scholarly journals Pain Management by Ayurveda in Lumbar Spondylosis– A Case Study and Selective Review of Literature

2021 ◽  
pp. 249-256
Author(s):  
Satyajit Pandurang Kulkarni ◽  
Pallavi Satyajit Kulkarni
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Single Case ◽  
Low Back ◽  
Cod Liver Oil ◽  
Marrow Fat ◽  
Lumbar Spondylosis ◽  
Bone Marrow Fat

Introduction: In Ayurveda, Snehana is an important method of treatment for diseases of the spine. As per Ayurveda, fatty substances are having properties opposite to that of Vata Dosha which is the root of many diseases. Therefore, Sneha (fatty substances) have an important position in Ayurvedic treatment. Fatty substances are of 4 types of Ghrita (Ghee), Taila (oil), Vasa (muscle fat), and Majja (bone marrow fat). Among these types, the literature is available about Ghrita (ghee), Taila (oil), and Majja (bone marrow fat) only, but Vasa (muscle fat) is not currently practiced. We got a case study, in which cod liver oil capsules were used as a representative of Vasa Sneha. A male of 35 suffering from lumbar spondylosis approached for moderate to severe low back pain. We successfully used cod liver oil capsules as representative of Vasa Sneha in this case. Study Design:  A single case study and selective review of the literature. Place and Duration of Study: Panchakarma OPD, Yashwant Ayurvedic medical college, PGTRC, Kodoli, 416114, Dist. – Kolhapur, Maharashtra, India. Presentation of Case: This is a single case study in which a male of 35 years was suffering from chronic low back pain (CLBP) due to lumbar spondylosis The patient had chronic low back pain which was aggravated for 3 months. We prescribed him Ayurvedic medicines and cod liver oil capsules orally. The patient was followed for 16 months. Results: The outcome measure was assessed by the Oswestry low back pain disability questionnaire. The low back pain score was measured in different positions. The before treatment value was 36 (median ẋ = 3.5) and the score was 72, and after treatment value was 2 (median ẋ = 0) and the score was 4. The Mann Whitney U test was performed. The p was 0.00009 (<0.05). Conclusion: It is concluded that cod liver oil can be successfully used as a representative of vasa Sneha, and it is very effective in relieving chronic low back pain in lumbar spondylosis along with other ayurvedic preparations.

scholarly journals Is single-point acupuncture effective in treating acute low back pain? A case report

2021 ◽  
Author(s):  
Sagun Tiwari ◽  
Namrata Sapkota
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Adverse Events ◽  
Chronic Low Back Pain ◽  
Single Point ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Short Time

Acupuncture is often used for acute and chronic low back pain; however, its efficacy is controversial, primarily for acute low back pain (ALBP). Our case study suggests that single acupuncture could relieve ALBP within a short time without any adverse events.

scholarly journals POS1273 A CHANGE IN A REHABILITATION MODEL INCREASES WORK CAPACITY AT 36 MONTHS IN LOW BACK PAIN

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 921.1-921
Author(s):  
M. Norberg
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Single Case ◽  
Work Capacity ◽  
Rehabilitation Program ◽  
Low Back ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs

Background:In chronic low back pain, the most expensive patients are them with long-standing sick-leave of more than 6 months. Several studies have showed the importance of rehabilitation models working with kinesiophobia (fear of movement). One possibility of treating chronic low back pain is a multidisciplinary rehabilitation program.Objectives:The aim of this study was to analyze the impact of a change in a rehabilitation program for chronic lumbar pain by introducing a progressive exposure procedure to decrease apprehension associated with low back pain. We studied its impact on work capacity after 3 years, compared to our classic program.Methods:We have compared the results of 1004 of our patients that have accomplished a multi-disciplinary program and that have been followed over 12 months. They were divided in two groups: one before the implantation of PHODA (PHOto of Daily Activity: photos showing activites) associated with occupational training and work exposure. Then a second one including 200 patients that followed the new program. The program contained physical training, occupational tasks developed on the basis of the apprehension following a cogntivo-comportemental approach.We have analyzed the evolution of apprehension according to different questionnaires (FABQ, Tampa scale (TSK) and PACT (evaluating the subjective work capacity)), the Phoda results and the official work capacity at beginning of the program and after 36 months.Results:We saw a clear increase in the global work capacity at 12 months after completing the program: passing from 40 to 79% (p < 0.01) in the old program comparing to the new one with an increase of 86% (p< 0.01). These results were confirmed at 36 months, with stabilized results. In parallel there was an increase in the subjective sensation of physical capacity (Pact), but less in the new program. This increase was correlated with a decrease in fear-avoidance according to the Fabq, and in the TSKConclusion:In chronic low back, a multidisciplinary rehabilitation program, gives a global work capacity of 79%. This capacity could be increased on focalising on patient’s apprehensions with gradual exposure according the fear-avoidance model developed by Waddell and explored by Vlayen. The correlation were confirmed on the psychological part, with less apprehension and less anxiety.Finally, the SF 36 showed an increase in body confidence as an important factor in these functional restoration programs.References:[1]Waddell G et al. Low back pain, fear-avoidance beliefs and disability: With the development of a Fear-Avoidance Beliefs (FAB) questionnaire. Pain 1993;52:157-68[2]Vlaeyen JWS et al. Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Res Therapy 2001;39(2):151–66[3]Waddell G et al. Low back pain, fear-avoidance beliefs and disability: With the development of a Fear-Avoidance Beliefs (FAB) questionnaire. Pain 1993;52:157-68[4]Vlaeyen JWS et al. Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Res Therapy 2001;39(2):151–66Disclosure of Interests:None declared

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