Efficacy of Ozone Neucleoplasty against Physiotherapy in Cases of Chronic Discogenic Low Back Pain
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Objectives: Efficacy of ozone neucleoplasty against physiotherapy in cases of chronic discogenic low back pain. Methods: This is an open level prospective study, involving patients with chronic low back pain of more than 6 weeks. On diagnosis made by imaging and clinics as per published protocol we selected 383 consecutive patients for ozone neucleoplasty whereas consecutive 145 patients were enrolled for physiotherapy. Only 283 and 56 patients completed ozone Neucleoplasty and physiotherapy studies in NRSMC&H and TRA Hospitals respectively. Ozone Neucleoplasty had 49.12% female, 50.88% male with 51.78% female and 48.21% male patients undergoing physiotherapy. Pre treatment assessments were done and followed up at 3 weeks, 3 months and 6 months in 10 point VAS & ODI scales. Results were analyzed to see the effect of treatment on the selected cohort. For both the treatments, the average VAS scores reduce substantially after 3rd week after which it plateaus off, paired t-test were applied at said time points, statistically significant reduction of VAS & ODI scores were observed at 3 weeks but reduction was not significant when we paired VAS at 3week and 3month, 3 month and 6 month. It is noted that 59.36% of the patients undergoing Neucleoplasty experience excellent reduction in VAS score whereas only 3.57% of the patients undergoing physiotherapy experience excellent reduction (≥ 50 %) in VAS score after 3 weeks. Most of the patients (48.21%) under physiotherapy achieve only nominal improvement after 3 weeks in terms of reduction of VAS score. The results of 2 (chi-square) test show that the amount of reduction of VAS score depends on the type of treatment given to a patient. However, effectiveness of treatment modalities does not depend on age or gender variable. Conclusion: Both Neucleoplasty and physiotherapy helps in reducing pain and disability scores significantly, but Neucleoplasty emerged as the better treatment option. Both the treatment were found independent of age and sex variable.
Authors and Affiliations
Dr Sourav Iswarari
Keywords
Related Articles
- EP ID EP285708
- DOI -
- Views 62
- Downloads 0
Closed Intramedullary Nailing in Treatment of Displaced Diaphyseal Fractures of Shaft Humerus in Adults in rural setup
Background: Humerus serves an important role in upper extremity functions facilitating manoeuvring of hand in space. Various modalities of treatment for fixation of shaft humerus have stood the test of time and have thei...
Incidence and Risk factors of Retinopathy of Prematurity in Tertiary Care Centre of Western India
Aim: This study is aimed to estimate the incidence of retinopathy of prematurity and to identify the risk factors which predispose to retinopathy of prematurity. Material & Methods: The present prospective study was cond...
Experience of Uterine Rupture in A Tertiary Care Institute: A Systematic Review of the Literature
Rupture of gravid uterus is one of dreaded and catastrophic complication frequently dealt in the developing countries which requires a high index of suspicion. This article explore four cases of uterine rupture and the m...
Comparative Study on Sensitivity of Serum and Urinary Amylase in the Diagnosis of Acute Pancreatitis
Diagnosis of acute pancreatitis remains a challenge even in 21st century. Aims & Objectives: We conducted this study to determine the levels of serum and urinary amylase in patients with acute pancreatitis and compare th...
MRI As A Diagnostic Tool In Evaluating Internal Derangements of Knee As Compared to Arthroscopy
Knee joint is the largest and the most complex joint in the body and also the most frequently injured joint due to its anatomy. The stability of the joint is highly dependent on its supporting ligamentous structures. Inj...