Interventional treatment of lower back pain

2020 ◽  
pp. 44-53 ◽  
Author(s):  
A. Yu. Novikov ◽  
M. B. Tsykunov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Syndrome ◽  
Main Group ◽  
Muscle Relaxants ◽  
Control Group ◽  
Interventional Treatment ◽  
Low Back ◽  
Treatment Needs ◽  
Lower Back

Introduction. Low back pain takes one of the leading places among all non-communicable diseases, reaching 70 % of outpatient visits. In 90 % of cases the non-specific nature of back pain is observed. The most common causes of low back pain are myofascial pain syndrome, facet joint arthrosis, spinal stenosis, spondylolisthesis, discal hernias. If NSAIDs and muscle relaxants are the «gold standard» in the treatment of low back pain, interventional treatment needs further studies. This trial was conducted in order to determine the effectiveness of therapeutic blockades. The goal of research — to study the effectiveness of selective injections of pharmaceuticals into pain sources in case of low back pain based on clinical and instrumental studies.Materials and methods. The prospective, controlled, randomized trial was conducted from January 2018 to January 2019 at the Department of Neurosurgery and Medical Rehabilitation of the Bashkir State Medical University. 42 patients with low back pain, aged from 24 to 54 years, of which 28 (66,7 %) were men and 14 (33,3 %) were women took part in the research and were randomly divided into 2 groups. Patients of the main group (30 people) underwent interventional therapy, from 2 to 7 injections, depending on the severity of the pain syndrome and the duration of the disease. Patients of the control group — 12 people, received treatment in accordance with the standard of medical care in low back pain (analgesics, NSAIDs, muscle relaxants), as well as physiotherapy for 2 weeks daily. The study of the effectiveness of therapy included, along with the neurological examination, a neuroorthopedic instrumental examination. The depth of the lumbar lordosis, flexion and extension restrictions were measured using a curvimeter-goniometer, which also allows measuring the angle of tension symptoms (Lasegue, Wasserman). In order to study rotation and lateroflexion, instruments with a graduated scale were used. Muscle tone and tenderness of the structures of the spine were examined using a myotonometer-tensoalgimeter and a visual analogue scale (VAS). To interpret the data of a comprehensive neuroorthopedic examination, the results were converted into comparable units with the calculation of the integral indicator.Results. After selective intervention therapy in the main group, a more rapid relief of pain, a regression of neurological symptoms, manifested by the complete elimination or significant reduction of biomechanical and tonus disorders in the lower back were noted.Conclusion. Selective injections of pharmaceuticals into pain sources in low back pain are more effective than treatment with the use of analgesics, NSAIDs, muscle relaxants and physiotherapy, which allows to recommend them for wider use in clinical practice.

scholarly journals LOW BACK PAIN SYNDROME, COMPARISON OF VIEWS ON THE PROBLEM

2017 ◽  
pp. 43-48
Author(s):  
A. I. Gamanovich ◽  
B. V. Drivotinov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
English Language ◽  
Comparison Group ◽  
Traditional Approach ◽  
Pain Syndrome ◽  
Main Group ◽  
Low Back ◽  
Lower Back

Objective: to compare the effectiveness of two approaches to the treatment of patients with low back pain syndrome: the traditional approach based on the classification of I.P.Antonov (1984) and more modern one based on the criteria of nonspecific pain. Material and methods. The work gives the data of complex examination and treatment of 628 patients of the main group and 79 patients of the comparison group. Results and discussion. Both the groups detected abnormalities from normal values with greater frequency in laboratory and tool methods of research. The duration of inpatient treatment of the patients of the main group was statistically significantly shorter due to a differentiated traditional approach to the treatment of patients with vertebrogenic lumbosacral pain syndrome. Conclusion. The traditional approach to the concretization of pain syndrome in lumbar osteochondrosis substantially in terms of effectiveness exceeds the concept of nonspecific pain in the lower back, references for which dominate in English-language sources.

scholarly journals Clinical principles for the diagnosis and treatment of musculoskeletal (non-specific) lower back pain

2021 ◽  
Vol 13 (3) ◽  
pp. 107-112
Author(s):  
V. A. Golovacheva ◽  
A. A. Golovacheva ◽  
T. G. Fateyeva
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Interdisciplinary Approach ◽  
Interventional Treatment ◽  
Low Back ◽  
Lumbar Stenosis ◽  
Red Flags ◽  
Lower Back ◽  
Symptoms And Signs

