Oswestry Low Back Pain Disability Research Articles

Study of correlation between arches of foot and lower back pain in Eastern India

Background: Low back pain is one of the most common disorders of the musculoskeletal system, leading to impaired function and decreased quality of life in many patients. Foot arch alterations may lead to structural changes and/or affect its load distribution. It should be noted that even slight elevations of the foot’s medial longitudinal arch above the norm may lead to changes in load and pressure distribution. Hence, it becomes important to find the relationship between low back pain and altered foot arch indices leading to improper body balance. Aims and Objectives: The aims and objectives of the study are to find any correlation between lower back pain and an altered foot arch index in the Eastern Indian population. Materials and Methods: A total of 60 subjects aged 20–40 years with varying degrees of low back pain were selected. Low back pain scores of the subjects were found using modified oswestry low back pain disability questionnaire. Footprints in standing position using ink were taken on graph paper and the foot arch indices were calculated. Results: 54.16% of the male and 36.11% of female participants had low arched feet, 20.83% of male and 52.78% of female participants had normal arched feet, and 25% of male and 11.11% of female participants had high arched feet with varying degrees of low back pain. 77.42% of the participants with minimal disability due to low back pain were having normal arched feet, 71.43% of the participants with moderate disability due to low back pain were having low arched feet, and 100% of the participants with severe disability due to low back pain were having either high or low arched feet. Conclusion: This study showed that people having either low or high arched feet are at an increased risk of developing acute or chronic low back pain at some stage in their lives. Knowledge of this risk factor might even help people to choose appropriate occupations in the future.

A Study of the Clinical Characteristics of Patients with Low Back Pain at a Single Center in Baghdad

Background: Low back pain is a prevalent and consequential problem in contemporary culture. In the early phases of their careers, many athletes who train particularly hard have considerable low back difficulties Aims of study is to enhance understanding and guide best management practices for those with or at risk of low back pain and to identify diverse aspects of clinical and epidemiological factors in Iraqis for low back pain. Patients and methods: A cohort of 440 individuals diagnosed with Low back pain (LBP) from the rheumatology department at Baghdad Teaching Hospital-Medical City in Baghdad province were involved in the current cross-sectional investigation. The sample consisted of 180 men and 260 women, with an average age of 45.7±14.8 years. The research was carried out from 12/October/2023 to 12 /March/2024. Results: All individuals in this study had LBP. The means age was 45 for the group of patients under consideration. 7 ± 14. 8 years. LBP had the highest incidence in the middle-aged (40-59 years 23%) and the lowest was recorded for the aged above 70 years (7. 5%). Females accounted for 59. 1% of the participants. Most of them; a percentage equivalent to 75. 5% were married. Approximately a third or 30% were employed while, 70.9% of the respondents were jobless. 6 % were overweight people and 77 % were non smokers in the study group. The mean age at the first complaint, visit and diagnosis of the disease were 43. 0 ± 14. 0 years (range: 11–75), 43. 3 ± 14. 2 years (range: McGregor observed that 11% to 78% of patients had some degree of in Continuation of Disturbances: Symptoms, defective vision, and 43. 5 ± 14. 2 years (range: 14–78),respectively. Intervertebral disc prolapse was the most frequent diagnosis among the patients with LBP (49. 8%), while infections were the least frequent (0. 2%). In the following aspects of the Oswestry Low Back Pain Disability Scores, majority participated as follows; 44. 3% with fairly severe pain intensity, 42% who require some help with personal care but mostly manage with it, 39. 5% who lift heavy weights but manage light to medium weights, 34. 1% who are prevented from walking more than 100 yards by their pain, 37. 5 The Analyzed Oswestry Low Back Pain Disability Score mean was 22. 22 ± 7. 26. Conclusion: LPB has a higher frequency among the female population

The Comparison of Scar Mobilization Techniques with and without Core Stability Exercises on Scar Tissue Mobility and Lumbopelvic Pain

