medigraphic.com
ISSN 1405-8790 (Print)

2023, Number 3-4

<< Back Next >>

Rev Mex Med Fis Rehab 2023; 35 (3-4)

Effect of perineural therapy in patients with chronic low back pain resistant to conventional treatments

González CK, Ortiz DAJ, Rodríguez NC, García BM

Language: Spanish
References: 25
Page: 46-51
PDF size: 309.17 Kb.


ABSTRACT

Introduction: low back pain is one of the musculoskeletal pathologies with the highest demand in medical consultation in general, causing disability with economic and social repercussions. Low back pain may be refractory to conventional treatments, so the search for new and more effective therapeutic alternatives is always a topic of research. The objective of the present work is to identify the effects of perineural therapy in the treatment of chronic low back pain and related disability. Material and methods: a quasi-experimental study was performed, of which 33 received three applications of the treatment according to the technique described by John Lyftogt, the level of pain was evaluated with the VAS and the level of disability of patients using the Oswestry disability index. Results: patients perceived a significant decrease in pain from the first application, with an average reduction of 70% ± 24.6, being consistent, with an average reduction of 67.9% ± 27.7 and 73.1% ± 29.9 between the first and second application (p = 0.528). Disability improved significantly with an average percentage decrease of 54.5% ± 28.8 (p < 0.001). Conclusion: perineural therapy is safe and effective for the treatment of chronic low back pain as it results in rapid, serial, and consistent analgesia of pain and disability.


REFERENCES

  1. Guía de Práctica Clínica. Diagnóstico, tratamiento y prevención de lumbalgia aguda y crónica en el primer nivel de atención evidencias. México: Instituto Mexicano del Seguro Social; 2009. Disponible en: http://www.imss.gob.mx/sites/all/statics/guiasclinicas/045GER.pdf

  2. Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014; 73 (6): 968-974.

  3. Covarrubias-Gómez A. Lumbalgia: un problema de salud pública. Rev Mex Anest. 2010; 33 (Suppl: 1): 106-109.

  4. Coluzzi F, Fornasari D, Pergolizzi J, Romualdi P. From acute to chronic pain: tapentadol in the progressive stages of this disease entity. Eur Rev Med Pharmacol Sci. 2017; 21 (7): 1672-1683.

  5. Macías-Hernández SI, Cruz-Medina E, Chávez-Heres T, Hernández-Herrador A, Nava-Bringas T, Chávez-Arias D, et al. Diagnóstico estructural de las lumbalgias, lumbociáticas y ciáticas en pacientes atendidos en el Servicio de Rehabilitación de Columna del Instituto Nacional de Rehabilitación (INR). Investigación en Discapacidad. 2014; 3 (1): 3-9.

  6. Peláez-Ballestas I, Flores-Camacho R, Rodriguez-Amado J, Sanin LH, Valerio JE, Navarro-Zarza E et al. Prevalence of back pain in the community. A COPCORD-based study in the Mexican population. J Rheumatol Suppl. 2011; 86: 26-30.

  7. Alva Staufert MF, Ferreira GE, Sharma S, Gutiérrez Camacho C, Maher CG. A look into the challenges and complexities of managing low back pain in Mexico. Glob Public Health. 2021; 16 (6): 936-946.

  8. Clark P, Contreras D, Ríos-Blancas MJ, Steinmetz JD, Ong L, Culbreth GT, et al. Análisis de la discapacidad por trastornos musculoesqueléticos en México de 1990 a 2021. Gac Med Mex. 2023;159(6):517-526.

  9. Saldívar A, Cruz D, Serviere L, et al. Lumbalgia en trabajadores. Epidemiología. Rev Med IMSS 2003; 41 (3): 203-209.

  10. Mosabbir A. Mechanisms behind the development of chronic low back pain and its neurodegenerative features. Life (Basel). 2022; 13 (1): 84.

  11. Picón SPB, Batista GA, Pitangui ACR, de Araújo RC. Effects of workplace-based intervention for shoulder pain: a systematic review and meta-analysis. J Occup Rehabil. 2021; 31 (2): 243-262.

  12. Ji RR, Nackley A, Huh Y, Terrando N, Maixner W. Neuroinflamación y sensibilización central en el dolor crónico y generalizado. Anestesiología. 2018; 129 (2): 343-366.

  13. Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004; 8 (4): 283-291.

  14. Soto-Padilla M, Espinosa-Mendoza RL, Sandoval-García JP. Frecuencia de lumbalgia y su tratamiento en un hospital privado de la Ciudad de México. Acta Ortop Mex. 2015; 29 (1): 40-45.

  15. Gomes-Neto M, Lopes JM, Conceicao CS, Araujo A, Brasileiro A, Sousa C. Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Phys Ther Sport. 2017; 23: 136-142.

  16. Patel VB, Wasserman R, Imani F. Interventional therapies for chronic low back pain: a focused review (efficacy and outcomes). Anesth Pain Med. 2015; 5 (4): e29716.

  17. Weglein AD. Neural prolotherapy. Journal of Prolotherapy. 2011; 3 (2): 639-643.

  18. Güzel I, Gül D, Akpancar S, Lyftogt J. Effectiveness of perineural injections combined with standard postoperative total knee arthroplasty protocols in the management of chronic postsurgical pain after total knee arthroplasty. Med Sci Monit. 2021; 27: e928759.

  19. Wu YT, Wu CH, Lin JA, Su DC, Hung CY, Lam SKH. Efficacy of 5% dextrose water injection for peripheral entrapment neuropathy: a narrative review. Int J Mol Sci. 2021; 22 (22): 12358.

  20. Wu YT, Chen YP, Lam KHS, Reeves KD, Lin JA, Kuo CY. Mechanism of glucose water as a neural injection: a perspective on neuroinflammation. Life (Basel). 2022; 12 (6): 832.

  21. Li TY, Chen SR, Shen YP, Chang CY, Su YC, Chen LC et al. Long-term outcome after perineural injection with 5% dextrose for carpal tunnel syndrome: a retrospective follow-up study. Rheumatology (Oxford). 2021; 60 (2): 881-887.

  22. Wu YT, Ke MJ, Ho TY, Li TY, Shen YP, Chen LC. Randomized double-blinded clinical trial of 5% dextrose versus triamcinolone injection for carpal tunnel syndrome patients. Ann Neurol. 2018; 84 (4): 601-610.

  23. Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976). 2008; 33 (1): 90-94.

  24. Solmaz I, Akpancar S, Orscelik A, Yener-Karasimav O, Gül D. Dextrose injections for failed back surgery syndrome: a consecutive case series. Eur Spine J. 2019; 28 (7): 1610-1617.

  25. Maniquis-Smigel L, Reeves KD, Rosen HJ, Lyftogt J, Graham-Coleman C, Cheng AL et al. Analgesic effect and potential cumulative benefit from caudal epidural D5W in consecutive participants with chronic low-back and buttock/leg pain. J Altern Complement Med. 2018; 24 (12): 1189-1196.




2020     |     www.medigraphic.com