scholarly journals Acupuncture and cupping alternative therapy in patients with acute low back pain

2021 ◽  
Vol 6 (3) ◽  
pp. 77-81
Author(s):  
Yamila Navarro Caboverde ◽  
Graciela Córdova García ◽  
Hansel Salas Ferrer ◽  
Lidice Ruiz Benitez ◽  
Anabel Sánchez Saname
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Acupuncture Therapy ◽  
Alternative Therapy ◽  
Study Groups ◽  
Phase Iii ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Group I ◽  
Group Ii

Introduction: acupuncture and cupping constitute an alternative therapy to alleviate different conditions, especially acute low back pain, which improves the level of satisfaction and impacts on the quality of life of patients who suffer from it. Objective: to evaluate the efficacy of treatment with acupuncture and cupping in patients with acute low back pain. Methods: a randomized phase III therapeutic clinical trial was carried out in patients who attended the Natural and Traditional Medicine service of the rehabilitation room of the Juan Manuel Páez Inchauthi Polyclinic, in the municipality of Moa, Holguín province, Cuba, in the period of July to December of the year 2017. The study universe consisted of 80 patients who attended the consultation; The sample was randomly selected and consisted of 60 patients in two study groups, group I, who received acupuncture treatment, and group II, with cupping, made up of 30 patients each. Both were diagnosed with post Bi syndrome. Results: men predominated in the study, with 63.3%, and study group II, with 66.7%. The age group from 40 to 49 years was the most affected. In both, the exogenous wind factor predominated. It was observed that the Bi wind syndrome is the most benefited with acupuncture therapy, as when the suction cup was applied. Conclusion: in both groups there was 100% effectiveness of acupuncture therapy and the cupping, in the improvement or cure of acute low back pain.

scholarly journals Biomechanics of Lower Limbs during Walking among Candidates for Total Knee Arthroplasty with and without Low Back Pain

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
David R. Burnett ◽  
Naira H. Campbell-Kyureghyan ◽  
Robert V. Topp ◽  
Peter M. Quesada
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Reaction Force ◽  
Lower Limbs ◽  
Low Back ◽  
Vertical Ground Reaction Force ◽  
Gait Patterns ◽  
Gait Symmetry ◽  
Group I ◽  
Group Ii

The effect of joint pathologies, such as unilateral knee osteoarthritis (UKOA) or low back pain (LBP), on bilateral gait symmetry has gained increased attention during the past decade. This study is the first to compare gait patterns between patients with UKOA and LBP in combination and with UKOA only. Temporal, kinematic, and kinetic variables were measured bilaterally during gait stance phase in 31 subjects with UKOA and LBP (Group I) and 11 subjects with only UKOA (Group II). Group I patients exhibited less hip rotation in the affected limb (A) than in the nonaffected (NA) limb during walking in contrast to Group II patients. Group I patients had minimal bilateral differences in hip abduction and flexion, but Group II patients displayed significantly larger values in the NA limb compared to the A limb for both parameters. Hip flexion patterns were significantly different between Groups I and II. Subjects in both groups adapted gait patterns that minimized vertical ground reaction force, knee flexion motion, and stance time on the UKOA affected limb. The distinct kinematic gait patterns that were revealed in this study may provide clinical value for assessment of patients with UKOA in conjunction with LBP.

scholarly journals EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION AND INTERFERENTIAL CURRENT IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN

2020 ◽  
Vol 28 (4) ◽  
pp. 341-344
Author(s):  
Muhammad Adnan ◽  
Babar Ali ◽  
Muhammad Mohsin Sajjad ◽  
Ali Rahman ◽  
Omair Rafiq Qurashi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Post Treatment ◽  
Low Back ◽  
Electrical Nerve Stimulation ◽  
Group I ◽  
Significant Difference ◽  
Interferential Current ◽  
Group Ii ◽  
The Difference

