Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Total Population ◽  
The Body ◽  
Walking Distance ◽  
Common Symptom ◽  
Low Back ◽  
Short Term ◽  
Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

The short-term effect of custom-made foot orthoses in subjects with excessive foot pronation and lower back pain: A randomized, double-blinded, clinical trial

2013 ◽  
Vol 37 (5) ◽  
pp. 384-390 ◽  
Author(s):  
Aurora Castro-Méndez ◽  
Pedro V Munuera ◽  
Manuel Albornoz-Cabello
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Foot Orthoses ◽  
Low Back ◽  
Short Term ◽  
Lower Back ◽  
Custom Made ◽  
Foot Pronation ◽  
Double Blinded

Study design: randomized, double-blinded, clinical trial. Background: Low back pain is one of the commonest disorders affecting the back. The literature reflects how over time excessive pronation of the foot has become to be recognized as linked to chronic low back pain, and how the problem can evolve for the better with the use of compensating foot orthoses. Objectives: The main objective of this study is to answer the question of whether the use of a certain type of custom-made foot orthosis alleviates low back pain. Material and methods: In a sample of 51 participants with excessive subtalar pronation and chronic low back pain (43 women and 8 men), the effect of custom-made foot orthoses in low back pain was studied. The study design was a randomized, double-blinded, clinical trial with two groups: experimental, treated with the custom-made foot orthoses, and control, treated with a placebo. Low back pain was evaluated by a visual analog scale for pain and Oswestry’s Disability Index Questionnaire for lower back pain at two moments—on the day of inclusion in the study and after 4 weeks of treatment. Results: The evolution of the low back pain showed significant differences in the experimental group, showing a significant reduction of pain and disability ( p < 0.001, visual analog scale; p < 0.001, Oswestry’s Index). Conclusions: In the sample studied, the use of custom-made foot orthoses to control foot pronation had a short-term effect in reduction of perceived low back pain. Clinical relevance If subtalar joint hyperpronation plays a fundamental role in the pathomechanics of lower limb, and this can facilitate the development of low back pain, then controlling the abnormal mobility of subtalar joint by means of foot orthoses should improve this symptom. This article could help solve this controversy.

scholarly journals An Osteopathic Approach to Uterine-Induced Low Back Pain: A Case Report

2019 ◽  
Vol 29 (3) ◽  
pp. 23-26
Author(s):  
David M. Kanze
Keyword(s):  
Adverse Reaction ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Package Insert ◽  
The Body ◽  
Low Back ◽  
Intrauterine Devices ◽  
Functional Changes ◽  
Uterosacral Ligaments

Abstract Uterine-induced low back pain is primarily caused by pregnancy. More than 50% of women will experience it while pregnant.1 Many of these changes are postural in nature and can last into the postpartum period.1–3 There is also increased stress placed about the uterosacral ligaments and sacrum.1,4–6 Back pain related to intrauterine devices (IUD) is less common than pregnancy-induced back pain, but it is still commonly present and is a common enough adverse reaction that it is listed on the package insert.7 An osteopathic approach to uterine-induced low back pain looks at the structural and functional changes caused by changes in the uterus and the resultant changes on the remainder of the body. The present case depicts this approach and possible anatomic reasoning to why and how this pain is present.

scholarly journals Radiological Findings in Chronic Contained Rupture of Abdominal Aortic Aneurysm in a Patient Presenting with Lower Back Pain

2019 ◽  
Vol 26 (3) ◽  
Author(s):  
Dr Shaafiya Ashraf ◽  
Dr Ankit Prabhakar ◽  
Dr Shivani Sharma ◽  
Dr Dawood Iqbal Wani
Keyword(s):  
Low Back Pain ◽  
Abdominal Aortic Aneurysm ◽  
Back Pain ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Lower Back Pain ◽  
Low Back ◽  
Radiological Findings ◽  
Lower Back ◽  
Abdominal Aortic

There is a diagnostic and therapeutic dilemma in cases of chronic contained rupture of abdominal aortic aneurysm, as the symptoms can be more subtle including dull back pain, and thus lacking the typical features of rupture. The objective of this research was to introduce a case report emphasizing the need to relate the low back pain with atypical radiological appearances of entities, as aortic abdominal aneurysms, capable to compromise the patients’ clinical diagnosis, prognosis and treatment.

scholarly journals Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review

2021 ◽  
Vol 5 (1) ◽  
pp. 17-23
Author(s):  
Gojko Skundric ◽  
◽  
Veljko Vukicevic ◽  
Nikola Lukic ◽  
◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Lumbar Lordosis ◽  
The Body ◽  
Core Stability ◽  
Low Back ◽  
Lower Back ◽  
The Stability ◽  
Positive Effect

Core stability has a very positive effect on the prevention of lumbar lordosis and lower back pain. The main focus of this paper was on a review of the available literature on the influence of trunk stability on lower back pain and lumbar lordosis. The two electronic databases researched for collecting articles are PubMed and ScienceDirect. A search was conducted by title, taking a predefined combination of the following keywords into account: low back pain, core stability, training, sports. Screening processes are summarized through a PRISMA flow chart. 408 studies were identified, of which 20 met the inclusion criteria. It was concluded that exercise on the stability of the pelvic nucleus and muscles is recommended as the simplest and most favorable prevention of lower back pain and lumbar lordosis. The stability of the nucleus helps to overcome the main causes and deprive the body of functional disorders and pain.

