A NEW APPROACH TO THE TREATMENT OF CHRONIC LOW BACK PAIN

A NEW APPROACH TO THE TREATMENT OF CHRONIC LOW BACK PAIN

81 patients with chronic low back pain (average duration 10 years) were randomised to two treatment groups. 40 received an empirically devised regimen of forceful spinal manipulation and injections of a dextrose-glycerine-phenol ("proliferant") solution into soft-tissue structures, as part...

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Veröffentlicht in:The Lancet (British edition) 1987-07, Vol.330 (8551), p.143-146
Hauptverfasser: Ongley, MilneJ, Dorman, ThomasA, Klein, RobertG, Eek, BjornC, Hubert, LawrenceJ
Format: Artikel
Sprache:eng
Schlagworte:
Anesthesia
Back pain
Biological and medical sciences
Bones, joints and connective tissue. Antiinflammatory agents
Dextrose
Low back pain
Medical sciences
Pain
Patients
Pharmacology. Drug treatments
Phenols
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Zusammenfassung:81 patients with chronic low back pain (average duration 10 years) were randomised to two treatment groups. 40 received an empirically devised regimen of forceful spinal manipulation and injections of a dextrose-glycerine-phenol ("proliferant") solution into soft-tissue structures, as part of a programme to decrease pain and disability. The other 41 patients received parallel treatment in which the main differences were less extensive initial local anaesthesia and manipulation, and substitution of saline for proliferant. Neither patients nor assessors knew which treatment had been given. When assessed by disability scores the experimental group had greater improvement than the control group at one (p
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(87)92340-3