Effectiveness of mono and combined pharmacotherapy in patients with low back pain
PDF (Українська)

Keywords

pain intensity
vital functions
theramin
sustamar
tenoxicam

How to Cite

Shmanko, V., Dzikh, I., & Shmanko, O. (2023). Effectiveness of mono and combined pharmacotherapy in patients with low back pain. Medicine Today and Tomorrow, 92(4), 47-54. https://doi.org/10.35339/msz.2023.92.4.sds

Abstract

Nowadays, lower back pain (LBP) has reached the level of a pandemic in advanced countries. The pathology restricts patients' activity, adversely affects their daily activities, and is a reason for frequent visiting doctors of various specialties. This is due to debilitating course of disease and, not infrequently, to the lack of therapeutic improvement resulting in the reduction of the life quality. Therefore, search for new approaches to eliminate pain syndrome and to improve patients' vital functions is both relevant and appropriate. The objective of this study was to determine the efficiency of separate and combined use of theramin, a medical food; sustamar, a herbal remedy; tenoxicam, a non-steroid anti-inflammatory drug in the patients with chronic lower back pain of vertebral genesis. Altogether, 140 patients with LBP were evaluated. They all were divided into 7 groups: group 1 – healthy persons (controls); group 2 – LBP patients before treatment; group 3 – patients who received theramin; group 4 – those who were given tenoxicam; group 5 – patients who received sustamar; group 6 – theremin and tenoxicam therapy; group 7 – sustamar and tenoxicam. Intensity of pain syndrome in LBP patients was found to be very severe, as indicated by the Visual Analogue Scale indicator, which increased 8.8 times as compared to the control group. This in turn resulted in considerable deterioration of these patients' vital functions that was confirmed by Oswestry Disability Index and Roland-Morris scale indicator, which increased by 27.4 and 18.1 times, respectively. The use of theramin, tenoxicam, and sustamar is efficient for the elimination of pain syndrome in LBP patients, thus positively affecting their vital functions. Theramin and tenoxicam combination was found to be more effective in comparison with that of tenoxicam and sustamar (p<0.05) regarding ability to relieve pain syndrome in LBP patients. What concerns the effect on the vital functions of LBP patients, drug combinations were almost identical, however reliably superior to their separate use.

Keywords: pain intensity, vital functions, theramin, sustamar, tenoxicam.

https://doi.org/10.35339/msz.2023.92.4.sds
PDF (Українська)

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