Low back pain (LBP) is one of the most common reasons for a neurologist visit. In 90–95% of cases, LBP is nonspecific (musculoskeletal). The diagnosis of nonspecific LBP based on symptoms, somatic and neurological examination data, the absence of «red flags» (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy, or lumbar stenosis). We review the modern principles of acute, subacute, and chronic nonspecific LBP treatment. We also discuss interventional and non-interventional treatment approaches, emphasizing the importance of combination therapy and an interdisciplinary approach.

scholarly journals CORE STABILITY EXCERCISE LEBIH BAIK DIBANDINGKAN MCKENZIE EXCERCISE DALAM PENURUNAN DISABILITAS PASIEN NON-SPECIFIC LOW BACK PAIN

2017 ◽  
Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Core Stability ◽  
Control Group ◽  
Low Back ◽  
The Core ◽  
Lower Back ◽  
Significant Difference ◽  
Better Than

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.

The application of physical therapy and balneology of the patients with non-specific low back pain (literature review)

2020 ◽  
pp. 130-136
Author(s):  
A. Yu. Novikov ◽  
A. R. Shaiakhmetov ◽  
Yu. O. Novikov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Therapy Modalities ◽  
Interventional Treatment ◽  
Low Back ◽  
Lower Back ◽  
Complex Approach ◽  
Somatic Status ◽  
Analytical Review

This analytical review present of the literature on rehabilitation of patients with non-specific low back pain. The wide occurrence of pathology determines the relevance of the studied problem. Much attention is paid to the complex approach, taking into account the pathogenetic mechanisms, the type of pain — nociceptive, neuropathic, dysfunctional, mixed, its temporary characteristics (acute, chronic pain), the emotional and somatic status of patients, pain attitudes and pain behaviors. The article considers a multidisciplinary approach to the treatment of patients with non-specific pain in the lower back using physical therapy modalities, balneology, medication and interventional treatment.

scholarly journals Proprioceptive Neuromuscular Facilitation versus Sensory Motor Training in Non-Specific Low Back Pain

2021 ◽  
pp. 1-10
Author(s):  
Made Hendra Satria Nugraha ◽  
Ni Komang Ayu Juni Antari ◽  
Anak Ayu Nyoman Trisna Narta Dewi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Rating Scale ◽  
Control Group ◽  
Motor Training ◽  
Low Back ◽  
Lower Back ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Sensory Motor

Background: Non-specific low back pain is a type of pain that is located in spine area and does not radiate to the legs. Non-specific low back pain can limit daily activities and cause inability to do work. The aim of this study is to compare the effectiveness of proprioceptive neuromuscular facilitation (PNF) versus sensory motor training (SMT) in the treatment of ultrasound therapy (UST) and kinesio tape (KT) insertion in non-specific low back pain. Methods: This research is an experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The control group (n = 10) is given UST+PNF+KT combination, while the treatment group (n = 10) is given UST+SMT+KT combination. Therapeutic evaluation measures include: pain scale with a numeric rating scale, range of motion with a goniometer, and lower back disability with the Indonesian Version of Oswestry Disability Index. The intervention is given 3 times per 1 week for 3 weeks. Results: The results showed improvement in pain, range of motion, and lower back disability in each group (p<0.05). However, there were no significant differences when compared between groups. Conclusion: Based on these results, it can be concluded that the UST+PNF+KT combination has the same good results as the UST+SMT+KT combination in improving pain, range of motion, and lower back disability in non-specific low back pain.

scholarly journals Ergonomi Duduk yang Benar untuk Mencengah Terjadinya Low Back Pain (LBP) di Kelurahan Mayang Mangurai Kota Jambi

2021 ◽  
Vol 3 (3) ◽  
pp. 287
Author(s):  
Putra Hadi ◽  
Wanti Hasmar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Community Service ◽  
Pain Syndrome ◽  
Birth Trauma ◽  
Sitting Position ◽  
Low Back ◽  
Lower Back ◽  
Tissue Changes ◽  
The Impact

One of the musculoskeletal disorders that often occurs due to incorrect ergonomics is low back pain. Low back pain (LBP) is a pain syndrome that occurs in the lower back region which is the result of various causes including abnormalities of the spine or spine from birth, trauma, tissue changes, and the influence of gravity. Community service activities will be held in April-June 2021 with discussion methods and delivering materials and leaflets related to the introduction of ergonomics in the correct sitting position in order to reduce the impact of low back pain. This Community Service (PKM) aims to be used as a source of knowledge for recitation mothers at the Nurul Al-Ikhlas mosque. The results of the evaluation through the question and answer were that the study mothers had understood the introduction of ergonomic sitting to prevent LBP

