A novel topical phytotherapy for normalization of aberrant leg-anatomical and biochemical risks in failed spine surgery associated with knee-osteoarthritis: A unique case study

Abstract

Objective: The aim of the study was to normalize the aberrant leg-anatomical and biochemical parameters, to relieve pain syndromes and to improve quality of life without revision of failed spine surgery (FSS) and surgical intervention of coexisted knee-osteoarthritis (KOA) correlated with radiological images by specialized topical phytotherapy.
 Methods: A 45year-old gentleman was advice to undergo revision of FSS and surgical intervention for KOA. He refused to do the further surgeries and treated in OPTM Health Care during January-February 2018. Anatomical measurements included bilateral: the gap at the knee joint between the short head of the biceps femoris and the level of the bed in supine, diameters of muscles at the thigh, the calf, 4cm above and below the patella, angles of straight leg raising, knee flexion and extension in supine, and biomarkers (Interleukin-10, Tumour necrosis factor-alpha, C-reactive protein, Creatine kinase-muscle and Aldolase-A) were measured pre- and post-treatment using appropriate protocols. The patient was treated for 12-week with phytoextracts of established seven medicinal plants.
 Results: The percentages of improvements for all the above-mentioned abnormal leg-anatomical and biochemical parameters were observed at post-treatment: 63.81, 2.28, 0.81, 5.22, 0.82, 160.00,73.75 and 50.00 respectively for right leg and 69.60, 5.79, 2.79, 9.93, 0.82, 290.00, 85.33 and 54.55 for left leg in case of leg-anatomical features and 87.72, 66.39, 77.27, 22.77 and 48.41 respectively for biomarkers and that for international acclaimed pain parameters under VAS, WOMAC, ODI, LEFS, KPS and BMI were highlighted in the earlier study and the same under KOOS were recorded as pain(86.11), symptoms(89.29), ADL(79.42), Sport & Recreation(75.00) and QOL(68.75) with improved radiological images both lumbar and knee-joints as assessed by KL-grading scales(≥2).
 Conclusion: Results showed the deranged leg-anatomical and biochemical risks, together-with impaired international pain parameters during FSS associated with KOA can be normalized by specialized topical phytotherapeutic treatment within 12-week.