ABSTRACT: Objectives: To compare the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) and Interferential Current (IF) in patients with nonspecific chronic low back pain. Material and Methods: This quasi experimental study was performed in Khyber Teaching Hospital and Khyber Medical University Peshawar from August 2015 to January 2016. All patients were assessed before and after TENS and IF therapy using Visual Analogue Scale 0-10 (VAS) and Oswestry Disability Index (ODI). Thirty patients were divided into two groups. TENS (group I) & IF (group II). In group I, patients received 10 minutes session with heat therapy (hot pack) and 20 minutes session with TENS. In group II, the patients received 10 minutes session with heat therapy (hot pack) and 20 minutes session with IF current. Results: Mean age of participants was 34.85±4.80 and 33.50±5.20 years in group I and group II. The mean of pain before treatment in group I was 6.47±.29 and that of group II was 5.60±.33 in which the minimum pain on VAS was 4 and maximum pain was 8. A pair T test was done to identify the difference between pre and post treatment score on VAS in the intervention. The p values shows .000 which is less than .05 indicate that there is significant difference present between pre and post treatment pain on VAS.  The pair T test for disability percentage on ODI was done to identify the difference between pre and post treatment  in the interventions. The p value was less than .05 which shows that there is significant difference and reduction of disability percentage on ODI. Conclusion:  The study concluded that both the treatment methods TENS and IF are effective in decreasing pain intensity and disability in low back pain patients.

scholarly journals Effect of Addition of Epidural Ketamine to Steroid in Lumbar Radiculitis: One-Year Follow-Up

2011 ◽  
Vol 5;14 (5;9) ◽  
pp. 475-481
Author(s):  
Yasser Mohamed Amr
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Pain Disability ◽  
Group I ◽  
Disability Questionnaire ◽  
Group Ii ◽  
One Year

Background: Treating sciatica with epidural steroid injection has been a common practice worldwide. N-methyl-D-aspartate (NMDA) receptors are an important component of pain pathways. Objectives: The aim of this study was to evaluate the safety and efficacy of epidurally administered NMDA receptor antagonists (ketamine) for the treatment of chronic low back pain secondary to radiculopathy and its effect on patients’ quality of life. Study Design: Randomized, double blind controlled trial. Setting: Hospital outpatient setting. Methods: Two hundred participants aged 25 to 50 years old with a diagnosis of lumbar radiculopathic pain secondary to disc herniation were randomized into 2 equal groups. Group I received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 30 mg (3 mL) of preservative free ketamine. Group II received 80 mg of triamcinolone (2 mL) and 0.25% bupivacaine (3 mL) plus 3 mL of 0.9% saline. Pain scores were obtained before injection, immediately after injection, one week, one month, 3 months, 6 months , 9 months and one year post injection. The Oswestry Low Back Pain Disability Questionnaire was used at baseline and at one month, 3, 6, 9, and 12 months after injection for assessment of quality of life. Patients were asked to report any side effects, particularly those related to ketamine, including nausea, vomiting, visual or auditory hallucinations, and delirium. Results: Immediately after injection there was no statistically significant difference between Group I and II regarding pain scale scores. After one week of injection, pain relief was significantly better in Group I compared to Group II and then at all evaluation times. The Oswestry Low Back Pain Disability Questionnaire score decreased significantly (P < 0.05) from 72 (range 62- 83) and 70 (range 57- 82) to 8 (range 2 – 12) and 17 (range 9 – 27) at one month; 6 (range 4 – 12) and 18 (range 14 – 22) at 3 months; 12 (range 9 – 16) and 28 (range 22 – 34) at 6 months; 17 (range 9 – 24) and 31 (range 21 – 35) at 9 months; and 17 (range 8 – 22) and 33 (range 20 – 37) at 12 months in the groups, respectively. Six patients in the ketamine group showed short-lasting delusions lasting for 45 ± 12 minutes after injection. Limitations: The limitations include a lack of placebo control. Conclusion: Epidurally administrated ketamine seems to be a safe and useful adjunct to epidural corticosteroid therapy in chronic lumbar radicular pain. Key words: Ketamine, epidural, radiculopathic, pain, steroid

scholarly journals PENAMBAHAN SWISS BALL PADA CORE STABILITY EXERCISE DAN CORE STABILITY EXERCISE DAPAT MENINGKATKAN LINGKUP GERAK SENDI DAN AKTIVITAS FUNGSIONAL PADA PETANI WANITA DENGAN LOW BACK PAIN NON SPESIFIK DI KOTA TOMOHON

