A novel approach for failed lumbar spine surgery with topical phytotherapeutic treatment: a unique case study
Abstract
Objective: The aim of the study was to treat successfully the failed Lumbar Spinal Fusion Surgery (LSFS) with topical phytotherapy within twelve-week.
Methods: A male patient, aged 45years, was cripple with acute pain due to slipped disc for 4years and subsequently undergone LSFS at L4-L5 3years back. Being failed in surgery, he was treated with topical application of phytoextracts of seven medicinal plants (Cissus quadrangularis, Calotropis gigantea, Zingiber officinalis, Rosemarinus officinalis, Boswellia serratia, Curcuma longa and Withania somnifera) mixed with sesame oil and beeswax with specialized technique for twelve-week.
Results: The percentages of improvement in international-approved pain related abnormalities and overweight were observed after post-treatment: Visual Analogue Scale (VAS) (Right leg: 94.91, Left leg: 94.87 and Lower back: 93.62), WOMAC index (Pain: 88.23, Stiffness: 84.71 and Physical function: 74.07), Oswestry Disability index (ODI) (74.47), Lower Extremity Functional Scale (LEFS) (62.50), Karnofsky Performance Scale (KPS) (80.00) and Body Mass Index (BMI) (11.93) and substantial improvement in radiological images as assessed by KL grading scale (≥ 2).
Conclusion: Results showed the failed LSFS at L4-L5 can be successfully treated with specialized topical phytotherapy within twelve-week, evidenced by normalization of international acclaimed pain parameters such as VAS, WOMAC index, ODI, LEFS, KPS and BMI and radiological feature as assessed by KL grading scale.
Key word: Intervertebral disc degeneration; Failed spine surgery; Phytoextracts; Phytotherapy for failed LSFS; Medicinal plants
DOI
https://doi.org/10.22270/jddt.v8i6-s.2214References
Heliovaara M, Risk factors for low back pain and sciatica, Ann Med, 1989; 21:257-264.
Wu ZS, Zhen S, Wang TY, Ye SB, Surgery 5th edn. In: Beijing: Ren Min Wei Sheng Chu Ban She; 2003. 875-878.
Pan HJ. Biomechanics analysis on lumbar intervertebral nucleus pulposus outstanding disease, China J Spor Med, 2002; 21:138-140.
Freynhagen R, Baron R, Gockel U, Tolle TR, PainDETECT: A new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin, 2006; 22:1911-1920.
Hoy D, Bain C, Williams G, March L, Brooks P, et al. A systematic review of the global prevalence of low back pain, Arthritis Rheum, 64; 2012; 2028-2037.
Chen R, Xiong J, Chi Z, Zhang B, Heat-sensitive moxibustion for lumbar disc herniation: a meta-analysis of randomized controlled trials, J Tradit Chin Med, 2012; 32:322-328.
Jain N, Slip disc with sciatica-Newer non-surgical treatment, Journal of International Medical Sciences Academy, 2013; 26:249-251.
Li Y, Fredrickson V, Resnick DK, How should we grade Lumbar disc herniation and nerve root compression? A systematic review, Clin Orthop Relat Res, 2015; 473:1896-1902.
Lawrence JS, Disc degeneration. Its frequency and relationship to symptoms, Ann Rheum Dis, 1969; 28:121-138.
Schmorl G, Junganns H, Die gesunde und kranke Wirbelsaule in Rontgenbild und Klinik. Gebundenes Buch; 1951.
Ganguly A, Ganguly D, Aberrant Biomarkers, Leg Anatomy and Pain Parameters are the Risk Factors in Lumbar-Herniated Disc: a Novel Diagnostic Protocol, J Orthopedics Rheumatol, 2018; 5(2):11.
Ganguly A, Ganguly D. Evidence-based tropical phytotherapeutic treatment protocol for lumbar slipped disc: An approach with biochemical, anatomical, functional disability and radiological parameters, IOSR Journal of Dental and Medical Sciences, 2018; 17(9):01-20.
Elgafy H, Vaccaro AR, Chapman JR, Dvorak MF, Rationale of revision lumbar spine surgery, Global Spine J, 2012; 2:7-14.