An Osteopathic Approach to Post-Partum Low Back Pain: A Case Report

2020 ◽  
Vol 30 (3) ◽  
pp. 23-27
Author(s):  
Thomas R. Mehner ◽  
Drew D. Lewis
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Musculoskeletal System ◽  
Post Partum ◽  
The Body ◽  
Low Back ◽  
Common Occurrence ◽  
Post Partum Period

Abstract&gt; Low back pain is a common occurrence in pregnant and non-pregnant patients. Pregnancy causes many anatomic and physiologic changes in the body and invariably leads to altered stresses on the musculoskeletal system. These alterations in the body can persist into the post-partum period as somatic dysfunctions. This case report outlines the importance of an osteopathic approach to address somatic dysfunctions related to low back pain of the pregnant and/or post-partum patient. A 39-year-old female presented with low back pain that was exacerbated by her pregnancy, which has continued into the post-partum period. She was found to have significant somatic dysfunctions related to her condition. An osteopathic approach was utilized to relieve her low back pain and improve her function with all the duties required to care for a newborn.

Design Implementation and Analysis of a Universal Lumbosacral Support Device to Prevent Low Back Pain in Motorized Two-Wheeler Riders

2017 ◽  
Author(s):  
Krishna Pedaprolu ◽  
Satyam Rajput ◽  
Sharmila Nageswaran
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Chronic Low Back Pain ◽  
Compression Fracture ◽  
The Body ◽  
Low Back ◽  
Persistent Symptoms ◽  
Acute Low Back Pain ◽  
Lower Back

According to National Institute of Neurological Disorders and Stroke (NINDS), a division of National Institutes of Health (NIH), about 80% adults suffer from low back pain at some point in time and about 2 out of 10 people who are affected by acute low back pain develop chronic low back pain with persistent symptoms at one year [1]. Though in some cases, treatment does relieve chronic low back pain, but in other cases, pain persists despite treatment. Mostly, the lower back pain is of mechanical nature, i.e., disruption in the way the components of the back (the spine, muscle, intervertebral discs, and nerves) fit together and move. The causes of lower back pain can be imputed to various conditions such as sprains and strains, osteoarthritis, herniated discs, whiplash, compression fracture, scoliosis, stenosis, inflammation of joints, osteoporosis. It not only causes pain, but also severs the economy of a nation. It is a major contributor to missed workdays [1]. Research indicates that the total indirect costs due to back pain accrue to more than $100 billion annually [2]. Not many people can afford traveling by car or taxi to office, especially in developing countries and in cities with high traffic, where people prefer to travel by two-wheelers for their access to work and other amenities. However, people with lumbar problems are recommended not to use two-wheelers as the movement of the body on uneven roads or while braking/accelerating may increase the pain and discomfort. This reduces the productivity of not only the individual and the firm but also the productivity of the country as a whole.

scholarly journals EVALUASI SIKAP KERJA SEBAGAI RISIKO NYERI PUNGGUNG BAWAH

2019 ◽  
Vol 5 (1) ◽  
pp. 48-55
Author(s):  
I Gede Purnawinadi ◽  
Andrew Rumegang
Keyword(s):  
At Risk ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Work Attitudes ◽  
The Body ◽  
Entire Body ◽  
Low Back ◽  
Work Attitude ◽  
Lower Back

ABSTRACT Introduction: Low back pain (NPB) is the second leading cause of global disability in musculoskeletal problems, with the highest prevalence in Indonesia being among farmers. A non-ergonomic work attitude is at risk for lower back pain. Purpose: This study identified work attitudes as a risk in relation to the incidence of low back pain. Method: This study was an observational analytic cross-sectional approach conducted on 32 farmers in Karowa Village using Rapid Entire Body Assessment (REBA) to evaluate work attitudes and questionnaires to measure complaints of lower back pain. Results: The working attitude of farmers was 77.4% at high risk and 93.7% of farmers complained of moderate pain. There is a significant relationship between work attitude and lower back pain in farmers with a positive and strong direction. Discussion: The more it is not ergonomic the working attitude of farmers is, the more at risk of developing complaints of lower back pain. Community and farmers are expected to do work safely such as avoiding overloading of shoulders, often changing positions or stretching the body while working, and if possible do work alternately.   Keywords: Evaluation, Work Attitude, Risk, Pain, Lower Back.

