scholarly journals A COMPARATIVE CLINICAL STUDY ON PARISHEKA SWEDA WITH VISHAGARBHA TAILA AND TILA TAILA IN KATIGRAHA

2020 ◽  
Vol 8 (8) ◽  
pp. 4098-4106
Author(s):  
Prabin. M. M ◽  
Vikram Kumar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Body Part ◽  
Whole Body ◽  
Treatment Modalities ◽  
Low Back ◽  
Sacral Region ◽  
Significant Difference ◽  
Comparative Clinical Study

Swedana Karma is one among the Shadupakrama (Six treatment modalities), indicated in the management of various diseases caused by Vata. Parisheka Sweda is a type of Drava Sweda which can be applied as Ekanga (over a body part) or Sarvanga (whole body). Katigraha (low back pain with stiffness) is a condi-tion which is characterized by Shoola (pain) and Stabdhata (stiffness) in Kati Pradesha (lumbo - sacral region) due to vitiated Vata. Swedana helps to relieve the pain and stiffness. Parisheka Sweda acts over whole Kati Pradesha (lumbo - sacral region), hence it will be more beneficial in this condition. Vishagarbha Taila contains Tikshna and Ushna Guna drugs and is specially indicated in Katigraha (low back pain with stiffness). Tila Taila is best among Vatahara Dravyas. Hence this study was undertaken to compare the efficacy of Parisheka Sweda with Vishagarbha Taila and Tila Taila in the management of Katigraha (low back pain with stiffness) to ascertain the better modality. Total 40 patients were randomly selected and divided in two equal groups. Group VT patients were given Vishagarbha Taila Parisheka Sweda and group TT patients were given Tila Taila Parisheka Sweda for half an hour once a day for 1 week over Kati Pradesha (lumbo - sacral region). Statistical analysis showed that both groups showed good improvement in various parameters of Katigraha (low back pain with stiffness). When comparison was done between the groups, it revealed that there was no statistically significant difference between the groups except in stiffness (p<0.001) and left lateral flexion (p<0.05). Hence it can be concluded that both Vishagarbha Taila Parisheka Sweda and Tila Taila Parisheka Sweda may be accepted in treating patients with Katigraha (low back pain with stiffness) to reduce both signs and symptoms successfully.

scholarly journals Imagined and Actual Acupuncture Effects on Chronic Low Back Pain: A Preliminary Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Jin Cao ◽  
Scott P. Orr ◽  
Georgia Wilson ◽  
Jian Kong
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Treatment Method ◽  
Sham Acupuncture ◽  
Treatment Modalities ◽  
Low Back ◽  
Brain Responses ◽  
Significant Difference ◽  
New Treatment

Background. Research suggests that imagined experiences can produce brain responses similar to those produced by actual experiences. Shared brain responses that support both imagination and perception may underlie the functional nature of mental imagery. In a previous study, we combined acupuncture and imagery to develop a new treatment method, video-guided acupuncture imagery treatment (VGAIT). We found that VGAIT significantly increased pain thresholds in healthy subjects. The aim of this study is to extend our previous finding by investigating whether VGAIT can relieve symptoms in patients with chronic low back pain. Methods. We first performed a single-arm study in which we administered video-guided acupuncture imagery treatment (VGAIT) on patients with chronic low back pain (cLBP) (Study 1, n=18, 12 females). We then compared our findings to those from a recently published study in which real or sham acupuncture treatment was applied on patients with cLBP (Study 2, n=50, 31 females) using a similar protocol. All patients in Studies 1 and 2 received 6 treatments over 4 weeks. Results. All three treatments (VGAIT, real, and sham acupuncture) significantly reduced pain severity as measured by a low back pain bothersomeness score. VGAIT produced similar effects to real acupuncture (p=0.97) and nonsignificantly greater pain bothersomeness relief compared to sham acupuncture (p=0.14). Additional analysis showed that there was no significant difference on the sensations evoked by different treatment modalities. Conclusion. These findings support VGAIT as a promising method for pain management.

scholarly journals Efficacy and tolerability of eperisone versus tizanidine in patients suffering from low back pain with muscle spasm

2017 ◽  
Vol 5 (6) ◽  
pp. 2694
Author(s):  
Abdul F. Khan ◽  
Khaneta Parveen ◽  
Abdul S. Khan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Mean Value ◽  
Muscle Spasm ◽  
Muscle Stiffness ◽  
Low Back ◽  
Statistical Significant Difference ◽  
Significant Difference ◽  
Pain At Rest

Background: Low back pain (LBP), a high prevalent condition, is usually associated with 'muscle spasm' that is responsible for giving rise to pain. Eperisone hydrochloride is widely used for treatment associated muscle stiffness and pain. The aim of the study was to compare the efficacy and safety of eperisone tablets 50 mg three times daily versus tizanidine 2 mg tablets thrice daily for the treatment of low back pain with muscle spasm.Methods: The study was carried in 50 patients from a private hospital at Mumbai. Only patients satisfying the inclusion criteria were enrolled into the study. Subjects suffering from low back pain with spasm were divided in two groups. The patients were then followed up on Day-14.Results: Patients receiving eperisone showed a mean value of 16.48±1.15 in the Roland Morris low back pain and disability questionnaire both groups on day 1 and was reduced to 7.92±1.15 (51.94%) on day 7 and 2.56±1.53 (84.46%) on day 14. Similarly, the patients in tizanidine group had mean value of 15.96±1.62 on day 1, which was reduced to 6.76±1.66 (57.64%) on day 7, and 2.88±1.92 (81.95%) on day 14, as similar to eperisone group. There was no statistical significant difference between the two groups, (p>0.05) for pain at rest, pain at night, restriction of movement, changes in stiffness, changes in numbness and changes in tenderness. There was statistical significant difference between the two groups, (p<0.05) for pain on movement and kinesalgia.Conclusions: Eperisone was found to be comparable to Tizanidine in improving the signs and symptoms of changes in pain Self-assessment by the patient on different applied parameters.