Abdominal adhesions and lumbopelvic pain can occur after a caesarean section. Many treatment approaches, such as injections, massage, surgical release, soft tissue release, strengthening, stretching and core stability exercises are available for abdominal scars. Physiotherapy treatments are considered safer and more convenient. The study aims to compare the effects of scar mobilization techniques with and without core stability exercises on scar tissue mobility and lumbopelvic pain. The study was a randomized clinical trial conducted at the Rafiqa Hospital and Fatima Hospital, Sargodha, Pakistan. A sample of 30 participants was allocated in Group A and B. Group A received scar mobilization and core stability exercises, while Group B received only scar mobilization, with both groups undergoing 3 sessions per week for total three weeks. The groups were assessed at baseline after the 5th and 9th sessions, using Oswestry Low Back Pain Disability Questionnaire (ODI), Numeric Pain Rating Scale (NPRS), Manual Scar Mobility Testing (MSMT), and Vancouver Scar Scale (VSS). Moreover, the data were analyzed using SPSS 25. The mean age of participants was 27.22 ± 4.21, and their body mass index was 27.10 ± 3.53. Both groups showed significant differences within the subject’s scores of disability, pain and scar mobility (p<0.05). Between-group comparison of both groups at post-treatment II showed considerable improvement in pain scores (NPRS score, p<0.05). Whereas non-significant results were in other outcome measures (disability and scar mobility p>0.05) in post-treatment II. Scar mobilization techniques with core stability exercises were more effective than scar mobilization techniques alone in the conservative treatment of females with lumbopelvic and scar pain after caesarean section.

Comparative analysis of two different physiotherapy intervention programs in individuals experiencing chronic lower back pain

Background and objectives. Physiotherapy programs in individuals experiencing chronic lower back pain (CLBP) aim to improve function, disabilities from worsening. As per clinical practice guidelines, many methods are applied, such as the McKenzie method, therapeutic exercises, transcutaneous electrical nerve stimulation (TENS), traction, thermotherapy etc. The effectiveness of these methods is supported by a wide range of evidence and studies, making them some of the most diverse and well-established approaches. These physiotherapeutic treatments are combined every day. Therefore, the aim of this research is to provide a comparative investigation on two different physiotherapy programs containing a combination of these treatment modalities in individuals with CLBP. Materials and methods. This research involved 60 patients who were separated into two groups. Group I received the McKenzie treatment method, passive modalities, lumbar traction, and a walking program. Group II received therapeutic exercises, passive modalities, lumbar traction, and a walking program. Both groups underwent treatment for six weeks. Subjects were tested using research instruments at the beginning, at the end of three weeks, and at the end of six weeks of treatment. The evaluation instruments used were the visual analog scale, Finger-to-Floor test, the Oswestry Low Back Pain Disability Questionnaire, and the Rosenberg self-esteem scale. Results. Pain intensity, functional disability, lumbar flexibility, and self-confidence showed greater improvement after six weeks of treatment in both programs (p <0.0001), without any significant statistical difference among the groups (p >0.05). Conclusions. The data obtained from both groups support the effectiveness of both treatment programs and suggest that they can be considered as options for viable programs treatment for patients with CLBP.

An Ayurveda Approach Towards Acute Sciatica with Paraesthesia

Sciatica is pain or paraesthesia which is radiates path of the sciatic nerve and its branches from the lower back through the hips and buttocks and down to the leg. A 41-year-old female patient with an acute low back ache to radiate to left lower limb with paraesthesia for three months came to Kayachikitsa IPD of Vaidyaratnam Ayurveda College on 18/3/24. The pain was graded eight out of ten in the VAS pain scale and her overall Oswestry low back pain score is 32 which means severe functional disability. She underwent for Vatakapha hara chikitsa protocol. It includes Rookshana, Snigda sweda, Vata hara, and Brihmana chikitsa. Ayurvedic preparations like Aadarisahacharadi kasayam, Suntibaladi choornam Vyoshadi guggulu were given Swedam, Patrapoliswedam, and Pizhichil, Shastika pinda swedam, Yoga vasti along with passive exercise were given. After 30 days of treatment outcome of these treatments found to be very positive. There was a substantial recovery in walking duration, heaviness, touch temperature perception and pain relief was observed. Subjective parameters like, SLR test, Oswestry low back pain disability questionnaire, Sciatica bothersome index, Sciatica frequency index, Roland morris low back pain and disability questionnaire was taken for assessment parameters. The patient got relief in all parameters after treatment. It was proved significant improvement of patient’s primary symptoms. These therapies reduce pain, stiffness and improve circulation.

