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العنوان
VALUE OF MESOTHERAPY IN chrONIC LOW BACK PAIN /
المؤلف
Abdel-Aty,Reem Mohamed Ali.
هيئة الاعداد
باحث / Reem Mohamed Ali Abdel-Aty
مشرف / Mona Mansour Hassab El-Nabi
مشرف / Neveen Ahmed Shaker
مشرف / Hebatallah Ahmed El-Shamy
تاريخ النشر
2015
عدد الصفحات
204p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب البديل والتكميلي
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - الطب الطبيعي والروماتيزم والتأهيل
الفهرس
Only 14 pages are availabe for public view

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from 204

Abstract

The present study was designed to use mesotherapy with injectable NSAIDs in the treatment of chronic low back pain (CLBP) in order to evaluate its short term effectiveness in comparison to the oral route administration.
This study was performed on thirty-eight patients complaining of chronic low back pain of at least 3 months duration. They were classified randomly into 3 groups according to the treatment program received: group A (15 patients) who received Ketoprofen 100 mg Extended-Release capsules as one capsule once daily for 2 weeks, group B (15 patients) who received a mixture of 2 ml of Saline Solution + 1 ml of Lidocaine Chloridate 2% + 2 ml of Ketoprofen 100mg/2ml via mesotherapy, twice a week for 2 weeks (a total of 4 sessions), and group C (8 patients) who received a mixture of 4 ml of Saline Solution + 1 ml of Lidocaine Chloridate 2% given with the same protocol as the NSAIDs mesotherapy.
Patients were assessed before and after receiving their treatment program. Assessment included pain intensity {using 0-10 Visual Analogue Scale (VAS) and Short Form McGill Pain Questionnaire (SF-MPQ)}, pain disability {using Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI)}, and back Range of Motion (ROM) {using modified Schober’s test and goniometer}.
Baseline assessment showed that there was no statistically significant difference (p >0.05) between the three groups regarding all assessment parameters.
Follow up results of patients after treatment programs in all groups regarding VAS, SF-MPQ, back ROM, RMDQ, and ODI values, showed high statistically significant improvement (P <0.01) except values of extension, RMDQ and ODI of group C, which showed a statistically significant improvement (P <0.05).
In comparison between A (oral) and B (NSAIDs mesotherapy) groups after treatment regarding VAS, SF-MPQ, back ROM, RMDQ, and ODI, results showed there was no statistically significant differences (P > 0.05).
In comparison between A (oral) and C (placebo) groups after treatment, there was highly statistically significant differences regarding VAS, SF-MPQ, RMDQ, ODI and back ROM except values of forward flexion and extension. As for forward flexion measurements, there was no statistically significant difference, while there was significant difference regarding extension values.In comparison between B (NSAIDs mesotherapy), and C (placebo) groups after treatment, there was highly statistically significant differences regarding VAS, SF-MPQ, ODI and back ROM except values of forward flexion and extension as there was no statistically significant difference. Regarding RMDQ scores, there was statistically significant difference between both groups at the end of the study.
The results obtained in our study confirm that mesotherapy with NSAIDs may be a valid alternative to the oral route administration in the treatment of CLBP as they have the same therapeutic effect in reducing pain intensity, and disability in daily life activity, and improving ROM in the short-term follow up despite the lower doses of NSAIDs administered to patients undergoing mesotherapy.
These results also prove that there is a clear benefit of reflexology as there was a significant improvement in the placebo group in comparison to baseline assessment.