scholarly journals Use of localized human growth hormone and testosterone injections in addition to manual therapy and exercise for lower back pain: a case series with 12-month follow-up

2015 ◽  
pp. 295 ◽  
Author(s):  
Marc Dubick ◽  
Thomas Ravin ◽  
Yvonne Michel ◽  
David Morrisette
1990 ◽  
Vol 33 (2-4) ◽  
pp. 116-120 ◽  
Author(s):  
J.L. Mills ◽  
J. Fradkin ◽  
L. Schonberger ◽  
W. Gunn ◽  
R.A. Thomson ◽  
...  

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.


Medicine ◽  
1990 ◽  
Vol 69 (1) ◽  
pp. 46-55 ◽  
Author(s):  
SAMUEL M. LIBBER ◽  
LESLIE P. PLOTNICK ◽  
ANN J. JOHANSON ◽  
ROBERT M. BLIZZARD ◽  
PETER O. KWITEROVICH ◽  
...  

1983 ◽  
Vol 103 (2) ◽  
pp. 158-162 ◽  
Author(s):  
Olof Bynke ◽  
Bengt E. Karlberg ◽  
Bertil Kågedal ◽  
Ove R. Nilsson

Abstract. Serum human growth hormone (hGH) measurements were performed during transsphenoidal microsurgery for acromegaly and in the early period afterwards. There were 14 patients of which 2 were operated on twice. In 11 patients (2 patients at reoperation) the serum hGH concentration was normalized to less than 5 μg/l within 3 h after completion of surgery. On five occasions only partial restoration of the hGH values was obtained and additional treatment was given in 2 patients by successful re-operation. The early post-operative hGH concentrations were consistent with the clinical evaluation of the patients and the hGH concentrations during follow-up for an average of 27 months. We conclude that early post-operative serum hGH measurement is of value for evaluation of the efficiency of the tumour removal and the need for further treatment.


2017 ◽  
Vol 25 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Arndt Büssing ◽  
Désirée Poier ◽  
Thomas Ostermann ◽  
Matthias Kröz ◽  
Andreas Michalsen

Background: We aim to compare the effectiveness of 3 active interventions, i.e., yoga, eurythmy therapy, and physiotherapeutic exercise, on chronic lower back pain. Methods: In this randomized controlled trial over 16 weeks (8 weeks of intervention, 8 weeks of follow-up), data of individuals with chronic lower back pain will be analyzed. Interventions are implemented as group sessions (75 min) once per week. Participants receive a manual for home-based practice and are assessed before and at the end of the 8-week intervention period, and at the end of an 8-week follow-up period. Standardized questionnaires are: the Roland-Morris Disability Score, visual analog scales measuring intensity of pain, the Brief Multidimensional Life Satisfaction Scale, the Perceived Stress Scale, the Inner Correspondence with the Practices questionnaire, the Freiburg Mindfulness Questionnaire, the General Self-Efficacy Scale, a self-regulation questionnaire, the Internal Coherence Scale, a pain diary (registering the need of analgesic medication), and a questionnaire on the patients' expectation that the interventions will be effective in reducing pain and how strong this reduction might be (2 single items), etc. Discussion: This large multicenter study will provide evidence on the effectiveness of 3 contrasting movement-orientated treatments that share some similarities but differ in essential details: yoga, eurythmy therapy, and physiotherapeutic exercises. It will provide important data on non-pharmacological options to treat lower back pain in a large group of affected individuals.


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