Volume : 11, Issue : 10, October – 2024

Title:

ADVANCEMENTS IN CHRONIC BACK PAIN MANAGEMENT AND PHYSIOTHERAPY

Authors :

Fatmah Saeed Baqar, Mouhab Rafiq Jamalaldeen, Saud Rajis Aloqayli, Abdulaziz Sharif Adam, Ayman Mohammed Aljehani, Madinh Ahmed Alasiri, Abdulaziz Abdullah Almousa, Maryam Ali Aqdi, Fateh Ammar Kayali, Shatha Ibrahim Alfrasani, Bayan Ibrahim Al Khalaf, Halah Hashem Alnasser, Mohammed Saeed Alshamrani, Ahmed Nabil Mohamed

Abstract :

Background: The term LBP, which stands for low back pain, describes a well-known and intricate condition. It has multiple diagnoses, causes, and treatments. Accurate assessment and treatment selection are vital for each patient. This issue discusses key topics such as differentiating chronic from acute LBP, therapy connections, psychological factors, and the impact of body weight on LBP, especially in youth. Managing chronic pain in physical therapy and rehabilitation requires specialized expertise.
Objective overview of the types, pathogenesis, diagnosis, and management of Back Pain.
Methods: a comprehensive review of Back Pain and therapy. The PUBMED and Google Scholar search engines were the main
databases used for the search process, with articles collected from 1999 to 2024.
Conclusion: the multifaceted management of chronic low back pain (CLBP) has evolved into a sophisticated, patient-centered approach that combines traditional treatments, advanced surgical techniques, minimally invasive procedures, physiotherapy, and personalized care. This comprehensive framework addresses not only the physical aspects of pain but also the significant psychological and social dimensions that exacerbate CLBP. Conventional methods like NSAIDs, physical therapy, and cognitivebehavioral therapy remain foundational, while innovations such as Spinal Cord Stimulation, regenerative therapies, and the Intercept Procedure provide targeted relief for those unresponsive to standard treatments. Physiotherapy interventions, including supervised exercises, hydrotherapy, and manual therapies, enhance mobility and self-management, empowering patients to take an active role in their recovery. The rise of personalized care further enables customized treatment plans tailored to individual needs, supported by digital tools and patient-specific devices that foster effective, long-term management. Together, these integrative approaches underscore the importance of adapting treatment to the complex nature of CLBP, ultimately enhancing the quality of life for those affected and pointing toward a more accessible, effective, and patient-centered future in chronic pain management.
Keywords: low back pain, Classification, Clinical Presentation, Management, Physiotherapy

Cite This Article:

Please cite this article in press Fatmah Saeed Baqar et al., Advancements In Chronic Back Pain Management And Physiotherapy..,Indo Am. J. P. Sci, 2024; 11 (10).

Number of Downloads : 10

References:

1. Vrbanić TS-LJR. Križobolja-OD Definicije do dijagnoze. Low back pain-from definition to diagnosis. 2011;58(2):105-7.
2. Schmidt CO, Kohlmann TJZfOuiG. What do we know about the symptoms of back pain? Epidemiological results on prevalence, incidence, progression, and risk factors. 2005;143(3):292-8.
3. Hay EM, Peat GM. New insights into low back pain in older adults. 2012;153(1):1-2.
4. Smith MT, Carmody TP, Smith MS. Quality of Well-Being Scale and Chronic Low Back Pain. Journal of Clinical Psychology in Medical Settings. 2000;7(3):175-84.
5. Zaniewska R, Okurowska-Zawada B, Kułak W, Domian KJMp. Analysis of quality of life in patiens with low back pain after receiving transcutaneous electrical nerve stimulation (TENS). 2012;63(3):295-302.
6. Schneider C, Hefti M, Landolt H. Quality of Life in Conservatively Treated Lumbar Disc Disease. In: Preedy VR, Watson RR, editors. Handbook of Disease Burdens and Quality of Life Measures. New York, NY: Springer New York; 2010. p. 4071-85.
7. Grabois M. Management of Chronic Low Back Pain. 2005;84(3):S29-S41.
8. Hodges PW, R. Van Dillen L, McGill S, Brumagne S, Hides JA, Moseley GL. Chapter 21 – Integrated clinical approach to motor control interventions in low back and pelvic pain. In: Hodges PW, Cholewicki J, van Dieën JH, editors. Spinal Control: Churchill Livingstone; 2013. p. 243-309.
9. Суслова СЕ, Черненко ОJН, нейропсихиатрия, психосоматика. Современные принципы ведения пациентов с хронической неспецифической люмбалгией. 2014(2):81-5.
10. Jermyn RJJoOM. A nonsurgical approach to low back pain. 2001;101(s42):6-11.
11. Johnson M. Transcutaneous electrical nerve stimulators for pain management. Acupuncture in Manual Therapy: Elsevier; 2010. p. 205-23.
12. Al-Khateeb H. Disc Replacement Surgery. 2006;88(4):419-.
13. Szpalski M, Gunzburg R, Rydevik BL, Le Huec J-C, Mayer HM. Surgery for low back pain: Springer; 2010.
14. Gibson JNA, Grant IC, Waddell G. Surgery for lumbar disc prolapse. Cochrane Database of Systematic Reviews. 2000(3).
15. Sundararaj GD, Venkatesh K, Babu PN, Amritanand R. Extended Posterior Circumferential Approach to Thoracic and Thoracolumbar Spine. Operative Orthopädie und Traumatologie. 2009;21(3):323-34.
16. Brown FD. Neurosurgical Approaches to Chronic Pain. In: Camic PM, Brown FD, editors. Assessing Chronic Pain: A Multidisciplinary Clinic Handbook. New York, NY: Springer New York; 1989. p. 170-83.
17. Guo S, Brown K, Grindle G, Zipfel E. Spinal Cord Stimulation System. Wiley Encyclopedia of Biomedical Engineering.
18. Krames ES. The Dorsal Root Ganglion in Chronic Pain and as a Target for Neuromodulation: A Review. Neuromodulation. 2015;18(1):24-32.
19. Hong A, Varshney V, Hare GM, Mazer CDJC. Spinal cord stimulation: a nonopioid alternative for chronic pain management. 2020;192(42):E1264-E7.
20. Ravid E, Prochazka A. Controlled Nerve Ablation With Direct Current: Parameters and Mechanisms. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2014;22(6):1172-85.
21. Van de Meent H. Regenerative Therapy for Spinal Cord Injury. CNS Drugs. 1999;12(2):93-8.
22. Onac IA, Moldovan AR, Onac I, Igna R, Pop LJJoC, Psychotherapies B. Medication, physiotherapy and Cognitive Behavior Therapy for the treatment of chronic back pain: A clinical trial. 2012;12(1).
23. Wells PE, Frampton V, Bowsher DJ. Pain management in physical therapy. 1988.
24. Simmonds MJ. 78 PHYSIOTHERAPY IS NO MORE EFFECTIVE THAN SIMPLE ADVICE FOR LOW BACK PAIN, … OR IS IT? 2006;10(S1):S23-S.
25. Hui D, Bruera E. A Personalized Approach to Assessing and Managing Pain in Patients With Cancer. 2014;32(16):1640-6.
26. Houglum PA. Therapeutic exercise for musculoskeletal injuries: Human Kinetics; 2018.
27. Watson SR. Personalized low back support device. Google Patents; 1984.
28. Rudin NJJW-M-. Chronic pain rehabilitation: principles and practice. 2001;100(5):36-43.
29. Manchikanti L, Rivera JJ, Pampati VJ, Beyer C, Damron K, Barnhill RCJPP. Effectiveness of clinical guidelines in interventional pain management. 2002;5(2):127.