Title: Efficacy of Ozone Neucleoplasty against Physiotherapy in Cases of Chronic Discogenic Low Back Pain
Authors: Dr Sourav Iswarari, Dr Dibyendu Das, Dr Mouli Madhav Ghatak, Dr Susanta Kumar Gauri, Dr Jayanta Kumar Rout
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.46
Abstract
Objectives: Efficacy of ozone neucleoplasty against physiotherapy in cases of chronic discogenic low back pain.
Methods: This is an open level prospective study, involving patients with chronic low back pain of more than 6 weeks. On diagnosis made by imaging and clinics as per published protocol we selected 383 consecutive patients for ozone neucleoplasty whereas consecutive 145 patients were enrolled for physiotherapy. Only 283 and 56 patients completed ozone Neucleoplasty and physiotherapy studies in NRSMC&H and TRA Hospitals respectively. Ozone Neucleoplasty had 49.12% female, 50.88% male with 51.78% female and 48.21% male patients undergoing physiotherapy. Pre treatment assessments were done and followed up at 3 weeks, 3 months and 6 months in 10 point VAS & ODI scales. Results were analyzed to see the effect of treatment on the selected cohort.
For both the treatments, the average VAS scores reduce substantially after 3rd week after which it plateaus off, paired t-test were applied at said time points, statistically significant reduction of VAS & ODI scores were observed at 3 weeks but reduction was not significant when we paired VAS at 3week and 3month, 3 month and 6 month. It is noted that 59.36% of the patients undergoing Neucleoplasty experience excellent reduction in VAS score whereas only 3.57% of the patients undergoing physiotherapy experience excellent reduction (≥ 50 %) in VAS score after 3 weeks. Most of the patients (48.21%) under physiotherapy achieve only nominal improvement after 3 weeks in terms of reduction of VAS score. The results of (chi-square) test show that the amount of reduction of VAS score depends on the type of treatment given to a patient. However, effectiveness of treatment modalities does not depend on age or gender variable.
Conclusion: Both Neucleoplasty and physiotherapy helps in reducing pain and disability scores significantly, but Neucleoplasty emerged as the better treatment option. Both the treatment were found independent of age and sex variable.
Keywords: Chronic, discogenic, low back pain, ozone, neucleoplasty, physiotherapy.
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