Tag: leczenie chirurgiczne

Evaluation of the effectiveness of the treatment of selected conservative methods of stiff and hallux limitus with consideration of orthopedic supplies – review of the literature

Bernadeta Piwowar-Kuczyńska, Michał Zabojszcz, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Michał Zabojszcz, Mateusz Curyło – Evaluation of the effectiveness of the treatment of selected conservative methods of stiff and hallux limitus with consideration of orthopedic supplies – review of the literature. Fizjoterapia Polska 2023; 23(2); 6-11

DOI: https://doi.org/10.56984/8ZG0DF7B

 

Abstract
Introduction. Hallux rigidus and hallux limitus are characterized by limited range of motion of the first metatarsophalangeal joint in the sagittal plane.
Aim of the study. The purpose of this study was to present the possibilities and evaluate the effectiveness of conservative treatment of hallux rigidus and limitus with consideration of orthopedic supplies based on the available literature.
Material and methods. The available literature was analyzed based on English-language databases PubMed, Scopus, ScienceDirect, Medline and others, using the Google Scholar search engine. Twenty-one articles were analyzed out of 51 retrieved by the above method. Publications no older than 21 years were used as search criteria using the following keywords: hallux rigidus, hallux limitus, orthopedic supplies, physiotherapy, orthopedic insoles, surgical treatment.
Results. After analyzing the papers, it was not possible to find a clear answer to determine which conservative treatment of hallux rigidus is the most effective, while each of the mentioned methods brings benefits to the patient.
Conclusions. Contemporary studies indicate that conservative treatment methods for hallux rigidus and limitus are effective. Both orthopedic insoles, drug treatment and physiotherapy provide relief from pain. When a patient is referred for surgery, the doctor has a choice of different treatment methods depending on the stage of the hallux rigidus.
Key words:
hallux rigidus, hallux limitus, conservative treatment, surgical treatment
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The treatment of herniated disks in the lumbo-sacral spine

M. Śniegocki, H. A. Kasprzak

M. Śniegocki, H. A. Kasprzak – The treatment of herniated disks in the lumbo-sacral spine. Fizjoterapia Polska 2002; 2(2); 128-133

Abstract
This article presents contemporary methods of surgical treatment for application in patients with herniated disk. In discussing the various methods the authors concentrate on indications and counterindications for their application. In view of possible complications, the necessity is stressed to perform precise neuroimaging diagnostics as a basis for making the decision whether or not to operate and further rehabilitation.

Key words:
lumbo-sacral discopathy, Low Back Pain, surgical treatment

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Medical massage in the treatment of non-specific low back pain

Krzysztof Kassolik, Waldemar Andrzejewski, Dariusz Chołodecki, Andrzej Steciwko

Krzysztof Kassolik, Waldemar Andrzejewski, Dariusz Chołodecki, Andrzej Steciwko – Medical massage in the treatment of non-specific low back pain. Fizjoterapia Polska 2004; 4(2); 107-111

Abstract

Background. Non-specific low back pain is a serious social problem. Most patients are unable to specify the particular event that caused the pain to appear. The typical treatment methods, i.e. pharmacotherapy and surgery, seldom lead to the desired results. One effective method of treating non-specific low back pain is physiotherapy, in which medical massage plays an important role. This is a therapeutic procedure based on theoretical and clinical research in medicine and related scientific fields. Material and methods. We studied 40 ambulatory patients, 31 men and 9 men, average age 47. The patients were evaluated using a 7-point scale of pain intensity and a patient evaluation chart, containing a comprehensive assessment of the musculo-skeletal system, including the functional status of other systems directly involved in motor function. Results. Before treatment, the patients’ subjective reports of pain intensity averaged 3.57 ± 1.1 points (moderately intense pain). After massage treatment, 77% of the patients (31 persons) reported no pain at all (0 points), and 23% (9 persons) reported minimal pain (1 point). Conclusions. The application of medical massage in this pathology significantly reduced the reported intensity of pain in all the patients we studied. Medical massage can be applied as an effective therapeutic procedure in managing pain for persons with non-specific low back pain.

Key words:
umbar pain syndrome, pharmacotherapy, surgical treatment, conservative treatment
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