2019 ◽  
Author(s):  
Novtiyas Maria Pombu ◽  
Susy Purnawati ◽  
S. Indra Lesmana ◽  
Alex Pangkahila ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Group ◽  
Range Of Motion ◽  
Functional Activity ◽  
Core Stability ◽  
Low Back ◽  
Group I ◽  
Group Ii ◽  
Swiss Ball

ABSTRACTBackground: Non-specific low back pains are low back pain caused by disorders or abnormalities in the musculoskeletal element without the presence of neurological disorders that can arise due to potential tissue damage leading to range of motion limitations and decreased functional activity. Objective: To prove that the addition of Swiss ball to core stability exercise and core stability exercise can improve the range of motion and functional activity in female farmers with non-specific low back pain in Tomohon City. Method: This research used true experimental method, with pre-test and post-test group design. This study used 18 subjects divided into 2 groups, Treatment Group I with core stability exercise and Treatment Group II addition of Swiss ball on core stability exercise. Both treatment groups were given training 3 times a week for 4 weeks. The measuring instrument used to measure lumbar LGS is the modified-modified Schober test and lumbar disability is a modified Oswestry disability index. Results: For the result of paired sample t-test of treatment group I LGS flexion and extension obtained p = 0.000 (p <0.05) and treatment group II LGS flexion and extension obtained result p = 0.000 (p <0.05). The decrease of modified ODI value in treatment group I obtained p = 0.000 (p <0.05) and treatment group II was obtained p = 0.000 (<0.05). The independent t-test results showed LGS flexion in treatment group I with p = 0.879 (> 0.05). The value of LGS extension in treatment group I with p value = 0.733 (> 0.05). The result of hypothesis test showed that the decrease of lumbar disability can be evaluated modified ODI in treatment group I with p = 0.891 (> 0.05). Conclusions: There is no statistically different Swiss ball addition to the core stability exercise and core stability exercise in increasing the range of motion and functional activity in female farmers with non-specific low back pain. Keywords: Non-specific low back pain, Swiss ball, core stability exercise, modified-modified Schober test, modified Oswestry disability index.

scholarly journals One-Year Results of a Randomized, Double-Blind, Active Controlled Trial of Fluoroscopic Caudal Epidural Injections With or Without Steroids in Managing Chronic Discogenic Low Back Pain Without Disc Herniation or Radiculitis

2011 ◽  
Vol 1;14 (1;1) ◽  
pp. 25-36 ◽  
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Disc Herniation ◽  
Local Anesthetic ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Epidural Injections ◽  
Group I ◽  
Group Ii ◽  
Caudal Epidural

Background: Lumbar radicular pain pathophysiology continues to be the subject of research and debate as discogenic pain is increasingly seen as a cause of non-specific low back pain. Among non-surgical methods used to manage chronic low back pain with or without disc herniation, epidural injections are one of the most common modalities. However, there is little evidence utilizing contemporary methodology for using epidural injections in patients with discogenic pain. Study Design: A randomized, double-blind, active-controlled trial. Setting: An interventional pain management practice, a specialty referral center, a private practice setting in the United States. Objectives: To evaluate the effectiveness of caudal epidural injections with local anesthetic, with or without steroids, in managing chronic low back pain without disc herniation or radiculitis. Methods: A total of 120 patients were assigned to one of 2 groups. Group I patients received caudal epidural injections with local anesthetic (lidocaine 0.5% 10 mL); Group II patients received caudal epidural injections with 9 mL of 0.5% lidocaine mixed with 1 mL of steroid (either brand name or non-particulate betamethasone [6 mg] or methylprednisolone [40 mg]. Computer-generated randomization and random allocation sequence by simple randomization were the randomization techniques utilized. Outcomes Assessment: Multiple outcome measures were utilized which included the Numeric Rating Scale (NRS), the Oswestry Disability Index 2.0 (ODI), employment status, functional status, and opioid intake at 3, 6, and 12 months post treatment. Significant pain relief and functional status improvement were described as a 50% or more reduction in scores from baseline. Results: Significant pain relief and functional status improvement were observed in 55% of the patients in Group I and 68% of the patients in Group II. In contrast, 84% of patients in Group I and 85% in Group II saw significant pain relief and functional status improvement in the successful group (62% in Group I and 68% in Group II). The average procedures per year were 3.8 ± 0.9 for Group I and 4.3 ± 0.9 for Group II. Average pain scores decreased from 8.0 ± 0.9 to 4.3 ± 1.79 for Group I and from 7.9 ± 1.0 to 3.8 ± 1.59 for Group II. There were no differences among the patients receiving one of the 3 steroids. Limitations: The results of this study are limited by lack of a placebo group. Conclusion: Caudal epidural injections with local anesthetic with or without steroids are effective in patients with chronic low back pain of discogenic origin without facet joint pain, disc herniation, and/or radiculitis. Clinical Trial: NCT00370799 Key words: Chronic low back pain, lower extremity pain, discogenic pain, facet joint pain, disc herniation, radiculitis, lumbar interlaminar epidural injections, epidural steroids, local anesthetic

