THE INFLUENCE OF COMPLEX CONSERVATIVE TREATMENT ON PAIN SEVERITY IN HIP-SPINE SYNDROME

Abstract

Objective. To study the influence of complex conservative teratment on severity of pain at rest, on movement, and at night in patients with hip-spine syndrome. Material and Methods. Severity of pain was assessed in 18 patients with hip-spine syndrome. Examination was conducted before and at different terms after the complex conservative treatment. Severity of pain syndrome was assessed using digital rating and visual analogous scales. Results. Complex conservative therapy was found to considerably reduce pain at rest, on movement, and at night in the first group of patients with hip-spine syndrome, and this effect remained unchanged at long-term follow-up. In the second group the reduction of pain on movement was rather limited, and pain severity returned to the initial level in a year and a half after the treatment. Conclusion. Complex conservative treatment significantly influences the severity of pain in patients with hip-spine syndrome suffering from coxarthrosis grade 1 and 2 and lumbar osteochondrosis without severe neurological symptoms. The group of patients with coxarthrosis grade 3 and lumbar osteochondrosis with chronic lumbar ischialgia showed lesser reduction in pain scores after the treatment, especially for pain on movement, therefore this group of patients requires more radical treatment.