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Low Back Ache, Methyl Prednisolone, Interferential Current, General Health Questionnaire

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Why is it important?

Low back pain is a symptom and not a disease which can lead to suffering, sadness and sleeplessness and hence physical limitation and disability. It’s a universal problem the etiology of it can be viscerogenic, neurogenic, vascular, psychogenic, spondylogenic, ergonomic, obesity. The major pitfall is to miss a treatable cause in the rush to treat the symptoms. Kelly et al. 1956 postulated that inflammation of nerve root from the compression causes pain and neurological changes. Various modalities of treatment are available including injection therapy, current therapy and surgery with a conservative approach before going for definitive treatment. Epidural injection of local anesthetics (Viner 1925), steroids (Kepes and Duncalf 1960), interferential current therapy (Tidy 1968) were the various modes tried for treatment of symptoms – the aim being to reduce the inflammatory response, restore the electric equilibrium of the affected cell membranes. This present study was undertaken to break the cycle of pain and thus providing better life style to the patient which in turn helps early mobility relieving the muscle spasm and further reducing the pain. Patients with low backache of neurogenic and spondylogenic in nature were taken in consideration. Those patients who didn’t respond to conservative approach were subjected to receive either epidural steroids (Methyl prednisolone) or Interferential Current therapy. Epidural Methyl Prednisolone 80 mg with Inj. Bupivacaine 0.125% and Inj. Buprenorphine 0.1 mg was used followed by NSAIDS orally for whole duration of treatment of 30 days. The other group received interferential therapy at a dose of 30 mv medium frequency at the maximum point of tenderness followed by physiotherapy and NSAIDS for a period of 90 days. The patients were observed for the effectiveness of both modalities of treatment in terms of symptom free life style, early rehabilitation and psychological well being using General Health Questionnaire both pre and post procedure.

Perspectives

Low back pain is a symptom and not a disease which can lead to suffering, sadness and sleeplessness and hence physical limitation and disability. It’s a universal problem the etiology of it can be viscerogenic, neurogenic, vascular, psychogenic, spondylogenic, ergonomic, obesity. The major pitfall is to miss a treatable cause in the rush to treat the symptoms. Kelly et al. 1956 postulated that inflammation of nerve root from the compression causes pain and neurological changes. Various modalities of treatment are available including injection therapy, current therapy and surgery with a conservative approach before going for definitive treatment. Epidural injection of local anesthetics (Viner 1925), steroids (Kepes and Duncalf 1960), interferential current therapy (Tidy 1968) were the various modes tried for treatment of symptoms – the aim being to reduce the inflammatory response, restore the electric equilibrium of the affected cell membranes. This present study was undertaken to break the cycle of pain and thus providing better life style to the patient which in turn helps early mobility relieving the muscle spasm and further reducing the pain. Patients with low backache of neurogenic and spondylogenic in nature were taken in consideration. Those patients who didn’t respond to conservative approach were subjected to receive either epidural steroids (Methyl prednisolone) or Interferential Current therapy. Epidural Methyl Prednisolone 80 mg with Inj. Bupivacaine 0.125% and Inj. Buprenorphine 0.1 mg was used followed by NSAIDS orally for whole duration of treatment of 30 days. The other group received interferential therapy at a dose of 30 mv medium frequency at the maximum point of tenderness followed by physiotherapy and NSAIDS for a period of 90 days. The patients were observed for the effectiveness of both modalities of treatment in terms of symptom free life style, early rehabilitation and psychological well being using General Health Questionnaire both pre and post procedure.

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This page is a summary of: Low Back Ache, Methyl Prednisolone, Interferential Current, General Health Questionnaire, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6319.39.
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