Koszela Kamil, Krukowska Sylwia, Woldańska-Okońska Marta
Department of Rehabilitation and Physical Medicine, Medical University of Lodz, Poland; Reginal Hospital in Konin, Poland.
Department of Rehabilitation and Physical Medicine, Medical University of Lodz, Poland; University of Lodz, Poland.
Pol Merkur Lekarski. 2017 May 23;42(251):201-204.
Back pain may be caused by many factors. In many cases it is difficult to unambiguously determine a cause of the pathology, which can involve various structures in the spine. In this paper we will discuss the symptoms associated with the degenerative changes of the intervertebral disc, which involve, among others, its bulging, dislocation and pressure on the surrounding structures. These problems require an adequate clinical and imaging diagnostics in order to implement an appropriate treatment. In the first place, it should be based on the conservative methods (such as: pharmacotherapy, rehabilitation and lifestyle changes). Only in the absence of improvement it is recommended to consider a surgical treatment.
The aim of the study is to assess the impact of rehabilitation on the pain intensity level in patients with herniated nucleus pulposus of the intervertebral disc.
The study was performed in 46 patients (age range: 19-85), including 26 women and 20 men. On the basis of imaging, all patients showed the presence of a slipped disc with disc herniation. The patients were treated conservatively. For pain assessment was used the The Laitinen Modified Questionnaire Indicators of Pain and The Visual- Analogue Scale. The results were statistically analyzed.
The results clearly demonstrate the analgesic efficacy of specialized rehabilitation in the spinal pain syndrome in a discopathy with a spinal disc herniation of an intervertebral disc.
The rehabilitation of patients with a back pain due to the presence of herniated nucleus pulposus has a significant analgesic effect. In the case of a presence of the herniated nucleus pulposus, the rehabilitation should be considered in a first place. If no improvement, a possible surgery should be considered. An important element of a conservative treatment is an effective rehabilitation, which is of vital economic importance, because a therapy including surgery usually requires subsequent rehabilitation and is much more expensive.
背痛可能由多种因素引起。在许多情况下，很难明确确定病理原因，因为这可能涉及脊柱的各种结构。在本文中，我们将讨论与椎间盘退变相关的症状，其中包括椎间盘突出、移位以及对周围结构的压迫。这些问题需要进行充分的临床和影像学诊断，以便实施适当的治疗。首先，应基于保守方法（如药物治疗、康复治疗和生活方式改变）。只有在没有改善的情况下，才建议考虑手术治疗。
本研究的目的是评估康复治疗对椎间盘髓核突出症患者疼痛强度水平的影响。
该研究对46例患者（年龄范围：19 - 85岁）进行，其中女性26例，男性20例。根据影像学检查，所有患者均显示存在椎间盘突出伴椎间盘疝。患者接受保守治疗。使用莱蒂宁疼痛改良问卷指标和视觉模拟量表进行疼痛评估。对结果进行统计学分析。
结果清楚地表明了专业康复治疗对椎间盘突出症所致脊柱疼痛综合征的镇痛效果。
因髓核突出而背痛的患者进行康复治疗具有显著的镇痛作用。在存在髓核突出的情况下，应首先考虑康复治疗。如果没有改善，则应考虑可能的手术治疗。保守治疗的一个重要因素是有效的康复治疗，这具有至关重要的经济意义，因为包括手术在内的治疗通常需要后续康复治疗，而且费用要高得多。