Ganguly A, Tropical phytotherapeutic treatment for achieving knee symmetry in osteoarthritis - A sustainable approach, Int J Phytomedicine, 2015a; 6:489-509.
Ganguly A, Obtaining normal flexion and extension of knee joints on supine, prone and standing position in osteoarthritis by topical phyto-theraputic treatment irrespective of age and sex, Int J Phytomedicine, 2015b; 7:290-301.
Ganguly A, Normalization of varus/valgus deformities in osteoarthritis by external application of phytoconstituents: confirmed with anatomical observations and biochemical profiles and radiological images, Anat Physiol, 2016; 6:224.
Belcaro G, Dugall M, Luzzi R, Hosoi M, Ledda A, et al. Phytoproflex®: supplementary management of osteoarthrosis: a supplement registry, Minerva Med, 2018; 109:88-94.
Wang Q, Pan X, Wong HH, Wagner CA, Lahey LJ, et al. Oral and topical boswellic acid attenuates mouse osteoarthritis, Osteoarthritis and Cartilage, 2014; 22:128-132.
Ramadan G, Al-Kahtani MA, El-Sayed WM, Anti-inflammatory and anti-oxidant properties of Curcuma longa (turmeric) versus Zingiber officinale (ginger) rhizomes in rat adjuvant-induced arthritis, Inflammation, 2010; 34:291-301.
AI-Bahtiti NH, A study of preservative effects of sesame oil (Sesamum indicum L.) on mashed potatoes, Int J Sci Res Innovative Technol, 2015; 2:6-10.
Berit D, Ingrid W, Anders B, Effect of active hand exercise and wax bath treatment in rheumatoid arthritis patients, Arthritis Care Res, 1992; 5:87-92.
Shah U, Cissus quadrangularis L.: phytochemicals, traditional uses and pharmacological activities - a review, Int J Pharm Pharm Sci, 2011; 3:41-44.
Kontogianni VG, Tomic G, Nikolic I, Nerantzaki AA, Sayyad N, et al. Phytochemical profile of Rosmarinus officinalis and Salvia officinalis extracts and correlation to their antioxidant and anti-proliferative activity, Food Chem, 2013; 136:120-129.
Singh S, Singh S, Singh AP, Phytochemical investigation of different plants parts of Calotropis gigantea, Int J Sci Res Publ, 2013; 3:1-3.
Singh S, Singh S, Mishra RM, Shrivastava MP, Preliminary phytochemical screening of Calotropis gigantea leaf, Int J Sci Res Publ, 2014; 4:1-3.
Ganguly A, Diagnosis, prevention & phytotherapy for osteoarthritic disorders: pain diagnostic parameters and prevention of OADs. Scholars press, UK; 2017. Pp. 17-33.
Ganguly A, Degenerative changes in lumber-region occur simultaneously with bilateral-osteoarthritic changes in knee-joints and vice-versa: normalization with topical application of phytoconstituents by specialized techniques involving possible cartilage- regeneration, Int J Recent Sci Res, 2015; 6:6331-6346.
Bodian CA, Freedman G, Hossain S, Eisenkraf JB. The visual analog scale for pain: Clinical significance in postoperative patients, Anesthesiology, 95, 2001, 1356-1361.
Bellamy N, Buchnan WW, Goldsmith CH, Campbell J, Stitt LW.Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to anti-rheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol.1988;15:1833-1840.
Fairbank JCT, Pynsent PB. The Oswestry Disability Index, Spine, 2000; 25(22):2940-2953.
Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): Scale development, measurement properties, and clinical application, Physical Therapy, 1999; 79:371-383.
Schag CC, Heinrich RL, Ganz PA. Karnofsky performance status revisited: Reliability, validity, and guidelines, J Clin Oncology, 1984; 2:187-193.
Ferrera LA, ed. Focus on Body Mass Index and Health Research. New York: Nova Science, 2006. ISBN 978-1-59454-963-2.
Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis Ann Rheum Dis, 1957; 16:494-502.
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