Category: Studies

Lumbosacral pain caused by blockage of dynamic vertebrogenic segments of thoracolumbar transition

Muris Pecar

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

Dijana Avdić

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

Džemal Pecar

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

DOI: https://doi.org/10.17532/jhsci.2011.137

Keywords: trigger finger, conservative therapy, corticosteroids

Abstract

Introduction: Trigger Finger (tenosynovitis stenosans) is a specific, named disease from a group of repetitive strain injury (RSI) diseases, caused by inflammation which results in difficulties during muscle contraction and weakened and painful tendon movement. It is common in the outpatient physical medicine and rehabilitation practice. The aim of our study was to evaluate the success of conservative treatment of Trigger Finger by local instillation of corticosteroids.

Methods: The study was designed as an observational and open analysis of the results of conservative treatment of 45 patients. We used precise instillation of steroid anti-inflammatory antirheumatic drugs in the area of patho-anatomic, microtraumatic injuries of tendon and its sheath. Patients were evaluated before and after the treatment with 0 to 5 evaluation score scale. The data were analyzed using X2 test.

Results: Most of the patients had evaluation score of 2, 3 and 4, before the treatment. After the treatment 10 (29%) patients had achieved score 4 and 35 (71%) patients had achieved score 5. All of the patients with score 5 had excellent working ability with full working capacity. Other patients had well-preserved working ability, which improved to excellent in maximum of 7 days.

Conclusions: Conservative treatment of Trigger finger shows good therapeutic effects and taking into account the benefits, convenience and generally lower cost of conservative treatment for the patient, should be considered as an effective alternative to surgical treatment.

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Evaluation of the conservative treatment of Trigger finger by local instillation of corticosteroids

Muris Pecar

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

Dijana Avdić

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

Džemal Pecar

Faculty of Health Studies, University of Sarajevo, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina

DOI: https://doi.org/10.17532/jhsci.2011.137

Keywords: trigger finger, conservative therapy, corticosteroids

Abstract

Introduction: Trigger Finger (tenosynovitis stenosans) is a specific, named disease from a group of repetitive strain injury (RSI) diseases, caused by inflammation which results in difficulties during muscle contraction and weakened and painful tendon movement. It is common in the outpatient physical medicine and rehabilitation practice. The aim of our study was to evaluate the success of conservative treatment of Trigger Finger by local instillation of corticosteroids.

Methods: The study was designed as an observational and open analysis of the results of conservative treatment of 45 patients. We used precise instillation of steroid anti-inflammatory antirheumatic drugs in the area of patho-anatomic, microtraumatic injuries of tendon and its sheath. Patients were evaluated before and after the treatment with 0 to 5 evaluation score scale. The data were analyzed using X2 test.

Results: Most of the patients had evaluation score of 2, 3 and 4, before the treatment. After the treatment 10 (29%) patients had achieved score 4 and 35 (71%) patients had achieved score 5. All of the patients with score 5 had excellent working ability with full working capacity. Other patients had well-preserved working ability, which improved to excellent in maximum of 7 days.

Conclusions: Conservative treatment of Trigger finger shows good therapeutic effects and taking into account the benefits, convenience and generally lower cost of conservative treatment for the patient, should be considered as an effective alternative to surgical treatment.

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Lumbosacral pain caused by blockage of dynamic vertebrogenic segments of thoracolumbar transition

Sead Čebić, Džemal Pecar, Muris Pecar, Suad Sivić

Abstract

Introduction: In the case of the Thoraco-lumbar Junc-tion Syndrome the pain is located in the region of the lumbo-sacral junction. Sudden torsion movements and lifting of objects while the spine is in position of torsion is the cause in most cases. In those cases, a blockade on the Th11-Th12-L1 vertebrae occurs. The aim of this research was to determine the number of patients with the Low Back Pain whose origin is in the thoracic verte-bral dynamic segments, in relation to the total number of patients according to gender, age and profession.

Methods: In this retrospective, descrtiptive study we have analyzed patients treated for Lumbosacral syn-drome of thoracic origin in private specialist ambulant “Cebic” in Zavidovici during one year period. We analyzed data from patients medical records and history.

