Balneotherapy and Physiotherapy in Chronic Pain Syndrome of the Lumbosacral Spine. Review of the literature

2020 ◽  
Vol 62 (2) ◽  
pp. 119-126
Author(s):  
Anna Zduńska ◽  
Sebastian Zduński ◽  
Katarzyna Nowicka ◽  
Agnieszka Rudnicka

Back pain is a common disease and although it can be located in any of its cervical, thoracic and lumbosacral sections, however the vast majority of patients complain of lumbosacral pain. Back pain syndromes has become a challenge for modern rehabilitation, both in the issue of the prevention as well as therapy. A major problem for people with back pain is progressive disability, and thus a deterioration in the quality of life. Despite many treatment methods and health care resources devoted to back pain, disability and burden are increasing. An important place in the therapy of back pain syndromes is occupied by physical methods and health resort treatment. The work presents the use of balneotherapy and physiotherapy in the most common back pain syndromes, i.e. in chronic diseases of the intervertebral discs and degenerative changes of the lumbosacral spine.

2021 ◽  
Vol 2 (5) ◽  
pp. 45-48
Author(s):  
K.R. Rakhmatov ◽  

The first results of radiofrequency ablation of facet nerves and its effectiveness in eliminating local chronic back pain and reflected pain vertebrogenic syndromes were studied in 122 patients. Thebest results were obtained in patients with spondyloarthrosis with a positive test blockade of the facet nerves. Spondyloarthrosis is the most common condition presenting as neck pain, although it usually appears as an incidental finding in older asymptomatic subjects in cervical radiographs.Keywords: back pain, reflex, pain, syndrome, facet nerve, high-frequency, exposure, spondyloarthrosis, syndrome, radiofrequency ablation.


Author(s):  
David N. Ruskin

Chronic pain is associated strongly with poor quality of life. Drug treatments for pain can be problematic; with the understanding that chronic pain syndromes often involve derangement of homeostasis, there is an increased interest in applying nonpharmacological metabolic therapies. This chapter surveys clinical and animal research into the effects of fasting, calorie restriction, ketogenic diet, and polyunsaturated fatty acid supplementation on pain. These dietary treatments can significantly ameliorate pain in inflammatory and neuropathic disorders. The choice among these treatments might depend on the specific pain syndrome and the tolerance of the patient for particular dietary modifications. Several possible mechanisms are discussed, some of which might be in common among these treatments, and some treatments might engage multiple mechanisms. Multiple mechanisms acting together could be ideal for restoring the disordered metabolism underlying some pain syndromes.


Pain ◽  
1997 ◽  
Vol 69 (3) ◽  
pp. 269-278 ◽  
Author(s):  
Luigi Tesio ◽  
Carl V. Granger ◽  
Roger C. Fiedler

2018 ◽  
Vol 58 (1) ◽  
Author(s):  
Josielli Comachio ◽  
Mauricio Oliveira Magalhães ◽  
Ana Paula de Moura Campos Carvalho e Silva ◽  
Amélia Pasqual Marques

Author(s):  
Daina Šmite ◽  
Gunta Ancāne

Psychosomatic aspects of chronic low back pain syndrome The purpose of the study was to determine the relationships between emotional distress and pain syndrome, its characteristic parameters and impact on the quality of life in patients with chronic low back pain. The study included 110 patients, mean age 44.2 ± 8.0 years, with clinical diagnosis of lumbar spine disk pathology with chronic low back pain syndrome. The results showed that the studied patients differed by their emotional state. Emotional distress was associated with high intensity and specific symptoms of low back pain syndrome. Musculoskeletal dysfunction was associated with both physical and psychoemotional factors. The interaction of chronic low back pain syndrome complexity and biopsyhosocial factors is shown by a correlation between cytokines IL-10 and IL-8 level in blood serum and both pain intensity and duration, characteristics of emotional and physical status, and level of physical activities.


2020 ◽  
Vol 1 ◽  
pp. 425-435
Author(s):  
Sergey Afanasyev ◽  
◽  
Sergey Rokutov ◽  
Viktoriya Proskura ◽  
Alexander Afanasieva ◽  
...  

Introduction. The data of the analysis of scientific and methodical literature on physical therapy of musculoskeletal lesions in elderly people with osteoarthritis, depending on sex, age and other risk factors are presented. Currently, osteoarthritis (OA) is a fairly common disease, especially in the elderly. As life expectancy increases, the problem becomes even more important. In Ukraine, the frequency of OA has remained quite high in recent years and continues to increase. The purpose of the study is systematization and generalization of modern scientific and methodical knowledge and practical experience in physical therapy of large joints of elderly patients taking into account risk factors. Material and Methods: analysis of special scientific methodical literature and Internet resources. Results. Chronic pain syndrome and the functional inability of the joints that accompany OA lead to a restriction of domestic physical activity and a decrease in quality of life. With age, the frequency of OA increases and among those over 65 years of age reaches 97%. Other factors include female sex, excessive body weight, low economic status, alcohol and smoking, congenital joint dysplasia, hormone changes, imbalance of cytokines. Local OA (mono- and oligoartrosis) and generalized (polyarthrosis) with the defeat of three or more joints are distinguished. Gonarthrosis is more common, because the knee joints are under constant load of body weight, more often exposed to traumatic factors. Treatment of OA using physical therapy methods is aimed at reducing pain and local inflammation, reducing the frequency of exacerbations, improving the quality of life, slowing the progression of the disease, reducing the probability of development disability of patients with this pathology. Scientists mainly pay attention to the treatment and rehabilitation of patients in the early stages of the disease. Conclusions. Many aspects of this problem have already been well studied and described. At the same time, a significant number of issues remain that require further study and discussion, in particular insufficient work on OA prevention; the problem of a differentiated approach to the development of modern rehabilitation programs for patients taking into account age, sex and complications remains incompletely investigated. Keywords: knee-joint arthrosis, aged, methods of physical rehabilitation


2021 ◽  
Vol 38 (1) ◽  
pp. 28-35
Author(s):  
AC Kanitz ◽  
B Machado ◽  
D Rodrigues ◽  
G Zambelli ◽  
A Ivaniski ◽  
...  

Objective: The present study aimed to verify the influence of training intensity in the aquatic environment on pain, disability, physical capacity, and quality of life in patients with chronic low back pain. Design/Setting: A randomized clinical trial. Subjects: Twenty-two patients with chronic low back pain of both sexes (13 women and 9 men) participated in the study. Material and method: One group performed deep-water walking/running training at moderate intensity (MIT) and a second group performed deep-water walking/running training at high intensity (HIT). Pain, disability, peak oxygen uptake (VO2peak), and quality of life were assessed before and after an intervention. Results: Decreases in pain and disability were observed within both groups, without differences in these parameters between training groups. VO2peak did not change in either group after the training intervention. The results of the HIT group showed more significant improvements in quality of life than that of the MIT group, highlighting the social domain, psychological domain, and general quality of life. Both groups presented significant improvements in the physical and environmental domains of quality of life. Conclusions: Deep-water aerobic exercise training seems to be effective for improving pain symptoms and reducing the disability of people with chronic low back pain. These improvements seem to be independent of the intensity at which the training is performed. In addition, improving pain and disability does not directly reflect all areas of quality of life. In this case, the group that performed the intervention at high intensity achieved more significant improvements in quality of life.


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