Aim: Isometric and Core strengthening exercises for lower back pain provides relief to patients, whereas combing it with analgesics also provides relief of pain, thereby in this study the efficacy of isometric and core strengthening exercises alone is evaluated. Method: A cross-sectional study involving 200 subjects was conducted in the OPD of department of Orthopaedics, Saveetha Medical college and hospital. Assessment of lower back pain was done using ODI (Oswestry Disability Index) among patients receiving Isometric and Core strengthening exercises with and without analgesics for a period of 3 months. Results: There is no significance difference in the reduction of pain among group A who received analgesics along with isometric and core strengthening exercises and group B who received only isometric and core strengthening exercises. Conclusion: Isometric and core strengthening exercises alone is as effective as its combination with analgesics.
Background: Frozen Shoulder is known to be a painful condition affecting the shoulder joint that results in significant loss of range of motion. A number of published comprehensive studies have suggested the different modalities of treatment. In this study, we focussed on the effect of exercise on enhancing the restricted motion and reducing the severity of pain. Objective: The objective is to study the influence of exercise on range of motion and pain severity in Frozen shoulder patients. Materials and Methods: Thirty patients diagnosed with Periarthritis Shoulder were selected from orthopaedic outpatient in Saveetha Medical College, Chennai. These patients were randomly divided in two groups, receiving analgesics as well as exercises and another receiving only analgesic. They were assessed using the Visual Analogue Scale for the severity of their pain and range of motion with a Goniometer and results noted. Results: The group receiving exercise in addition to analgesics showed greater reduction in pain severity and range of motion. Conclusion: Physical exercise of the Shoulder joint helps in restoring the mobility and relieves stiffening of the muscles and hence should be added as the mainstay of treatment with pain relief.
Introduction: Low back ache is one of the most common causes of physical constraints at work, affecting around 80 percent of the population. Mechanical low back ache and disc prolapse are more seen in younger population while lumbar spinal stenosis and lumbar spondylosis are more common in middle-aged and older patients. The purpose of the study was to determine the short-term functional outcome following Bupivacaine & Triamcinolone through transforaminal route in chronic disc prolapse. Time between onset of symptoms and injection ranged between 2 -12 months. Methodology: A prospective study of 30 patients with chronic low back ache with radiating pain who were well distributed based on age, sex, gender, radiating side and root involved. Patients were treated by transforaminal epidural injection under fluoroscopy guidance with combination of Triamcinolone and bupivacaine. Results: Post injection, functional outcomes were evaluated using VAS, LBPRS and ODI score at 2 weeks, 6 weeks, 3 and 6 months. Conclusion: In our study, there was a statistically significant improvement in the 6-month post TFESI VAS score, ODI score and LBPRS scores compared to the baseline. In conclusion, bupivacaine with triamcinolone is safe and effective in the treatment of chronic disc prolapse patients.
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