Prevalence of Low Back Pain, Disability Among Dentists In Saudi Arabia: A Cross Sectional Study

Background: Low back pain (LBP) is a major global health condition which affects individuals across various occupational groups. Dentists, specifically, are prone to experiencing LBP due to the physically demanding nature of their work. This study aims to investigate the prevalence and determinants of LBP among dentists. Methodology: This cross-sectional study was carried out among dentists working in different regions in Saudi Arabia. Sociodemographic characteristics, Modified Oswestry Low Back Pain Disability grading, self-perceived health were collected. SPSS version 20 was used to calculate frequency, percentage and p values. Results: Among 116 participants, majority 66 (56.9%) were males, 83 (71.5%) had Low back pain. Onset of LBP was gradual in 111(95.7%), majority (37%) have worked in health care profession for 6 to 10 years. Majority 52 (44.8%) work 5 days a week, 67 (80.7) had mild LBP. Conclusion: The prevalence of LBP was 71.5%. Occupational prevention activities should be planned to alleviate the presence of LBP among dentists.

Comparison of short-wave diathermy, Transcutaneous electrical nerve stimulation of electrotherapy methods and exercise therapy in chronic low back conditions

Background: Low back pain is a significant contributor to global disability, impacting individuals across different age groups. Research suggests that around 80% of people will encounter low back pain at some stage in their lives. This condition is more prevalent among middle-aged and elderly individuals, with a higher occurrence among females. The socioeconomic consequences of low back pain are substantial, including increased healthcare expenses, absenteeism from work, and a diminished quality of life. Objective: To compare the effectiveness of short-wave diathermy with exercise, transcutaneous electrical nerve stimulation with exercise, and exercise alone among patients with chronic low back pain. Patients and Methods: 75 patients who were diagnosed with chronic low back pain, ages 20–50, participated. They were divided into three groups: group A received shortwave with exercise, group B received TENS with exercise, and group C received just exercise. Treatment was given for 12 sessions over a period of 4 weeks. All patients were evaluated before and after treatment using a visual analog scale and the Oswestry Low Back Pain Disability Questionnaire. Results: The results showed that all three interventions were effective in reducing pain and improving physical activities, with varying degrees of success. But also, the result showed that the mean difference for the short wave with exercise is much higher than both the TENS with exercise and the exercise alone types of interventions in each of the different categories, respectively. Conclusion: This study has shown that shortwave exercise is more effective in the treatment of chronic low back pain than TENS with exercise and exercise alone.

Comparison of short-wave diathermy, Transcutaneous electrical nerve stimulation of electrotherapy methods and exercise therapy in chronic low back conditions

Background: Low back pain is a significant contributor to global disability, impacting individuals across different age groups. Research suggests that around 80% of people will encounter low back pain at some stage in their lives. This condition is more prevalent among middle-aged and elderly individuals, with a higher occurrence among females. The socioeconomic consequences of low back pain are substantial, including increased healthcare expenses, absenteeism from work, and a diminished quality of life. Objective: To compare the effectiveness of short-wave diathermy with exercise, transcutaneous electrical nerve stimulation with exercise, and exercise alone among patients with chronic low back pain. Patients and Methods: 75 patients who were diagnosed with chronic low back pain, ages 20–50, participated. They were divided into three groups: group A received shortwave with exercise, group B received TENS with exercise, and group C received just exercise. Treatment was given for 12 sessions over a period of 4 weeks. All patients were evaluated before and after treatment using a visual analog scale and the Oswestry Low Back Pain Disability Questionnaire. Results: The results showed that all three interventions were effective in reducing pain and improving physical activities, with varying degrees of success. But also, the result showed that the mean difference for the short wave with exercise is much higher than both the TENS with exercise and the exercise alone types of interventions in each of the different categories, respectively. Conclusion: This study has shown that shortwave exercise is more effective in the treatment of chronic low back pain than TENS with exercise and exercise alone. Keywords: Shortwave, TENS, Exercise, Chronic low back pain.

