Physiotherapy in the preoperative treatment of lumbar discopathy

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak

Elżbieta Rutkowska, Radosław Rola, Witold Janusz, Piotr Kamieniak – Physiotherapy in the preoperative treatment of lumbar discopathy. Fizjoterapia Polska 2001; 1(4); 393-395

Abstract
Background. This article analyzes the therapeutic methods used in the conservative treatment of lumbar discopathy among patients treated surgically for this disorder at the Neurosurgical Clinic of the Lublin Medical University from 1998 to 2000. Material and methods. Our research involved 349 randomly chosen patients referred for surgical treatment of lumbar discopathy. The patients were interviewed in detail and their medical records analyzed on the basis of an authorial questionnaire. The results were subjected to statistical analysis using the contingency analysis tables is the STATISTICA software program (StatSoft, USA). Results. Our research indicated that long-term conservative treatment was limited primarily to pharmacotherapy. Methods of physical treatment, i.e. kinesitherapy and physicotherapy, as well as stationary rehabilitation in health resorts were not put to adequate use by the majority of patients.

Key words:
conservative treatment of low back pain, pharmacotherapy, physicotherapy, kinesitherapy

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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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