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All Journal Indian Journal of Forensic Medicine & Toxicology
Mitushi Deshmukh
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Public Health

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Efficacy of Innovative Table for Traction, Myofascial Release Along with Medicated Steam (Swedan) in Non-Specific Low Back Pain Patients: A Research Protocol Neha Chitale; Mitushi Deshmukh; Pratik Phansopkar
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14344

Abstract

Background: Low back pain (LBP) is a common condition associated with work absenteeism, disabilityand large health care costs with an annual prevalence range from 22% to 65%.Chronic low back pain is thecondition where the back pain lasts for more than three months. Lumbar traction is the process of applying astretching force to the lumbar vertebrae through body weight, weights, and/or pulleys to distract individualjoints of the lumbar spine. Myofascial release (MFR) is a form of manual medicine which involves theapplication of a low load, long duration stretch to the myofascial complex, intended to restore optimallength, decrease pain, and improve function. Medicated steam therapy is a method of giving medicatedsteam over the affected muscular area in order to provide local effect of pain relief. All the three methodswill be applied together to see the effect.Methods/Design: The study will be designed as a pilot study. A total of 30 samples will be taken withnonspecific low back pain. NPRS and Modified Oswestry Disability index was taken before treatment.Intervention including traction, myofascial release therapy and medicated steam will be given. . Two sessionswill be given once a week for 3 weeks and outcome will be recorded.Discussion: Various studies have been conducted over the effect of lumbar traction over low back pain.Traction distracts the muscles and the joint helps in relieving the pain. One of the therapeutic options istraction, which can be combined with other physical therapy modalities. Combining effect of traction withhot fermentation has been effective study have shown. It has been claimed that traction therapy results inlessening the muscle spasm
Impact of a Comprehensive Physiotherapy on a Complex Case of Locked Facet Joint: A Case Report Indrani Gurjalwar; Gouri Kalaskar; Mitushi Deshmukh; Pratik Phansopkar
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15444

Abstract

Introduction -Locked facet joint is a type of facet joint dislocation which occurs due to jumping of the inferior articular process over the superior articular process of the vertebra below and causes locking in that position. It can be unilateral or bilateral. In case of unilateral facet joint locking mechanism is flexion/distraction and rotation. Only 30% of cases associated with neurologic defect. Most often it occurs at C4-5 and C5-6 level. Inferior articular facet of superior vertebral body is locked in front of the superior facet of the more inferior vertebral body but only on one side. X-ray Image Findings in such cases are - subtle, slight anterior subluxation of one vertebral body on the one below usually less than 25% of the width. On lateral view of cervical spine, some bodies appear true lateral below level of injury and oblique above level of injury that is the “Bow-tie sign”. Spinous processes do not align on frontal film. Spinous processes of inferior vertebrae displace toward the locked side. In case of bilateral facet joint locking there is always a history of severe flexion injury. Both anterior and posterior ligamentous structures are disrupted at site of injury. More superior vertebra subluxes forward by 50% or more of the body below. Usually occurs in lower cervical spine. Generally, facet locking is a rare occurrence. Case Description – a case of 43 years old female is presented in the report who presented with pain and stiffness in neck which was sudden in onset was present since last two days. Assessment, patient’s history and treatment have been discussed in the case study. Conclusion – This case study concluded that there is a significant effect of the given therapeutic intervention on pain, range of motion and activities of daily living (ADL) of the patient.
Co-Authors Gouri Kalaskar Indrani Gurjalwar Neha Chitale Pratik Phansopkar