Koszela Kamil, Słupiński Michał, Woldańska-Okońska Marta
Department of Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, 02-637 Warsaw, Poland.
Rehabilika-Centre for Rehabilitation and Adult Age Medicine, 93-029 Lodz, Poland.
J Clin Med. 2024 May 29;13(11):3195. doi: 10.3390/jcm13113195.
Sedentary lifestyles, work overload, and lack of regular physical activity are risk factors for spinal pain syndrome. In everyday medical practice, spinal pain syndrome of a muscular or myofascial, or non-neurogenic, nature is diagnosed. This problem affects a large group of patients and reaches about 70-80% of spinal pain cases. Usually, one of the primary treatments is with NSAIDs (Non-steroidal Anti-Inflammatory Drugs). In this case, one treatment method that is safe and has no side effects is spinal mesotherapy. This method consists of performing multi-point intradermal microinjections with the administration of drugs or medical devices. Based on a new perspective on the treatment of spinal pathology-the so-called three-stage treatment concept-it is necessary to deal with the risk factor(s) of spinal pain syndrome and reduce or at least modify them (stage I). This is followed by a broadly understood medical therapy, in this case spinal mesotherapy (stage II), which aims to relax tense tissues, improve mobility in the spine and thus reduce pain. As a result, conditions are created for the necessary process, which is rehabilitation in the broadest sense (stage III). Movement therapy, which is crucial in spinal pain syndrome, is performed with less pain, after obtaining better patient mobility. The purpose of this article is to evaluate the role of rehabilitation of patients after spinal mesotherapy in terms of the three-stage treatment concept for spinal pathology.
久坐的生活方式、工作负荷过重以及缺乏规律的体育活动是脊柱疼痛综合征的危险因素。在日常医疗实践中，诊断出的脊柱疼痛综合征多为肌肉性、肌筋膜性或非神经源性的。这个问题影响着一大群患者，约占脊柱疼痛病例的70 - 80%。通常，主要治疗方法之一是使用非甾体抗炎药（NSAIDs）。在这种情况下，一种安全且无副作用的治疗方法是脊柱中医疗法。该方法包括进行多点皮内微注射并给予药物或医疗器械。基于对脊柱疾病治疗的新观点——所谓的三阶段治疗概念——有必要处理脊柱疼痛综合征的危险因素并减少或至少改善它们（第一阶段）。接下来是广义上的药物治疗，在这种情况下是脊柱中医疗法（第二阶段），其目的是放松紧张的组织，改善脊柱的活动度从而减轻疼痛。结果，为最广义的康复这一必要过程创造了条件（第三阶段）。在患者获得更好的活动度后，以较轻的疼痛进行对脊柱疼痛综合征至关重要的运动疗法。本文的目的是根据脊柱疾病的三阶段治疗概念评估脊柱中医疗法后患者康复的作用。
