Rehabilitation Following Lumbosacral Percutaneous Nucleoplasty: A Case Report

Puentedura, Emilio J.; Brooksby, Candi; Wallmann, Harvey W.; Landers, Merrill R.

doi:10.2519/jospt.2010.3115

Cited by 24 publications

(6 citation statements)

References 63 publications

(63 reference statements)

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“…The current best-evidence supports the therapeutic effect of neuroscience education with studies showing TNE providing strong evidence for reducing pain, disability, pain catastrophization, and limited movement (Louw, Diener, Butler, and Puentedura, 2011;Moseley, 2002;Moseley, 2004;Moseley, Nicholoas, and Hodges, 2004). In line with the emerging evidence for TNE, studies associated with the utilization of TNE have focused on a variety of disorders including: chronic low back pain (Moseley, 2002;Moseley, 2004;Moseley, Nicholas, and Hodges, 2004); lumbar surgery (Louw, Diener, Landers, and Puentedura, 2014;Puentedura et al, 2009); whiplash associated disorders (Van Oosterwijck, Nijs, Meeus, and Paul, 2011); and chronic fatigue syndrome (Meeus et al, 2010). With clinical application of TNE to various conditions, interest also shifted to a greater understanding of the educational delivery methods and content (Gallagher, McAuley, and Moseley, 2013;Louw, 2014;Louw, Diener, Butler, and Puentedura, 2011).…”

Section: Introductionmentioning

confidence: 98%

Listening is therapy: Patient interviewing from a pain science perspective

Diener

Kargela

Louw

2016

Physiotherapy Theory and Practice

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The interview of a patient attending physical therapy is the cornerstone of the physical examination, diagnosis, plan of care, prognosis, and overall efficacy of the therapeutic experience. A thorough, skilled interview drives the objective tests and measures chosen, as well as provides context for the interpretation of those tests and measures, during the physical examination. Information from the interview powerfully influences the treatment modalities chosen by the physical therapist (PT) and thus also impacts the overall outcome and prognosis of the therapy sessions. Traditional physical therapy focuses heavily on biomedical information to educate people about their pain, and this predominant model focusing on anatomy, biomechanics, and pathoanatomy permeates the interview and physical examination. Although this model may have a significant effect on people with acute, sub-acute or postoperative pain, this type of examination may not only gather insufficient information regarding the pain experience and suffering, but negatively impact a patient's pain experience. In recent years, physical therapy treatment for pain has increasingly focused on pain science education, with increasing evidence of pain science education positively affecting pain, disability, pain catastrophization, movement limitations, and overall healthcare cost. In line with the ever-increasing focus of pain science in physical therapy, it is time for the examination, both subjective and objective, to embrace a biopsychosocial approach beyond the realm of only a biomedical approach. A patient interview is far more than "just" collecting information. It also is a critical component to establishing an alliance with a patient and a fundamental first step in therapeutic neuroscience education (TNE) for patients in pain. This article highlights the interview process focusing on a pain science perspective as it relates to screening patients, establishing psychosocial barriers to improvement, and pain mechanism assessment.

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Section: Introductionmentioning

confidence: 98%

Listening is therapy: Patient interviewing from a pain science perspective

Diener

Kargela

Louw

2016

Physiotherapy Theory and Practice

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“…Writing a perspectives paper on the clinical application of PNE is far more daunting than a report of, or review of, the evidence for PNE. The aforementioned proposal of clinical application of PNE is a combination of previous proposals , past experiences (Butler, 2000;Gifford, 2014), summary of educational delivery methods , various case studies reporting on clinical utilization of PNE (Louw, 2014;Louw, Puentedura, and Mintken, 2012;Puentedura, Brooksby, Wallmann, and Landers, 2009;Zimney, Louw, and Puentedura, 2014) and textbooks written by authors researching PNE (Butler and Moseley, 2003;Gifford, 2014;Moseley, 2007b). There is no doubt that a perspectives paper such as this will receive criticism, and needs to be recognized for the level of evidence it provides and its role in evidencebased medicine (Burns, Rohrich, and Chung, 2011).…”

Section: Resultsmentioning

confidence: 97%

The clinical application of teaching people about pain

Louw

Zimney

O'Hotto

et al. 2016

Physiotherapy Theory and Practice

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Teaching people about the neurobiology and neurophysiology of their pain experience has a therapeutic effect and has been referred to as pain neuroscience education (PNE). Various high-quality randomized controlled trials and systematic reviews have shown increasing efficacy of PNE decreasing pain, disability, pain catastrophization, movement restrictions, and healthcare utilization. Research studies, however, by virtue of their design, are very controlled environments and, therefore, in contrast to the ever-increasing evidence for PNE, little is known about the clinical application of this emerging therapy. In contrast, case studies, case series, and expert opinion and perspectives by authorities in the world of pain science provide clinicians with a glimpse into potential "real" clinical application of PNE in the face of the ever-increasing chronic pain epidemic. By taking the material from the randomized controlled trials, systematic reviews, case series, case studies, and expert opinion, this article aims to provide a proposed layout of the clinical application of PNE. The article systematically discusses key elements of PNE including examination, educational content, and delivery methods, merging of PNE with movement, goal setting, and progression. This perspectives article concludes with a call for research into the clinical application of PNE.

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“…Ethanol produces a molecuar scission of proteoglycans and glycosaminoglycans of the nucleus pulposus which leads to a loss of water-retaining capacity of these components. Therefore, the dehydration and chemical decompression of the disc occurs with the alleviation of the nerve root compression caused by the herniation [5].…”

Section: Resultsmentioning

confidence: 99%

A New Approach to Lumbar Disc Herniation (LDH) Treatment Using Dekompressor Device in Combination with 99.3 % Pure Ethanol

Constantin¹,

Cinca²,

Albulescu³

et al. 2019

Rev. Chim.

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In the past decade the treatment of lumbar disc herniation has gained more and more popularity throuth minimally invasive procedures. Therefore, we outline a new type of treatment which consists of the combination of two interventional techniques: the utilization of mechanical decompression with the dekompressor device followed by the addition of 99,3 % pure alcohol (C2H5OH) . Furthermore, with a success rate of 100% in our center , this interventional procedure has proved to be a very effective minimally invasive method in the treatment of lumbar disc herniation.

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Rehabilitation Following Lumbosacral Percutaneous Nucleoplasty: A Case Report

Cited by 24 publications

References 63 publications

Listening is therapy: Patient interviewing from a pain science perspective

Listening is therapy: Patient interviewing from a pain science perspective

The clinical application of teaching people about pain

A New Approach to Lumbar Disc Herniation (LDH) Treatment Using Dekompressor Device in Combination with 99.3 % Pure Ethanol

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