Prevalence of Low Back Pain in Pregnant Females

Background: Low back pain (LBP) during pregnancy is a common condition that affects a significant number of women, impacting their daily activities and overall quality of life. Various studies have documented the prevalence and severity of LBP among pregnant women, highlighting the need for more focused healthcare strategies. Objective: The aim of this study was to assess the prevalence, onset, and severity of LBP in pregnant women, and to evaluate the impact of LBP on their daily activities, with a view to enhancing prenatal care and management approaches. Methods: A cross-sectional study was conducted over six months at two hospitals in Lahore, involving 181 pregnant women selected through non-probability convenience sampling. Data were collected using the Oswestry Low Back Pain Disability Questionnaire and the Numeric Pain Index Scale. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics to calculate means, standard deviations, and prevalence percentages. Ethical considerations followed the Helsinki Declaration guidelines, with informed consent obtained from all participants. Results: The prevalence of LBP among the participants was 76.8%. The pain onset was most frequently reported in the second trimester (38.1% of cases). Severity assessments revealed 36.5% of participants experienced moderate pain and 40.3% severe pain. LBP significantly impaired daily functions, with many women reporting difficulties in walking, sitting, and engaging in other routine activities. Conclusion: LBP is highly prevalent among pregnant women and begins primarily in the second trimester, with a considerable impact on daily activities. This study emphasizes the necessity for routine prenatal assessment and targeted interventions to manage LBP, which could improve pregnancy outcomes and maternal health.

Comparative effects of shockwave therapy and Maitland lumbar mobilization on pain, disability, and range of motion in patients with mechanical low back pain: A pilot study

Objectives: Low back pain (LBP) has been considered a neuromusculoskeletal issue that affects a wide variety of populations around the globe at some stage in their life. This paper aimed to see the comparative effects of shockwave therapy and Maitland lumbar mobilizations on pain severity, disability, and range of motion (ROM) values in subjects with mechanical LBP. Methods: A randomized clinical trial was carried out involving 26 subjects divided into two groups using a random number generator table. After baseline therapy (lumbar stretches and core strengthening exercises), shockwave therapy was administered to Group A (2000 shocks/session, pressure of 2 bars, frequency 10 Hz), while Group B received Maitland lumbar mobilizations (starting from Grade 1, with 3–4 sets of oscillations with 40 counts/set, two sets of oscillation to one level below and above the affected vertebras). Both therapeutic interventions were administered for 30 days, twice a week (total of eight sessions) for individual groups. Results: Numeric pain rating scale, Oswestry LBP disability index, lumbar flexion, and extension ROM pre- and post-treatment values showed significant differences with P < 0.05. A greater difference in mean values was observed in group B receiving Maitland mobilization as compared to group A receiving shockwave therapy. Between-group analysis showed a statistically significant difference in both groups with P < 0.005. Conclusion: Both groups showed significant effects in reducing pain levels, functional disability scores, and improving flexion and extension ROM values. However, participants receiving Maitland mobilization showed more significant improvement in all variables than shockwave therapy.

Comparison of the Clinical Effects of Unilateral Biportal Endoscopic and Microscopic Lumbar Discectomy

Introduction : Micro discectomy is the surgical procedure of choice for treating lumbar disc herniations. A laminectomy can cause instability, significant epidural fibrosis, continued radiated pain, and surgical site infection, although there is still concern about the dangers of muscle damage, such as to the multifidus, and excessive articular facet resection. Unilateral biportal endoscopic discectomy has been suggested as a less invasive therapeutic approach.Objective: To compare the clinical effects in terms of pain, impairment, and complications associated with percutaneous endoscopic lumbar discectomy with standard micro discectomy for the treatment of disc herniations. Materials and methods: A study of 60 people with disc herniations who were treated with either microdiscectomy or unilateral biportal endoscopic lumbar discectomy. The Oswestry Disability Index and visual analogue score for back and leg pain was evaluated after three, six, and twelve months. Results: In comparison to Group E, Group M's mean operating time was substantially lower (p<0.05). In addition, it took group M more time on average to get back to work. (p<0.05), and the VAS score at 3 showed a statistically significant change (p<0.05). At three months, group M's Oswestry Low Back Pain Disability score was considerably greater than group E's. (p<0.001). Conclusion: In terms of a three-month return to work and wound infections, endoscopic surgery has a little advantage over microscopic surgery. Both techniques are efficient and safe for lumbar discectomy. However, after 6 months of follow-up, the results seem to be comparable. Keywords: Intervertebral Disc Prolapse, Discectomy, Endoscopy, Intervertebral Disc, Micro Discectomy, Visual Analog Scale, Oswestry Low Back Pain Disability Score

The analgesic and disability improvement effects of trigger points electroacupuncture on chronic low back pain patients: an uncontrolled before-and-after study

