alexa

GET THE APP

Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Management of Low Back Pain - Call for an Integrated Interventional Approach | OMICS International| Abstract
ISSN: 2167-0846

Journal of Pain & Relief
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • J Pain Relief 2017, Vol 6(6): 303
  • DOI: 10.4172/2167-0846.1000303

Management of Low Back Pain - Call for an Integrated Interventional Approach

Shashi Vadhanan*
Department of Neurosurgery, Army Hospital Research & Referral, , Dhaula Kuan, New Delhi, India
*Corresponding Author : Shashi Vadhanan, Department of Neurosurgery, Army Hospital Research & Referral, Dhaula Kuan 110010, New Delhi, India, Tel: 7042296201, Email: [email protected]

Received Date: Apr 26, 2017 / Accepted Date: Nov 13, 2017 / Published Date: Nov 17, 2017

Abstract

Introduction: Using advanced imaging, neurophysiologic and precision diagnostic techniques spinal pain can be diagnosed in only 50 to 80% of the patients. 20 to 50% remain incorrectly diagnosed. Furthermore axial and periaxial pattern of pain from ligaments, muscles, intervertebral discs and facet joints overlap significantly. Therefore patients continue to suffer because of diagnostic dilemma and also pose a therapeutic challenge. Rarely does low back pain involve only a single pain generator, therefore it is unlikely that a single treatment, such as surgery will result in the best outcome for the majority of the causes of low back pain.
Materials and method: All cases of Low back Pain reporting to tertiary care service hospital from 2012 to 2016 were evaluated. Cases which responded to conservative management were excluded.
Observation: A total of 374 cases were offered pain intervention procedure. Of these 45 (12%) required a second interventional procedure as the pain relief was poor. All cases were followed up for 6 months and pain relief was recorded as Good, satisfactory or poor as told by the patient. We found that 78% reported good relief, 18% reported satisfactory relief while 4% reported poor relief from pain.
Conclusion: Scientific evaluation of interventional pain treatments is difficult due to lack of any objective test for pain. Also we cannot have true controls. A single interventional procedure may not suffice in all cases. The Surgeon needs to adopt other modalities to provide pain relief to the ailing patient.

Keywords: Low back pain; Interventional pain treatments

Citation: Vadhanan S (2017) Management of Low Back Pain - Call for an Integrated Interventional Approach. J Pain Relief 6: 303. Doi: 10.4172/2167-0846.1000303

Copyright: © 2017 Vadhanan S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top