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632 - Chronic low back pain: therapeutic strategies and clinical outcomes in physical medicine and rehabilitation department

Friday, February 28, 2025

5:00 PM - 6:30 PM MST

Presenting Author(s)

NE

Nedra El Fani, N/A, MD

Assistant Doctor
IBN AL Jazzar University Hospital Kairouan
sousse, Sousse, Tunisia

Co-Author(s)

mg

mariam gadour, dr

assistant
university hospital of sahloul PRM department
sousse, Sousse, Tunisia
ih

islem hadj ali, n/a

resident
PRM department
sousse, Sousse, Tunisia
mg

maroua ghanmi, n/a

assistant
PRM department, kairouan university hospital
sousse, Sousse, Tunisia
an

asma nouira, n/a

doctor
PRM department, kairouan university hospital
sousse, Sousse, Tunisia
rm

rihab moncer, n/a

professor
PRM department sahloul university hospital
sousse, Sousse, Tunisia
sf

sinen frigui, n/a

professor
PRM department sahloul university hospital
sousse, Sousse, Tunisia
sm

sahbi mtaoua, dr

professor
university hospital of kairouan PRM department
sousse, Sousse, Tunisia

Objectives: The aim of this study is to describe the characteristics of chronic LBP, physical examination abnormalities and treatment strategies

Design: It was a an analytical cross-sectional study including 50 patients with at least three months of LBP, in the department of physical medicine and rehabilitation (PRM) between July 1st and october 31, 2024. All patients had a standardized investigation and clinical assessment

Results: The study included 60% of active profession and 40 % of administrative officers. The mean age of the patients was 39 ± 8.4 years . All the patients were suffering from chronic LBP lasting for an average of 40.6 months. The main triggering factors were: carrying heavy loads in 80% of the cases, standing or sitting for long periods in 72% and 79% of the cases, tremors in 30% of the cases. A trigger point was found in 40% of the cases. Required treatments during the last episode of LBP were: Paracetamol (70%), nonsteroidal antiinflammatory drugs (20%), tramadol (5%), myorelaxant (7%).More than half of the patients needed functional rehabilitation ; acupuncture, mesotherapy and dry needling was used respectively in 45%,20% ;and 10%of the cases. sixty percent of the patients reported improvement; 46% of them reported improvement then recurrence of the pain, 10% of them reported no improvement.

Conclusions:

Chronic low back pain can cause significant functional disability, and commonly becomes frustrating for both patients and physicians to cope with and treat. There is still no consensus on the best way to manage chronic low back pain, and clinical guidelines are scarce. A combination of conventional and non-conventional treatment is the most appropriate therapeutic regimen.