Low back pain (LBP) is the most common cause of disability in patients aged 45 to 65. Traditional medicine plays an important role in the treatment of this disease. Especially, electroacupuncture at 100 Hz is effective in the improvement of pain and symptoms. In addition, clinical and research evidence shows that trigger points acupuncture is effective in LBP treatment. However, these studies have small sample sizes, so their reliability is not high. Thus, our study aims to evaluate the effect of trigger points electroacupuncture (TrP-EA) at 100 Hz on chronic LBP patients with larger sample sizes. 37 patients diagnosed with chronic LBP received TrP-EA at 100 Hz for 4 weeks. Outcome measures were the visual analogue scale (VAS), roland morris questionnaire (RMQ), and Oswestry low back pain disability index (ODI). Compared with the pre-treatment baseline, VAS, RMQ, and ODI improved dramatically after 1 week of treatment (p<0.01), 2 weeks of treatment (p<0.01), 3 weeks of treatment (p<0.01) and 4 weeks of treatment (p<0.01). The results suggest that TrP-EA at 100 Hz had analgesic efficacy and may have the potential to improve disability in patients with chronic LBP.

The analgesic and disability improvement effects of trigger points electroacupuncture on chronic low back pain patients: an uncontrolled before-and-after study

Low back pain (LBP) is the most common cause of disability in patients aged 45 to 65. Traditional medicine plays an important role in the treatment of this disease. Especially, electroacupuncture at 100 Hz is effective in the improvement of pain and symptoms. In addition, clinical and research evidence shows that trigger points acupuncture is effective in LBP treatment. However, these studies have small sample sizes, so their reliability is not high. Thus, our study aims to evaluate the effect of trigger points electroacupuncture (TrP-EA) at 100 Hz on chronic LBP patients with larger sample sizes. 37 patients diagnosed with chronic LBP received TrP-EA at 100 Hz for 4 weeks. Outcome measures were the visual analogue scale (VAS), roland morris questionnaire (RMQ), and Oswestry low back pain disability index (ODI). Compared with the pre-treatment baseline, VAS, RMQ, and ODI improved dramatically after 1 week of treatment (p<0.01), 2 weeks of treatment (p<0.01), 3 weeks of treatment (p<0.01) and 4 weeks of treatment (p<0.01). The results suggest that TrP-EA at 100 Hz had analgesic efficacy and may have the potential to improve disability in patients with chronic LBP.

Efficiency of William’s versus McKenzie’s therapy for patients diagnosed with low back pain

From the category of musculoskeletal disorders, lumbar pathology registered a 50% increase between 1990 and 2019, directly correlated with an age decrease for the onset of symptoms among patients diagnosed with lumbar pain. Consequently, we are witnessing a younger population experiencing lumbar pain and at times, functional disability. According to statistical analysis, the economic impact of low back pain (LBP) in highly industrialized countries produces costs of up to 134 billion dollars annually. In this context, the appropriate therapeutic approach of LBP becomes a factor of major interest. This review uses 137 primary articles and specialized literature published between 2010-2022. Article selection was based on keywords and focused on comparing the effectiveness of William's and McKenzie's exercises. As the two rehabilitation programs are founded on different principles - William's therapy emphasizes flexion exercises while McKenzie's therapy focuses on extension exercises - patient assessment was conducted using evaluation scales. The evaluation employed the Visual Analogue Scale (VAS), the Oswestry Low Back Pain Disability Index (OSLBPDI), and the Short Form 36 (SF 36). The comparative analysis revealed modified scale scores following completion of the therapeutic protocol: 50-65% reduction in pain, 10-40 % increase in flexibility, and significant improvement in mental state. Based on these findings, an advancement in the patient’s condition can be observed for both William’s and McKenzie protocols. Nonetheless, the reviewed articles underscore the importance of selecting and adapting the therapeutic approach to the characteristics of lumbar pain.

