, physiatric, percutaneous minimally invasive surgery. In recent years, for the treatment of disc-radicular conflicts the Oxygen-Ozone (O<sub>2</sub>-O<sub>3</sub>) therapy is spreading to a more and more significant extent. We report our experience with O<sub>2</sub>-O<sub>3</sub> therapy in the treatment of herniated lumbar discs, evaluating the efficacy of the therapy in lower back pain and sciatica. We treated 32 patients with paravertebral intramuscular infiltrations of about 15 cc of the mixture of O<sub>2</sub>-O<sub>3</sub> at a concentration of 30 µg/cc: 66.6 % of the patients had a positive response to the treatment.


2005 ◽  
Vol 127 (3) ◽  
pp. 536-540 ◽  
Author(s):  
Abhijeet Joshi ◽  
Samir Mehta ◽  
Edward Vresilovic ◽  
Andrew Karduna ◽  
Michele Marcolongo

Nucleus replacement by a synthetic material is a recent trend for treatment of lower back pain. Hydrogel nucleus implants were prepared with variations in implant modulus, height, and diameter. Human lumbar intervertebral discs (IVDs) were tested in compression for intact, denucleated, and implanted condition. Implantation of nucleus implants with different material and geometric parameters into a denucleated IVD significantly altered the IVD compressive stiffness. Variations in the nucleus implant parameters significantly change the compressive stiffness of the human lumbar IVD. Implant geometrical variations were more effective than those of implant modulus variations in the range examined.


2020 ◽  
Author(s):  
Stefan Schmidt ◽  
Nicolas Keim ◽  
Claudia Schultz ◽  
Dieter Sielmann ◽  
Roman Huber ◽  
...  

AbstractBackgroundChronic lower back pain is the most frequent medical problem and the condition with the most years lived with disability. A pragmatic RCT was performed to assess a new treatment, Medi-Taping, which aims at reducing complaints by treating pelvic obliquity with a combination of manual treatment of trigger points and kinesio taping.Methods110 patients were randomized at two study centers either to Medi-Taping or to a standard treatment consisting of psychoeducation and physiotherapy as control. Treatment duration was three weeks. Measures were taken at baseline, end of treatment and at follow-up after two months. Main outcome criteria were lower back pain measured with VAS, the Chronic Pain Grade Scale and the Oswestry Low Back Pain Disability Questionnaire.ResultsPatients of both groups benefited from the treatment by medium to large effect sizes. All effects were pointing towards the intended direction with patients receiving Medi-Taping doing better. But at end of treatment and follow-up there were no significant differences for the primary endpoints between groups. Health related quality of life was significantly higher (p=.004) in patients receiving Medi-Taping compared to controls.ConclusionsMedi-Taping, a purported way of correcting pelvic obliquity and chronic tension resulting from it, is a treatment modality similar in effectiveness as a complex physiotherapy and patient education program.SignificanceThis RCT evaluated the effect of a combined therapy consisting of manual treatment and kinesio tape in patients with lower back pain. Patients receiving this treatment benefitted substantially but so did patients in the active control condition receiving physiotherapy and patient education. However, patients receiving the combined treatment had a significant higher quality of life.


2021 ◽  
Vol 11 (4) ◽  
pp. 153-156
Author(s):  
Mansi Manoj Muly ◽  
Hally Shah ◽  
Asmaa Shaikh

Musculoskeletal Pain affects the bones & soft tissue musculatures. It can be acute or chronic. It can be localized or widespread. Lower back pain (LBP) is the most common type of musculoskeletal pain. It is one of the causes of absenteeism of employees from their work and significantly affecting their quality of life (QoL). Security guards usually involves standing for long duration. Therefore LBP is quite common in them. Changes in posture or poor body mechanics may bring about spine related problems, therefore causing other muscles to be misused and become painful. Very few literatures are available worldwide on prevalence of mechanical LBP & its relation to the QoL in standing workers. Therefore, the aim is to find out the correlation of mechanical LBP and QoL in security guards. Cross sectional study design was chosen for the research. From ninety security guards (male & female, aged 30-50 years) were screened on Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Thirty-one security guards were selected after screening, those who met the inclusion criteria (1.5 and above on CMDQ for lower back), informed consent was taken and further assessed on Oswestry LBP Disability Questionnaire (OLBPDQ) and World Health Organization QoL-BREF (WHO-QoL-BREF). In the study, moderately negative correlation was found between the OLBPDQ score & all QoL domains (-0.3, -0.1, -0.5, -0.2), which showed a significant lower QoL domains with severe LBP. Key words: Mechanical Lower back pain, Standing workers, Quality of life.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Philippe Moisan

Between 50 and 80% of adults will experience lower back pain during their life(1). This condition is responsible for a significant portion of emergency room and primary care consultations and it creates a significant burden on the healthcare services and costs. Even if lower back pain causes a significant impact on the quality of life of the patients most causes are benign. This article presents a systematic approach to identifying the cause of lower back pain, summarizes the indications for further workup and presents current evidence for the management of this condition.


2008 ◽  
Vol 49 (8) ◽  
pp. 934-939
Author(s):  
N. Azulay ◽  
M. Forgerit ◽  
E. G. Alava ◽  
A. Deplas ◽  
R. Vialle ◽  
...  

Background: Radiofrequency heating of the intervertebral disc has been proposed for the treatment of chronic low back pain using two methods: a flexible needle inserted into the annulus fibrosus achieving a full 360° penetration, or a rigid needle inserted into the nucleus pulposus. The first technique is effective on pain, but the clinical benefit of the second is uncertain. Purpose: To evaluate a technique for radiofrequency heating of the lumbar intervertebral disc by a needle placed into the nucleus pulposus. Material and Methods: The method was tested in 17 patients according to the criteria used in previous intradiscal radiofrequency studies. Before and after treatment, disability was assessed by the Oswestry disability score. A pain reduction of at least 50% was considered a success. Results: Fifteen patients were responders at 1 month (88%), nine at 3 months (53%), and 12 at 6 months (70.6%). No complications were observed. Conclusion: A new method of providing discal radiofrequency treatment for lower back pain had a substantial clinical benefit in 71% of the observed patients. A prospective study comparing this new method with placebo should be conducted to confirm these initial results.


2021 ◽  
Vol 10 (4) ◽  
pp. 3244-3248
Author(s):  
Shruti Desphande

The literature defines DRA as a gap of more than two fingerbreadths between two rectal abdominal muscle bellies, either above or below the umbilicus. Separation is referred to as DRA. Female diastasis recti is more common in postpartum women. Lower back pain is the most common cause of daily activity limitation in postpartum females. Post-partum women express concerns about their mobility, pain, and normal activities, all of which have an impact on an individual's quality of life. The study aimed to check the Impact of diastasis recti and low back pain on quality of life in post-partum females. This research will be conducted at the Physiotherapy OPD at Ravi Nair Physiotherapy College and the AVBRH in Sawangi (Meghe), Wardha. Post-partum females will be evaluated for diastasis recti. The effect of diastasis recti and low back pain on postpartum females' quality of life. The current study significantly showed that the correlation between diastasis recti and quality of life with satisfaction is -0.473r, and the correlation between diastasis recti and importance is -0.452r, and the correlation between low back pain and quality of life is 0.025r.So the present study shows that an increase in inter rectal distance and low back pain will affect the quality of life in postpartum females. From the present study, we can conclude that an increase in rectal distance and lower back pain have an impact on the quality of life of postpartum females.


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