Mesotherapy in the Treatment of Chronic Low Back Pain

• Autor(a) principal: Cunha, João Bernardo; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal
• Data de Publicação: 2019
• Outros Autores: Martins, Ana Úrsula; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal, Marques, Rita; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal, Moreira, Jorge; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal, Baptista, Maria Manuel; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal, Aguiar-Branco, Catarina; Serviço de Medicina Física e Reabilitação, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25759/spmfr.289
• topic: Low Back Pain/therapy; Mesotherapy; Lombalgia/tratamento; Mesoterapia

Introduction: Low back pain is a major cause of chronic pain and one of the most frequent reasons for referral to Physical and Rehabilitation Medicine (PRM)’s consultation. Chronic back pain can lead to significant functional disability and is a common cause of work absenteeism. The main purpose of this study was to evaluate the efficacy of mesotherapy in relieving chronic low back pain and to investigate if that relief has functional impact on the daily life of patients.Methods: A quasi experimental pre post study was conducted on a PRM Department, assessing all patients with chronic low back pain who underwent mesotherapy in the period from March to November of 2014, applying the questionnaires “Brief Pain Inventory” (BPI) and the “Roland Morris Disability Questionnaire” (RMDQ) before and after the four cycles of treatment with mesotherapy with antiinflammatory, local anesthetics and muscle relaxants.Results: We included 26 patients, 80.8% women and 19.2% men, with a mean age of 54.8 years. The most common diagnosis was non-specific low back pain (34.6%). Analyzing BPI, there was a decline of 2.6 points in pain severity scale after mesotherapy, statistically significant finding (p = 0.000). For evaluation of functional impact of pain, assessed by the BPI, there was a decrease of 1.7 points, statistically significant result (p = 0.000). In RMDQ there was a decrease of 4.5 points after mesotherapy (p = 0.000).Conclusion: Although there are few articles in the literature, mesotherapy seems to lead to the relief of low back pain, which provides a better quality of life for patients. Therefore, mesotherapy may be a valid alternative to the conventional approach of low back pain.