Frequency of Spinal Pain Symptoms Among Nursing Staff

Introduction. Individuals working in the nursing profession are particularly prone to experiencing spinal discomfort. This is due to the nature of their work, which involves lifting and carrying heavy loads, as well as working in constrained positions. Furthermore, nurses are also exposed to stress and excessive mental health strain. All of these factors can contribute to the occurrence of overloads and injuries to the spine. Aim. The aim of the study was to analyze the frequency of spinal pain symptoms among nursing staff. Material and Methods. The study group consisted of 155 individuals actively practicing the nursing profession. The Polish version of the Revised Oswestry Low Back Pain Disability Scale (OLBPDS-PL) and own questions were used to conduct the study. Results. The frequency of spinal pain symptoms among nursing staff was 96.64%. 55.6% of the respondents reported mild disability, while 16.6% reported severe disability. A correlation was established between gender (p=0.026), the number of hours spent at work (p=0.049), BMI index (p=0.020), and the frequency of spinal pain symptoms. Age was borderline to statistically significant (0.050). Conclusions. Spinal pain symptoms affect a significant portion of the studied group. Lower back pain worsens the daily functioning of nurses, primarily in terms of pain intensity, lifting objects, standing, and social life. Mild disability was observed in over half of the respondents with lower back pain symptoms. (JNNN 2024;13(1):3–8)

A PROSPECTIVE COMPARATIVE STUDY ON EFFICACY OF ORAL VITAMIN D FORMULATIONS IN PATIENTS WITH CHRONIC LOW BACK PAIN WITH VITAMIN D DEFICIENCY AT A TERTIARY CARE HOSPITAL

Objective: Chronic low back pain is a global health problem with significant medical and economic burden. Vitamin D deficiency and obesity are its risk factors. The objective was to determine efficacy of oral vitamin D formulations in patients with chronic low back pain with vitamin D deficiency.
 Methods: A prospective analytical cohort study was conducted. Patients with self-reported chronic low back pain and with vitamin D concentrations ≤30 ng/dl were identified and randomized into 3 groups namely Granule, Nano syrup and soft gel capsule group. Vitamin D supplementation of 60,000 IUs per dose for ten consecutive days was given in the form of granule (1 g sachet), Nano syrup (5 ml bottle) and soft gel capsule. We measured (25-hydroxyvitamin D [25(OH)D]) concentrations and to assess pain, Visual analogue scale and Modified Oswestry low back pain disability questionnaire (MODQ) were used before and 12 w after the intervention.
 Results: After 12 w 25(OH)D levels increased significantly with vitamin D supplementation in all the groups but more in the Nano syrup group. There was also significant reduction in back pain intensity in all the groups after vitamin D supplementation. However in Nano syrup group, there was a significantly greater reduction in back pain compared with other groups.
 Conclusion: Our findings suggest that vitamin D supplementation in vitamin D deficient adults may improve chronic low back pain. Hence, testing for vitamin D deficiency in those with chronic low back pain may be warranted.

Comparing the Efficacy of Transforaminal and Caudal Epidural Injections of Calcitonin in Treating Degenerative Spinal Canal Stenosis: A Double-Blind Randomized Clinical Trial.

Lumbar spinal stenosis (LSS) is the most common indication for lumbar surgery in elderly patients. Epidural injections of calcitonin are effective in managing LSS. This study aimed to compare the efficacy of transforaminal and caudal injections of calcitonin in patients with LSS. In this double-blind randomized clinical trial, LSS patients were divided into two equal groups (N = 20). The first group received 50 IU (international units) of calcitonin via caudal epidural injection (CEI), and the second group received 50 IU of calcitonin via transforaminal epidural injection (TEI). The Visual Analogue Scale (VAS) and Oswestry Low Back Pain Disability Questionnaire (ODI) were used to assess the patient's pain and ability to stand, respectively. Visual Analogue Scale and ODI scores were recorded and analyzed. The results showed that caudal and TEIs of calcitonin significantly improved pain and ability to stand during follow-up compared to before intervention (P < 0.05). Additionally, CEI of calcitonin after 6 months significantly reduced pain in LSS patients compared to TEI of calcitonin (P < 0.05). However, no significant difference was observed between the two epidural injection techniques in improving the patient's ability to stand (P > 0.05). The results of the study indicate that epidural injection of calcitonin in long-term follow-up (6 months) had a significant effect on improving pain intensity and mobility in patients with LSS, and its effect on pain in the TEI method was significantly greater than that in the CEI method.

