Novelty in Biomedicine

Vol. 4 No. 1 (2016)

Comparison between Epidural Block vs. High Intensity Laser Therapy for Controlling Chronic Low Back Pain

Novelty in Biomedicine, Vol. 4 No. 1 (2016), 18 January 2016 , Page 34-40
https://doi.org/10.22037/nbm.v4i1.9352

Abstract

Background: Chronic low back pain is among a wide spread musculoskeletal conditions that is related to disability with high economy cost. There are several treatment modalities for controlling chronic low back pain (CLBP), among them high intensity laser therapy (HILT) and epidural blocks (EB) use more commonly. This study aimed to evaluate the benefits and hazards of each of these two methods.

Materials and Methods: We designed a randomized controlled double blind study during 24 months.101 patients divided in 2 groups (52 in EB and 49 in HILT group). Pain intensity was assessed by using faces pain scales (FPS) and LINKERT questionaries' before procedure and during one, four, 12, and 24 weeks after beginning the procedures.

Results: There were no differences between two groups in FPS lumber tenderness, straight leg rising test (SLRT), paresthesia, deep tendon reflex (DTR), and imaging changes. Motor problems seem was less in HILT group comparing EB.

Conclusion: This study showed both EB and HILT approaches can control the pain intensity and motor activities in CLBP patients. Future studies will clarify the precise importance of each these methods.

Keywords:
  • low back pain
  • pain control
  • high intensity laser therapy
  • epidural block

How to Cite

Radpay, B., Poorzamany Nejat Kermany, M., & Dahi-Taleghani, M. (2016). Comparison between Epidural Block vs. High Intensity Laser Therapy for Controlling Chronic Low Back Pain. Novelty in Biomedicine, 4(1), 34–40. https://doi.org/10.22037/nbm.v4i1.9352

References

Andersson GB. Epidemiological features of chronic low backpain. Lancet. 1999; 354:581–5.

Palmer KT, Walsh K, Bendall H, Cooper C, Coggan D. Backpain in Britain: comparison of two prevalence surveys at an intervalof 10 years. BMJ. 2000; 320:1577–8.

P. Fiore F, Panza G, Cassatella, Russo A. Short term effect of high-intensity laser therapy versus ultrasound therapy in treatment of low back pain:a randomized controlled trial. EUR J PHYS REHABIL MED. 2011; 47:367.

Manchikanti L. Epidemiology of low back pain. PainPhysician. 2000; 3:167–92.

Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP,Ostelo R, Koes BW, van Tulder MW. A systematic reviewon the effectiveness of physical and rehabilitation interventions forchronic non-specific low back pain. Eur Spine J. 2011;20(1):19–39.

Chou R, Atlas SJ, Stanos SP, Rosenquist RW. Nonsurgical interventional therapies for low back pain:a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009; 34:1078-93.

Morrison LM, Emanuelson BM, McClure JH, et al. Efiicasy and kinetics of extradural ropivacaine: comparison with bupivacaine. Br J Anaesth. 1994; 72:164-9.

Brown AW, Weber DC. Physical agent modalities. In: Braddom RL (ed) Physical medicine and rehabilitation. WB Saunders, Harcourt Health Sciences Company, London. 2000;440–58.

Ozdemir F, Birtane M, Kokino S.The clinical efficacy of low power laser therapy on pain and function in cervical osteoarthritis. Clin Rheumatol. 2001; 20:181–4.

Peplow PV, Chung T, Baxter GD. Application of low level laser technologies for pain relief and wound healing overview of scientific bases. Physical Therapy Reviews. 2010;15(4):253–85.

Zati A, Valent A. Physical therapy: new technologies in rehabilitation medicine (translated to English). Edizioni Minerva Medica. 2006:162–85.

Gur A, Karakoc M, Cevik R, Nas K, Sarac AJ, Karakoc M. Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain. Lasers Surg Med. 2003;32(3):233–8.

White AH, Derby R, Wynne G. Epidural injections for the diagnosis and treatment of low back pain. Spine. 1980; 5:78-86.

Scanton Hicks M. Low back pain: opportunities and problems of management. Anasthesiol Intensivemed Notfallmed Schmerztber. 1998; 33:806-9.

Lierz P. Pain management with spinal and epidural analgesia. Acta Anaesth Scand. 1997; 41:186-8.

Lierz B, Gustroff G, Markow P. Comparison between bupivacaine 0.125% and ropivacaine 0.2% for epidural administration to outpatiens with chronic low back pain. European Journal of Anaesthesiology. 2004; 21:32-7.

Hadi M, Ali SV, Isa MZ, Zeidi BM. Low level laser therapy (LLLT) for chronic low back pain (LBP). European Journal of Scientific Research. 2009;29(1):76–81.

Santamato A, Solfrizzi V, Panza F, Tondi G, Frisardi V, Leggin BG, et al. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: a randomized clinical trial. Phys Ther. 2009;89(7):643–52.

Zati A, Valent A. Physical therapy: new technologies in rehabilitation medicine (translated to English). Edizioni Minerva Medica. 2006:162–185.

Salaheldien M, Alayat M, et al. Long-term effect of high-intensity laser therapy in the treatment of patients with chronic low back pain: a randomized blinded placebo-controlled trial. Lasers Med Sci. 2014; 29:1065–73.

Fiore P, Panaz F, Cassatella G, et al. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of low back pain: a randomized control trial. Eur J Phys Rehabil Med. 2011;47:367-73.

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