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

2014 ◽  
Vol 21 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Jeffrey C. Wang ◽  
Andrew T. Dailey ◽  
Praveen V. Mummaneni ◽  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Fusion ◽  
Signs And Symptoms ◽  
Herniated Disc ◽  
Spinal Instability ◽  
Low Back ◽  
Low Level ◽  
Disc Herniations

Patients suffering from a lumbar herniated disc will typically present with signs and symptoms consistent with radiculopathy. They may also have low-back pain, however, and the source of this pain is less certain, as it may be from the degenerative process that led to the herniation. The surgical alternative of choice remains a lumbar discectomy, but fusions have been performed for both primary and recurrent disc herniations. In the original guidelines, the inclusion of a fusion for routine discectomies was not recommended. This recommendation continues to be supported by more recent evidence. Based on low-level evidence, the incorporation of a lumbar fusion may be considered an option when a herniation is associated with evidence of spinal instability, chronic low-back pain, and/or severe degenerative changes, or if the patient participates in heavy manual labor. For recurrent disc herniations, there is low-level evidence to support the inclusion of lumbar fusion for patients with evidence of instability or chronic low-back pain.

scholarly journals Whole-body vibration exercise for low back pain

Medicine ◽  
2018 ◽  
Vol 97 (38) ◽  
pp. e12534
Author(s):  
Yi-Li Zheng ◽  
Zhi-Jie Zhang ◽  
Meng-Si Peng ◽  
Hao-Yu Hu ◽  
Ju Zhang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Low Back ◽  
Body Vibration ◽  
Vibration Exercise

scholarly journals Effect of back school protocol on the referral rate of patients with low back pain to an industrial physiotherapy clinic

2006 ◽  
Vol 62 (4) ◽  
Author(s):  
D. O. Odebiyi ◽  
A. O. Akinpelu ◽  
M. O. B. Olaogun
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Work Place ◽  
Low Back ◽  
Back School ◽  
Soap Making ◽  
Significant Difference ◽  
Back Care ◽  
Chi Square Analysis ◽  
Physiotherapy Clinic

Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden) for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP), with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110) workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004). The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI) were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP) among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back school protocol. However, Chi square analysis showed that there was no significant difference (p = 0.23) between the number of  physiotherapy referrals to the factory’s clinic 12-months before the study and 12-months after the studyThe findings of this study suggest that the back school protocol was able to impart some knowledge (of back pain and back care) in the industrial workers. This knowledge seems to have assisted this group of individuals to cultivate good postural habits, particularly at work. This might have led to the 23% reduction in the reported cases of patients with LBP to the factory’s Physiotherapy Clinic.

scholarly journals Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Low Back ◽  
Significant Difference ◽  
Before And After ◽  
Postoperative Serum ◽  
Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

scholarly journals Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 104 ◽  
Author(s):  
Xue-Qiang Wang ◽  
Yan-Lin Pi ◽  
Pei-Jie Chen ◽  
Bin-Lin Chen ◽  
Lei-Chao Liang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Low Back ◽  
Vibration Exercise ◽  
Randomized Controlled ◽  
Single Blind

A Modified Delphi Survey on the Signs and Symptoms of Low Back Pain: Indicators for an Interventional Management Approach

Pain Practice ◽  
2013 ◽  
Vol 15 (1) ◽  
pp. 12-21 ◽  
Author(s):  
José Cid ◽  
José L. De La Calle ◽  
Esther López ◽  
Cristina Del Pozo ◽  
Alfredo Perucho ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Delphi Survey ◽  
Management Approach ◽  
Low Back ◽  
Modified Delphi ◽  
Interventional Management

scholarly journals To Study the effect of Traditional Back Exercises vs Exercise Ball Exercise on Pain Intensity, Core Endurance and Limitation of Activities in Individuals with Nonspecific Low Back Pain: A Comparative Study

2021 ◽  
pp. 117-123
Author(s):  
Jay Kumar Soni ◽  
Edrish Contractor
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Comparative Study ◽  
Pain Intensity ◽  
Core Stability ◽  
Low Back ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Swiss Ball

Aims: Non specific Low back pain is defined as pain without any known pathology which affects almost all the leading occupation where body's awkward posture, twisting and stress forces are commonly encountered across the globe and it is highly prevalent 60% to 70% in a year. Studies have shown various exercise regimen individual effect on the same but superiority of regimen out of these is not clear. Study Design: Comparative Study Place and Duration of Study: Ahmedabad Institute of Medical Sciences, Duration 2013-15 Objective: To assess and compare the effect of core stability exercise, back school program and Swiss ball exercise on Pain, core endurance and Functional disability. Methodology: A group of 24 patients having non-specific low back pain between age groups 18-40 were randomly selected and allocated in to two groups. Group A(n=12) received traditional exercise whereas Swiss ball exercise was given to Group B(n=12). The subjects were treated for two weeks. Baseline data for VAS, Core endurance and MODI were taken on day1 and at the end of two weeks Result: The results were analyzed by wilcoxon signed rank test within both groups. Both groups showed significant improvement in VAS, core endurance and MODI at the end of 2weeks.Comparison between both the Group A and Group B was done by Mann- whitney U test and statistically no significant difference was seen in VAS, core endurance and MODI between the groups Conclusion: The study concluded that both the exercises are equally effective in reducing pain intensity, improves core endurance and functional status in subjects with non specific low back pain

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