Results: Total of 1882 patients were treated for the Low Back Pain, of which 67 (3.56%) had an origin of the pain in the Thoraco-lumbar Junction. In the analyzed group, there were 49 (73.1%) man and 18 (26.8%) women. The largest number of males, 21 (42.8%), were between 40-49 years old, while the largest number of woman, 9 (50%), was 20 to 29 years old. Largest number of male patients, 35 (71.8%), were physical workers, while most of the female subjects, 7 (38.8%), were of ce workers.

Conclusions: Our research concludes that the num-ber of patients with Low Back Pain of the thoracic origin (3.56%) is not disregarded, but these facts are usually overlooked. Therapy for those kinds of patients is in most cases concentrated to the lower segments of the lumbar spine, which gives unsatisfactory therapeutic results.

© 2011 University of Sarajevo Faculty of Health Studies

Keywords: Low Back Pain, Thoraco-lumbar Junction, Manipulation

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The role of a dry needling technique in pain reduction

Eldad Kaljić, Namik Trtak, Dijana Avdić, Samir Bojičić, Bakir Katana, Muris Pecar

Department of Physiotherapy, Faculty of Health Studies University of Sarajevo, Sarajevo, Bosnia and Herzegovina

ABSTRACT

Introduction: Dry needling is a therapeutic procedure using the insertion of thin needles through the skin into myofascial trigger points (MTrPs), muscular or connective tissue with the aim to reduce pain intensity. The objective of this systematic review is to analyze the literature for the efficacy of the dry needle tech-nique in pain reduction in conditions of musculoskeletal pain caused by MTrPs.

Reference Sources: Web of Science, Scopus and EBSCOhost database were searched for studies and e-books published from January 2010 to December 2018.

Studies Selection: We included randomized controlled studies, prospective and longitudinal studies, and case studies which analyzed the efficacy of dry needling for musculoskeletal pain reduction.

Data Extraction Method: The studies, which satisfied criteria for inclusion were further analyzed. The primary instrument of the evaluation was pain intensity analyses.

Results: Dry needling treatment is efficient in pain intensity reduction in patients who suffer musculoskel-etal pain and is more efficient compared to sham dry needling treatment. In addition, different techniques of dry needling are efficient in the treatment of myofascial pain syndrome.

Conclusion: Based on systematic review of the literature, dry needling, independently or as an addition to other intervention, is recommended for treatment of musculoskeletal pain conditions caused by myofas-cial trigger points. Various techniques of dry needling treatment are almost equally efficient in myofascial pain intensity reduction.

Key words: Dry needling; myofascial pain syndrome; pain intensity; trigger poin

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Influence of Motion Therapy in the Prevention of Lumbar Pain Syndrome Relapse

Eldad Kaljic, Dijana Avdic, Emira Svraka, Mirsad Muftic, Muris Pecar, Amra Macak-Hadziomerovic, Namik Trtak

ABSTRACT

Introduction: Lumbar pain syndrome is one of the most common conditions in clinical practice, more common than 290 other pathological conditions, which affect up to 84% of adults
in a certain period of their life. The origin of the lower back pain can be classified as mechanical, neuropathic and secondary due to another illness. Patient education and information, muscle strengthening exercises, maintenance of routine daily physical activity and pain therapy are the basis of acute non-specific pain syndrome therapy.

Aim: To determine the success of the motion therapy procedure in the prevention of lumbar pain syndrome relapse.

Material and methods: The research is prospective, longitudinal, manipulative and controllable. It was conducted in the private practice “Praxis – dr. Pecar” in the period from June 20, 2014 to June 1, 2016, and included 200 respondents with symptoms of lumbar pain syndromes divided into the experimental (n=100) and control (n=100) groups. The presence of lumbar pain syndrome relapse in respondents experimental and control group was recorded in the second and third clinical examination.

Results: In the second examination, 4 (4%) of the respondents from experimental group and 37 (37%) of the control group responded had LBS relapse. In the third examination, the number of respondents with recurrent LBS in the experimental group was 4 (4%), while in the control group was 17 (17%). After the study, no statistically significant difference was observed in the mean age of respondents who had LBS relapse compared to respondents without LBS relapse, as well as significant influence of sex structure on relapse in the experimental and control group during the second and third examination.

Conclusion: After the second examination, the relapse rate in the experimental group was statistically significantly higher in the respondents withstanding jobs, while there was no statistically significant difference in the control group and both groups after the third examination.

Keywords: relapse prevention, lumbar pain syndrome, motion therapy.

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