CORE TRAINING UNDER SUSPENSION EXERCISE THERAPY ON TREATMENT OF LOW BACK PAIN

2021 ◽  
Vol 27 (7) ◽  
pp. 695-698
Author(s):  
Lei Ye ◽  
Chunyan Liu ◽  
Cunxi Jiang ◽  
Youshen Cao
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Lower Back Pain ◽  
Core Stability ◽  
Control Group ◽  
Lumbar Region ◽  
Low Back ◽  
Lower Back ◽  
Experimental Group

ABSTRACT Introduction: The main clinical feature of chronic nonspecific low back pain (CNLBP) is lower back pain, and suspension sports therapy has a specific effect in this case. Objective: To investigate the changes of flexion-relaxation phenomenon in patients with lower back pain after core control training of suspension exercise therapy (SET). Methods: 84 subjects who met the inclusion and exclusion criteria of chronic low back pain in this experiment were randomly divided into an experimental group and a control group. The experimental group was treated with suspension training. The control group only received acupuncture. We then determined the muscle fascia tension and core stability of the lower lumbar region. Results: The visual analog scale (VAS) and Oswestry dysfunction index (ODI) evaluations of the two groups of patients were different. Conclusion: Suspended core stabilization training has a significant long-term effect in reducing lower back pain and improving waist function in patients with chronic nonspecific low back pain. Level of evidence II; Therapeutic studies - investigation of treatment results.

scholarly journals THE EFFECTIVITY OF BACK MASSAGE WITH MULLIGAN BENT LEG RAISE IN ULTRASOUND INTERVENTION TO REDUCE PAIN AND DISABILITY IN MECHANICAL LOW BACK PAIN

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Putu Ayu Sita Saraswati ◽  
Sayu Aryantari Putri Thanaya ◽  
Komang Embun Dini Hari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Work Productivity ◽  
Control Group ◽  
Low Back ◽  
Control Group Design ◽  
Pain Disability ◽  
Lower Back ◽  
Post Test ◽  
Back Massage

Mechanical Low Back Pain (LBP) is the result of poor posture which causes mechanical stress on the lower back. Data from Sanglah General Hospital in 2010 stated that of the 249 outpatient LBP patients, 26% -37% had a tendency to relapse, and 11% -12% had disabilities. LBP does not only have an impact on health, especially on musculoskeletal injuries, but it can give an impact on work and work productivity which it can have an impact on patient finances. Effective treatment for LBP can be a solution to patient complaints. Physiotherapists can provide treatments such as Ultrasound, Mulligan Bent Leg and Back Massage. This study was purpose to compare the effectiveness of the combination of Back Massage and Ultrasound with Mulligan Bent Leg Raise and Ultrasound in reducing pain and disability due to Mechanical LBP. The research method used was experimental randomized pre-test and post-test control group design. The results of this study were back massage intervention with ultrasound (p <0.001) and mulligan bent leg with ultrasound (p <0.001) can reduce disability and pain in patients with mechanical LBP, and Mulligan bent leg with ultrasound (p <0.001) proved to be more effective. compared back massage with ultrasound in reducing disability and pain in mechanical LBP patients. Keyword: Massage, Mulligan, Mechanical Low Back Pain, Pain, Disability

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.

Urinary Excretion of Hydroxyproline after Fractures

1970 ◽  
Vol 16 (10) ◽  
pp. 853-855
Author(s):  
Mala Herzberg ◽  
Z Oberman ◽  
O Khermosh ◽  
S L Weissman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Urinary Excretion ◽  
Collagen Metabolism ◽  
Bone Collagen ◽  
Control Group ◽  
Low Back ◽  
Multiple Fractures ◽  
Daily Excretion ◽  
The Mean

Abstract Urinary excretion of hydroxyproline was measured in 12 cases of multiple fractures as an index of bone collagen metabolism. Measurements were made for 10 consecutive days after injury; 10 patients with low back pain served as the control group. With three exceptions, the mean daily excretion of hydroxyproline and the day-to-day variations were within the same range in the group with multiple fractures as in the control group.

Sign in / Sign up

Export Citation Format

Share Document