Brunner, Melanie and Schwarz, Timo and Zeman, Florian and Koenig, Matthias and Grifka, Joachim and Benditz, Achim (2018) Efficiency and predictive parameters of outcome of a multimodal pain management concept with spinal injections in patients with low back pain: a retrospective study of 445 patients. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 138 (7). pp. 901-909. ISSN 0936-8051, 1434-3916
Full text not available from this repository. (Request a copy)Abstract
Low back pain is one of the most common diseases of modern civilization. Multimodal pain management (MPM) represents a central approach to avoiding surgery. Short-term results are published rarely and often incomparable because of different treatment concepts. This study compared the subjective and objective parameters as well as the anamnestic and clinical parameters of 445 patients with low back pain before and after inpatient MPM to investigate the influence of this type of therapy on short-term outcome. The majority of patients were very satisfied (39%) or satisfied (58%) with the treatment outcome. The median pain reduction for back pain was 3.0 (IQR 2.88) (numeric rating scale, NRS), thus 66% and 2.75 (IQR 3.38, 62%) for leg pain. The main pain reduction occurred within the first 10 days of treatment and was clinically significant from day 5 onwards. The outcome for patients with hospitalization of more than 10 days was significantly worse. The parameters female sex, BMI of > 30, local pain, and pain duration of 3-24 months had a significantly better outcome. In contrast, age, treatment cause, depression, anxiety, and other diseases had no statistically significant influence on outcome. MPM therapy for more than 5 days seems to be an efficient short-term approach to treating low back pain. Knowledge of some of the outcome predictors helps to early identify patients who require more intensive individual care. In the case of no clear indication for surgery, MPM can be an appropriate treatment option.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LUMBAR; SCALE; Lumbar spinal stenosis; Multimodal therapeutic treatment; Spinal injection; Injection therapy; Conservative treatment |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Mar 2020 08:28 |
| Last Modified: | 09 Mar 2020 08:28 |
| URI: | https://pred.uni-regensburg.de/id/eprint/14360 |
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