Global Journal For Research Analysis (GJRA) volume - 10, issue - 06, june- 2021 • print issn no. 2277 - 8160 • doi :10.36106/gjra
Background: Back pain with or without lumbosacral radicular pain is the most common pain condition.
seen by doctors. Aim: To evaluate results of multidisciplinary treatment for low back pain and lumbosacral radicular pain. Material and Methods: This prospective follow study was carried out at private in Pune city of India. Follow up of the patients, who underwent multidisciplinary treatment for low back pain and lumbosacral radicular pain done for over the period after obtaining written informed consent of the patients. Patients underwent Transforaminal epidural injection with Fluoroscopy guidance at level of disc herniation causing nerve compression followed by 12 days' rest. After 12 days, patient underwent multidisciplinary therapy as per protocol which included, physiotherapy, ergonomics, nutritional guidance, psychological counselling and complementary therapy. Statistical analysis: Data was analysed by using statistical software Primer of Biostatistics. Measurements were expressed as means and standard deviations for continuous variables and percentages for categorical variables and was analysed. Pre- and postoperative interventional values were compared using the one way Analysis of Variance (ANOVA) test. A p value less than 0.001 was considered statistically significant. Results: Total 520 patients were included in the study. Mean follow up of the patient was 4.7 years (SD=3.6 years). Total female patients were 288 (55.38%) and male patients were 232 (44.62%). Straight leg raise (SLR) for right and left leg was significant for all patients (p<0.001). The improvement in neurodeficit for L3L4 (right and left leg) was significant among those having neurodeficit (p<0.001). Neurodeficit involving L4L5 had statistically significant improvement (p<0.001). Patients with neurodeficit involving L5S1 also showed statistically significant improvement (p<0.001). Patients with neurodeficit affecting S1S2 showed statistically significant improvement (p<0.001). Patients had significant improvement in pain scores (Numerical rating scale) (p<0.001). Lumbar spine movements, namely, Flexion, Extension, Lateral rotation improved significantly post treatment. Oswestry Disability Index (ODI) scores improved after treatment (p<0.001). Conclusion: Innovative multidisciplinary approach was found to be effective in for low back pain and lumbosacral radicular pain.