scholarly journals UNDERWATER TRACTION THERAPY FOR THE TREATMENT OF LUMBAR BACK PAIN: THE ACHIEVEMENTS AND CONTRADICTIONS (A LITERATURE REVIEW)

Author(s):  
N. G Badalov ◽  
I. V Borodulina

At present, degenerative dystrophic disease of intervertebral disks and lumbar back pain associated with this condition constitute a most serious medical, social and economic problem. This article was designed to consider underwater spine traction as a drug-free treatment for low back pain. The literature review includes the historical milestones and current concepts of traction therapy. The paper includes the analysis of the long-established clinical notions having the influence on the evaluation of the effectiveness of the treatment and proposes the new up-to-date approach to the investigation of the pathological condition being condidered and the method for its therapy.

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 402
Author(s):  
Miriam Frenken ◽  
Sven Nebelung ◽  
Christoph Schleich ◽  
Anja Müller-Lutz ◽  
Karl Ludger Radke ◽  
...  

Using glycosaminoglycan Chemical Exchange Saturation Transfer (gagCEST) magnetic resonance imaging (MRI), this study comparatively evaluated the GAG contents of lumbar intervertebral disks (IVDs) of patients with non-specific low back pain (nsLBP), radiculopathy, and asymptomatic volunteers to elucidate the association of clinical manifestation and compositional correlate. A total of 18 patients (mean age 57.5 ± 22.5 years) with radiculopathy, 16 age-matched patients with chronic nsLBP and 20 age-matched volunteers underwent standard morphologic and compositional gagCEST MRI on a 3T scanner. In all cohorts, GAG contents of lumbar IVDs were determined using gagCEST MRI. An assessment of morphologic IVD degeneration based on the Pfirrmann classification and T2-weighted sequences served as a reference. A linear mixed model adjusted for multiple confounders was used for statistical evaluation. IVDs of patients with nsLBP showed lower gagCEST values than those of volunteers (nsLBP: 1.3% [99% confidence intervals (CI): 1.0; 1.6] vs. volunteers: 1.9% [99% CI: 1.6; 2.2]). Yet, IVDs of patients with radiculopathy (1.8% [99% CI: 1.4; 2.1]) were not different from patients with nsLBP or volunteers. In patients with radiculopathy, IVDs directly adjacent to IVD extrusions demonstrated lower gagCEST values than distant IVDs (adjacent: 0.9% [99% CI: 0.3; 1.5], distant: 2.1% [99% CI: 1.7; 2.5]). Advanced GAG depletion in nsLBP and directly adjacent to IVD extrusions in radiculopathy indicates close interrelatedness of clinical pathology and compositional degeneration.


2018 ◽  
Vol 21 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Ferran CUENCA-MARTÍNEZ ◽  
Sara CORTÉS-AMADOR ◽  
Gemma Victoria ESPÍ-LÓPEZ

2016 ◽  
Vol 68 (5) ◽  
pp. 903-912 ◽  
Author(s):  
Sachin Bavage ◽  
Sharanbasappa Durg ◽  
Shoukath Ali Kareem ◽  
Shivsharan B. Dhadde

2018 ◽  
Vol 32 (1) ◽  
pp. 5-11
Author(s):  
Maciej Czajka ◽  
Aleksandra Truszczyńska-Baszak ◽  
Małgorzata Kowalczyk

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