scholarly journals Preliminary Results of a Randomized, DoubleBlind, Controlled Trial of Fluoroscopic Lumbar Interlaminar Epidural Injections in Managing Chronic Lumbar Discogenic Pain Without Disc Herniation or Radiculitis

2010 ◽  
Vol 4;13 (4;7) ◽  
pp. E279-E292
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Disc Herniation ◽  
Local Anesthetic ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Epidural Injections ◽  
Group I ◽  
Group Ii

Background: Low back pain without disc herniation is the most common problem among chronic pain disorders. Epidural injections are commonly used interventions in managing chronic low back pain without disc herniation. However, little evidence exists regarding the effectiveness, indications, and medical necessity of lumbar epidural injections in managing axial low back pain without disc herniation or radiculitis. Study Design: A randomized, double-blind, controlled trial. Setting: An interventional pain management practice, a specialty referral center, a private practice setting in the United States. Objectives: To evaluate the ability to provide effective and long-lasting pain relief with lumbar interlaminar epidural injections with local anesthetic with or without steroids in managing chronic low back pain not caused by disc herniation or radiculitis. Methods: Patients were randomly assigned to one of 2 groups with Group I patients receiving local anesthetic only, whereas Group II patients received local anesthetic mixed with non-particulate betamethasone. Seventy patients were included in this analysis. Randomization was performed by computer-generated random allocation sequence by simple randomization. Outcomes Assessment: Outcome measures included the Numeric Rating Scale (NRS), the Oswestry Disability Index 2.0 (ODI), employment status, and opioid intake. The assessments were done at baseline, 3 months, 6 months, and 12 months post-treatment. Significant pain relief and/or improvement in disability were defined as at least 50% improvement. Results: Significant pain relief (≥ 50%) was demonstrated in 74% of patients in Group I and 63% in Group II. Functional status improvement (reduction of ≥ 50%) in the ODI scores was seen in 71% of patients in Group I and 60% of patients in Group II. The overall average procedures per year were approximately 4. Limitations: The results of this study are limited by the lack of a placebo group and that it is a preliminary report of 35 patients in each group with a total of 70 patients. Conclusion: Lumbar interlaminar epidural injections of local anesthetic with or without steroids was effective in 63% and 74% of patients with chronic function-limiting low back pain without facet joint pain, disc herniation, and/or radiculitis. Key words: Chronic low back pain, lumbar interlaminar epidural injections, discogenic pain, disc herniation, radiculitis, local anesthetic, steroids, controlled comparative local anesthetic blocks

scholarly journals Results of 2-Year Follow-Up of a Randomized, Double-Blind, Controlled Trial of Fluoroscopic Caudal Epidural Injections In Central Spinal Stenosis

2012 ◽  
Vol 5;15 (5;9) ◽  
pp. 371-384
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Relief ◽  
Spinal Stenosis ◽  
Low Back ◽  
Epidural Injections ◽  
Group I ◽  
Successful Group ◽  
Group Ii ◽  
Caudal Epidural

