Effectiveness of neural therapy in patients with neck pain or low back pain, of rehabilitation unit, 2016
DOI:
https://doi.org/10.28957/rcmfr.v27n1a2Keywords:
pain, neural therapy, neck pain, low back pain.Abstract
Objective: 1) To evaluate the effectiveness of neural therapy (NT) with procaine 1% compared to placebo. 2) To compare segmental NT with and without treatment interference fields in patients with neck pain or low back pain, of physical medicine and Rehabilitation Unit.
Materials and methods: Controlled clinical trial, randomized, single-blind, in patients with neck pain or low back pain, mechanical cause, without fibromyalgia, without allergy to local anesthetics, or simultaneous physical therapy. Intervention: 3 sessions weekly with procaine 1% or placebo (SSN0.9%) under the technique of intradermal papules, starting with segmental therapy and drifting to management interference fields according segmental phenomenon presented. Evaluation at 0, 7, 14 and 21 days, measuring AVS and consumption of medicines. Additionally, functionality scale was applied at the beginning and at the end of treatment.
Results: 66 patients, 83% female, median 41 years, 47% treated with placebo, 53% with procaine. Initial vas 5.85 (SD ± 1.72) and final 2.16 (SD ± 1.72), with significant improvement in favor of NT with procaine in all measurements (p <0.001). Functionally improvement for NT with procaine (p <0.001), low back pain group (p <0.001) and treated with interference fields (p <0.001). There was no difference in consumption medicines between groups. Few adverse events were presented and it had spontaneous resolution.
Conclusion: NT proved to be effective and safe in the treatment of neck pain and low back pain, and improve the functionality of patients with low back pain and treated with interfering fields.
Author Biographies
Diana Marcela Villamizar Olarte
Daicy Rojas de Rangel
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