The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Pil Kyo Jung - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of Ultrasonography-Guided Injections in Patients with Facet Syndrome of the Low Lumbar Spine
Annals of rehabilitation medicine, 2012Co-Authors: Dong Hwan Yun, Hee-sang Kim, Seung Don Yoo, Dong Hwan Kim, Jinn Man Chon, Seong He Choi, Dae Gyu Hwang, Pil Kyo JungAbstract:Objective To investigate the efficacy of ultrasonography (US)-guided injections in patients with low lumbar Facet Syndrome, compared with that in patients who received fluoroscopy (FS)-guided injections.
Deepak Anap - One of the best experts on this subject based on the ideXlab platform.
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PHYSIOTHERAPY MANAGEMENT IN LUMBAR Facet JOINT Syndrome: A SINGLE CASE STUDY
2017Co-Authors: Deepak Anap, Subhash KhatriAbstract:Low back pain is a major cause of disability affecting performance at work. One of the hidden and less studied culprit of chronic low back pain is Facet joint Syndrome. Currently, there is paucity in the literature regarding the effectiveness of physiotherapy techniques in treating Facet joint Syndrome. Hence this case study was undertaken to find out the effectiveness of conservative treatment protocol including therapeutic ultrasound and endurance exercise in a diagnosed case of lumbar Facet Syndrome. A 42 years old, Male Case diagnosed with lumbar Facet Syndrome was treated with Therapeutic ultrasound and back endurance exercise protocol for 2 weeks. Follow up was taken at 3 rd week. Pain intensity, Back disability (MODQ) and back endurance was measured at baseline, 2 nd week and at follow-up (3 rd week). From the results of case study we conclude that therapeutic ultrasound and back endurance exercise protocol can exhibit reduction in pain intensity, back disability and improvement in back muscle endurance in a case diagnosed with lumbar Facet Syndrome.
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Effectiveness of Sustained Natural Apophyseal Glides and Maitland Mobilization in Facet Joint Syndrome: A Single Blind Randomized Control Pilot Study. -
International Journal of Health Sciences and Research, 2014Co-Authors: Deepak Anap, Subhash Khatri, Zambre B.rAbstract:Facet Syndrome is a common cause of low back pain. In 1933, Ghormley coined the term “Facet Syndrome”, suggesting that hypertrophic changes secondary to osteoarthritis of the zygapophyseal processes led to lumbar nerve root entrapment, which caused low back pain. To our knowledge to date no study has assessed effect of three physiotherapy treatment protocols on Lumbar Facet Syndrome. Hence this pilot study was undertaken to assess and compare effect of a) Mulligans Sustained Natural apophyseal Glides, therapeutic ultrasound and Spinal stabilization exercises, b) Maitland spinal mobilization , Therapeutic ultrasound and spinal stabilization exercises and C) Therapeutic ultrasound and Spinal stabilization exercises in cases of lumbar Facet Syndrome. Design: Single Blind, Randomized Control Pilot Study. Setting: Out Patient Department of Orthopedics and Department of Musculoskeletal Physiotherapy, PDVVPF, Ahmednagar. Intervention: After baseline assessment participants (N=15)were randomly assigned to Group A which received Mulligans Sustained Natural Apophyseal glides (SNAG‟S), Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min ) and Spinal stabilization exercises, Group B which received Maitland spinal(PA Glides), Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min )and spinal stabilization exercises and Group C which received Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min )and spinal stabilization exercises for the period of 2 weeks. Two participants left the study before completion of treatment protocol. Outcome Measures: Participants underwent a first baseline assessment pre intervention, 2 nd assessment at the end of 2 nd Week and 3 rd at the end follow up(i.e. 1 week) after the active intervention (3 rd Week).Outcome measures included for the study were Modified Oswestry Low Back Disability Questionnaire ( MODQ), Visual Analogue scale and Sorensen Test hold time. Result: The ANOVA test showed that there is statistically highly significant difference in pain (f=18.53,p
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is sustained natural apophyseal glides combined with conventional physiotherapy effective for patients with Facet joint Syndrome a case series