Background: Lumbar spinal stenosis is one of the most common causes of low back pain among older adults and can cause significant disability. Despite its prevalence, there is a paucity of literature concerning the treatment of spinal stenosis symptoms. Multiple interventions, including surgery and interventional techniques such as epidural injections and adhesiolysis, are commonly utilized in managing pain related to central spinal stenosis. However, there is a paucity of literature from randomized, controlled trials about the effectiveness of epidural injections for lumbar central spinal stenosis. Objective: This study sought to assess the effectiveness of caudal epidural injections with or without steroids in providing effective and long-lasting pain relief for the management of chronic low back pain related to lumbar central stenosis. Study Design: A randomized, double-blind, active-controlled trial. Methods: One hundred patients were randomly assigned to one of 2 groups, with Group I patients receiving caudal epidural injections of local anesthetic (lidocaine 0.5%), whereas Group II patients received caudal epidural injections with 0.5% lidocaine 9 mL mixed with 1 mL of steroid, 6 mg (non-particulate betamethasone). Outcomes Assessment: Multiple outcome measures, including the Numeric Pain Rating Scale (NRS), the Oswestry Disability Index 2.0 (ODI), employment status, and opioid intake were utilized. Assessments were carried out at 3, 6, 12, 18, and 24 months posttreatment. The primary outcome was defined as pain relief and improvement in disability scores of 50% or more. Successful treatment was considered as at least 3 weeks of relief following the first 2 injections, categorizing these patients into a successful group, and others into a failed group. Results: Significant pain relief and functional status improvement were seen in 51% in Group I and 57% in Group II at the end of 2 years in the successful group when the participants were separated into successful and failed groups. However, overall, significant pain relief and functional status improvement (≥ 50%) was demonstrated in 38% in Group I and 44% in Group II at the end of 2 years. The overall number of procedures for 2 years were 4 in both groups, with 5 procedures on average in the successful groups, and approximately 60 weeks of relief in Group I and 54 weeks of relief in Group II at 2 years in the successful group. Conclusion: Caudal epidural injections of local anesthetic with or without steroids provide relief in a modest proportion of patients undergoing the treatment and may be considered as an effective treatment for a select group of patients who have chronic function-limiting low back and lower extremity pain secondary to central spinal stenosis. Key Words: Low back pain, lower extremity pain, spinal stenosis, epidural injections, steroids, local anesthetics

scholarly journals Central Sagittal Angle of the Sacrum as a New Risk Factor for Patients with Persistent Low Back Pain after Caesarean Section

2017 ◽  
Vol 11 (5) ◽  
pp. 726-732 ◽  
Author(s):  
Hizir Kazdal ◽  
Ayhan Kanat ◽  
Osman Ersagun Batcik ◽  
Bulent Ozdemir ◽  
Senol Senturk ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Control Group ◽  
Sacral Slope ◽  
Low Back ◽  
Group I ◽  
Increased Risk ◽  
Group Ii

<sec><title>Study Design</title><p>Retrospective.</p></sec><sec><title>Purpose</title><p>This study investigated the possible association of persistent low back pain (LBP) with caesarean section (CS) under spinal anesthesia.</p></sec><sec><title>Overview of Literature</title><p>Many women suffer from LBP after CS, which is commonly performed under spinal anesthesia. However, this type of LBP is poorly understood, and there is poor consensus regarding increased risk after spinal anesthesia.</p></sec><sec><title>Methods</title><p>We examined two groups of patients who underwent cesarean delivery under spinal anesthesia. Group I included patients who presented to a neurosurgical clinic complaining of LBP for at least 6 months. Group II was a control group with patients without LBP. We analyzed clinical and sagittal angle parameters, including age, body mass index, parity, central sagittal angle of the sacrum (CSAS), and sacral slope (SS).</p></sec><sec><title>Results</title><p>Fifty-three patients participated in this study: 23 (43.1%) in Group I and 30 (56.9%) in Group II. Non-parametric Mann–Whitney U-tests showed that age, parity, and CSAS significantly differed between the two groups at 6 months.</p></sec><sec><title>Conclusions</title><p>Age, parity, and CSAS appear to be associated with increased risk for LBP after CS under spinal anesthesia. Future prospective studies on this subject may help validate our results.</p></sec>

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