scholarly journals Effect of 90-90 Supported Hip Shift Hemibridge with Balloon Exercise on Primary Dysmenorrhea in Obese Undergraduate Females- An Experimental Study

2021 ◽  
Vol 11 (7) ◽  
pp. 9-16
Author(s):  
Pranali Chougule ◽  
Archana D. Methe ◽  
Drashti Shah
Keyword(s):  
Experimental Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Daily Activities ◽  
P Value ◽  
Common Symptom ◽  
Low Back ◽  
Primary Dysmenorrhea ◽  
Lower Back ◽  
Undergraduate Females

Background: Dysmenorrhea is a painful menstruation which can affect daily activities. Primary dysmenorrhea is most common complaint without pathologic pelvic disease. The pain is dull aching, intermittent and located in suprapubic area and lower back associated with symptoms dizziness, headache, vomiting, and diarrhea. Obesity is associated with dysmenorrhea as adipose tissues affect the hormonal balance. Low back pain (LBP) is a common symptom in dysmenorrhea. Objective: The purpose of this study was to evaluate the effect of 90-90 supported hip shift hemibridge with balloon exercise on primary dysmenorrhea in obese undergraduate females for pain. Methods: This experimental study was conducted among 30 female subjects from undergraduate colleges of Miraj, Maharashtra, India. Females between age group of 18-25 years with BMI 25-29.9 kg/m2 having primary dysmenorrhea with LBP were included in the study based on inclusion and exclusion criteria. Outcome measures used were VAS & WaLIDD scales to assess for pain, daily activities and to diagnose dysmenorrhea. Further they were given 90-90 supported hip shift hemibridge with balloon exercise during first 3 days of menstruation and pre-post VAS was measured and WaLIDD score was compared with previous month score. Results: The statistical analysis was done using paired t test which showed 90-90 hip shift supported hemibridge with balloon exercise was statistically significant on VAS and WaLIDD scores with (p value 0.000). Conclusion: 90-90 supported hip shift hemibridge with balloon exercise has shown to reduce low back pain in primary dysmenorrhea in obese females. Key words: Low Back Pain, 90-90 hemibridge, Obesity, WaLIDD.

scholarly journals Integrated Approach of Yoga Therapy towards Chronic Low Back Pain: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 15
Author(s):  
Reshma P. Jogdand ◽  
Shekhar Mukhiya Sunuwar ◽  
Amit Singh ◽  
R. Nagrathna
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Integrated Approach ◽  
Low Back ◽  
Yoga Therapy ◽  
Lower Back ◽  
Present Case Study

This case report represents the patient of lower back pain (LBP) who visited Arogyadhama (SVYASA University, Bangalore). Patient was suffering from low back pain and multiple joint pain at the time of visit and 14 days Yoga intervention was provided to the patient for pain management, which helped the patient in relieving the pain and improving the muscular strength and quality of life significantly. The present case study is an attempt to provide IAYT (Integrated approach of Yoga therapy) practices in combination with naturopathy and physiotherapy for the maintenance of LBP profile and symptoms.

scholarly journals Analisis Faktor Risiko Nyeri Punggung Bawah Pada Perawat Di Rsud Dr. Murjani Sampit

2021 ◽  
Vol 5 (2) ◽  
pp. 125-132
Author(s):  
Rakhmad Rosadi ◽  
Yoga Antonius ◽  
Sri Sunaringsih Ika Wardojo ◽  
Suci Amanati ◽  
Nungki Marlian Darwati
Keyword(s):  
Risk Assessment ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Survey Method ◽  
Low Back ◽  
Lower Back ◽  
Ergonomic Risk Assessment ◽  
Ergonomic Risk ◽  
Inpatient Nurses

Abstract: Low back pain (NPB) is one of the most common musculoskeletal disorders in everyday life. NPB is pain that is felt in the lower back and is usually local pain or radicular pain or both. This pain can be caused by poor posture when standing or sitting, bending / twisting, lifting weights incorrectly and so on. The cause of NPB often occurs in inpatient nurses. This case report is located in dr. Murjani Sampit, Kotawaringin Timur, Kaliantan Tengah. The purpose of this case report is to determine the risk factors for low back pain in nurses at dr. Murjani Sampit. The method used is a questionnaire to determine individual factors and the Brief Survey method for ergonomic risk assessment. A case study was conducted on 2 inpatient nurses who had a history of Lower Back Pain. Based on the results of the ergonomic risk assessment using the Brief Survey method, the highest work risk was in the back region with a score of 4. Characteristic factors of respondents including gender, BMI, work experience, smoking behavior and exercise habits did not have a significant relationship with the incidence of NPB. Based on the results of statistical tests obtained from several case studies and research shows that only the length of sitting and the length of standing that affect the incidence of low back pain

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