Efficacy and Safety of Spinal Collagen Mesotherapy in Patients with Chronic Low Back Pain in a Three-Month Follow-Up—Retrospective Study

Background: Low back pain syndrome is associated with muscular and myofascial pain and is linked with muscle overstrain or a lack of regular physical activity as well as a habitual bad posture, which cause the overload of perispinal soft tissues. One of the forms of therapy of LBP is the mesotherapy of the spine, which consists of multi-point micro-injections of drugs or medicine mixtures, which include preparations of collagen type I. The aim of the study was to assess the efficacy and safety of mesotherapy with collagen type I. Methods: A retrospective analysis of the results of the treatment of patients with chronic low back pain syndrome using mesotherapy was performed. A total of 130 patients (83 women and 47 men; mean age: 51 ± 14 years) were divided into two groups: group I (n = 65), treated with collagen type I, and group II (n = 65), treated with lignocaine 1%. Mesotherapy was performed weekly over five weeks. Patients were assessed using the following scales: the VAS, Laitinen Scale, and Revised Oswestry Low Back Pain Disability Scale before the start of the treatment, after five treatments, and at the three-month follow-up visit. Results: A statistically significant improvement was observed after the use of spinal mesotherapy both with collagen type I and lignocaine, with the collagen treatment having better results at the three-month follow-up visit. No adverse effects were observed after the procedures. Conclusions: Spinal mesotherapy using collagen type I and lignocaine seems to be an effective method in the treatment of chronic LBP. Collagen mesotherapy gives better results in the long term. Mesotherapy is a safe form of therapy.

Percutaneous full-endoscopic transforaminal discectomy versus open microdiscectomy in the treatment of lumbar disc herniation: randomized controlled trial

BackgroundLumbar disc herniation is one of the most common degenerative spine conditions. In our center, the standard surgical technique for treatment of lumbar disc herniation is open microdiscectomy. The full-endoscopic transforaminal discectomy is done for selective cases of lumbar disc herniation under local anesthesia, achieving good results. This study aims to compare the clinical outcomes, operative data, and complications of the treatment of lumbar disc herniation with “percutaneous full-endoscopic transforaminal discectomy” (TED) and the gold standard “open microdiscectomy" (MD). This was a randomized controlled trial that included 65 patients with lumbar disc herniation: 32 in the TED group and 33 in the MD group.ResultsThere was no statistically significant difference between the two groups with regard to the visual analogue scale (VAS) for leg pain, the VAS for back pain, or the Oswestry Low Back Pain Disability Questionnaire (ODI) score at the end of the 1-year follow-up. The operative time in minutes was statistically shorter in the TED group, with a mean value of 50.38 (± 11.65) and 61.09 (± 12.32) in the MD group. The blood loss was 77.33 CC (± 23.14) in the TED group and 170 CC (± 56.06) in the MD group. The mean duration of hospital stay in days was statistically shorter in the TED group. Exposure to radiation in minutes was higher in the TED group: 1.09 (± 0.33) and 0.18 (± 0.08) in the TED group and MD group, respectively. There was no statistically significant difference in the rate of complications.ConclusionTED showed superiority over MD with regard to blood loss, operative time and shorter hospital stays, but with increased radiation exposure. There was no difference in clinical outcomes regarding VAS for leg and back pain and ODI score at 1 year follow-up with no significant difference in complications.

Compare the Effectiveness of Interferential Therapy with Mckenzie Versus TENS With Mckenzie to Reduce Low Back Pain

Background: Low back pain is not an illness but rather a collection of symptoms that are typically acute and selflimiting.It has an impact on work performance and general wellbeing. The most commonly used modalities ofLBP are Interferential therapy and TENS. Hence this research work is done to check the effectiveness of IFT withMcKenzie and TENS with McKenzie for reducing low back pain.Purpose: To compare the effectiveness of IFT and TENS combined with McKenzie to reduce low back pain.Materials and Methods: 60 subjects were selected based on selection criteria.. The subjects were assessed usingVAS and OSWESTRY Low back pain disability questionnaires . The subjects selected were divided into twogroups. IFT group(n=30) received IFT for 20 minutes per day combined with McKenzie exercises TENS group (n=30) received TENS for 20 minutes per day combined with McKenzie exercises. These interventions were given for4 days per week for 2 weeks. Study period: October 2022 to July 2023.Result: The pretest and posttest values were analyzed and results suggest that the IFT group has significantimprovement when compared with the TENS group with p value &lt;0.0001.Conclusion: The study concludes that the IFT with McKenzie and TENS with McKenzie is effective for patientswith low back pain but IFT with McKenzie seems to be more effective than TENS with McKenzie.