Patient Satisfaction in Chronic Low Back Pain: A Comparison Between Pharmacological Treatment, Physiotherapy and Neural Therapy

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Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.24, no.3, pp.238-243, 2021 (Peer-Reviewed Journal) identifier


Objective: The aim of this study is 1- to compare boththe patient satisfaction and pain relief between patients who receivedpharmacological treatment and non-pharmacological treatment, alsobetween patients who received physiotherapy and neural therapy inchronic low back pain, 2-to evaluate which demographic factors are associated with patient satisfaction mostly. Material and Methods: Atotal of 109 patients with chronic low back pain was enrolled to thisstudy and divided into two groups: pharmacological treatment (n=49)as non-steroid antiinflammatory and myorelaxant drugs and non-pharmacological treatment (n=60) (25 patients who had only physiotherapyand 35 patients who had only neural therapy). Demographic characteristics and patient satisfaction variables (with 5 questions) was examined by a single blind physician with phone interview. Results: Therewas no relation between age, gender, having any chronic disease, working status, educational status and patient satisfaction in all patients. Allpatient satisfaction variables (p<0.001) were significantly better in patients who received non-pharmacological treatment than patients whoreceived only pharmacological treatment. When patients who receivedonly non-pharmacological treatment were evaluated; percentage of thepain relief (p<0.001) willingness to try this treatment again (p=0.001)and patient satisfaction score (p<0.001) were significantly higher inneural therapy group than physiotherapy group. Conclusion: Bothphysiotherapy and neural therapy have higher patient satisfaction thanpharmacological treatment in chronic low back pain, furthermore thepain relief was significantly better in both physiotherapy and neuraltherapy methods. However the group with the most pain relief and patient satisfaction was found to be neural therapy group in our study.Considering the effect of neural therapy on pain, patient satisfaction, itseems to be a good alternative to physiotherapy.