چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| سکینه گلجاریان | اول |
| بهرام امیرشاکری | دوم |
| جلال احدی | چهارم |
| عباس سلطانی صومعه | پنجم |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Introduction: Unsuccessful lumbar surgery syndrome is a general term to describe a condition in which the patient's pain and symptoms do not disappear or recur after lumbar surgery and do not necessarily mean a problem in surgery. Case study: A 39-year-old man referred to physiotherapy in September 1998. He had specific back pain and a L5-S1 disc herniation on the left side 5 years before the visit. After 4 years, he underwent laminectomy and herniotomy and 4 months after surgery with partial improvement of pain, the patient's pain symptoms, especially in the lower extremities, resumed without any reason or action. MRI images showed severe extrusion at the same level. Because of pain its effect on quality of life, daily activities and medication, the patient was a candidate for reoperation with fixation. Physiotherapy was started to reduce symptoms and prevent re-surgery. Methods: The 4-step treatment program consisted of a combination of electrotherapy, neurodynamic techniques, soft tissue release, vertebral mobilization, Mackenzie exercises, stabilization exercises as well as strengthening of gluteal muscles, transverse abdominis, internal and external oblique muscles. The program was done for 8 months. Results: At the end of treatment sessions, the pain scale decreased from 8 to 2. The patient reported no pain while sitting, standing, or walking. The diagnostic tests for disc herniation were negative. Disc herniation and recovery from 45% to 13% were also seen on MRI images. |
| کلمات کلیدی | Unsuccessful Lumbar Surgery Syndrome, Physiotherapy, Disc Recovery, Neurodynamic, Mackenzie Exercises |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| amirshakeri pt1400.docx | 1400/11/16 | 15650 | دانلود |
| PT congress 1400.jpg | 1400/11/16 | 130102 | دانلود |