International Journal of Medical Research and Health Sciences, 2014Co-Authors: Deepak Anap, Subhash Khatri, B R ZambreAbstract:Background: Chronic back pain has been the nemesis of the human race since the time they evolved and began walking on their two legs; leaving aside the 4 limb locomotion of their predecessors. Varied are the causes of low back ache and Facet joint Syndrome is one amongst them. Hence this study was undertaken to find out the effectiveness of SNAGS and conventional physiotherapy in patients with lumbar Facet joint Syndrome. Purpose: To describe the management and outcomes of 4 patients with lumbar Facet joint Syndrome treated with Sustained Natural apophyseal glides (SNAGs), Therapeutic Ultrasound and lumbar stabilization exercises. Study Design : A case series of consecutive patients with Lumbar Facet Syndrome Case Description: Four consecutive patients (mean age 52 years) who presented with lumbar Facet Syndrome were treated with two weeks protocol which included Sustained Natural apophyseal glides, Therapeutic Ultrasound (Cont. 1-MHz , 2.0-W/cm2, 10min) and lumbar stabilization exercises. Follow up was taken 1 week after the end of active intervention. All patients completed Visual analogue Scale (VAS), Modified Oswestery Disability Questionnaire (MODQ), Sorensen Test hold Timing and spinal Range of motion on initial assessment, immediately at the end of active intervention (2 weeks) and at the end of follow up. Outcome: All four patients showed the mean percentage change in score of VAS 49.87 %, MODQ 61.14 %, Sorensen test scores 19.63 %, Flexion range 9.21 % and extend range 17.07 % at the end of follow up. Conclusion: All four patients with Lumbar Facet joint Syndrome treated with sustained natural apophyseal glides (SNAGS), Therapeutic Ultrasound and lumbar stabilisation exercises exhibited reduced pain, reduced disability, improved endurance of back muscles and range of motion at the time follow-up.
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EFFECTIVENESS OF DICLOFENAC SODIUM PHONOPHORESIS TO RESOLVE PAIN RELATED TO Facet Syndrome: A CASE STUDY
Journal of Pharmaceutical and Scientific Innovation, 2013Co-Authors: Deepak Anap, Subhash Khatri, Ashish J PrabhakarAbstract:A single case study design was used to investigate the effects sodium diclofenac (Voltaren Emulgel® , Novartis ) p honophoresis an d back stabili zation exercises for lumbar Facet Syndrome. A visual analogue scale was used to measure pain , Modified Oswestery disability questionnaire was used to measure disability and Sorensen test was used to measure back endurance. The study involved three phases in an ABC design. They were 1 - week pre assessment, 2 treatment phase and 2 week post treatment assessment phase and 2 weeks follow up phase . The technique resulted in reduction in pain, reduction in disability and improvement in core muscle strength in case of Facet Syndrome. Although single case study design limits generalization of the results, it does provide evidence of the beneficial response o btained by use of Phonophoresis and stabilization exercises in Facet Syndrome patients.
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Facet Syndrome: A Hidden Culprit in Neck and Low Back Pain?
Journal of Spine, 2012Co-Authors: Deepak Anap, Subhash Khatri, Sushil KachewarAbstract:Copyright: © 2012 Anap D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Lumbar spinal Facet joints were first suggested in the medical literature as a source of low back and lower extremity pain in 1911[1]. Since then, the so-called “Facetogenic back pain” has become a widely accepted, although still controversial entity in the radiologic and orthopaedic literature [2–6]. Estimates of the prevalence of lumbar Facet joint pain based on single diagnostic blocks have been reported to range from 7.7% to 75% among patients reporting back pain [7].
E. Sim - One of the best experts on this subject based on the ideXlab platform.
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Treatment problems in unilateral locked Facet Syndrome of the cervical spine
European Spine Journal, 1993Co-Authors: N. Schwarz, E. SimAbstract:Les auteurs ont analysé les problèmes diagnostiques et thérapeutiques chez 22 patients présentant une luxation unilatérale du rachis cervical avec accrochage des Facettes articulaires. Le diagnostic a été retardé chez dix patients; des problèmes thérapeutiques plus ou moins importants ont été rencontrés chez 2/3 d'entre eux. Le protocole thérapeutique a comporté une réduction manuelle associée jusqu'en 1986 à une arthrodèse postérieure par greffe osseuse et cerclage interépineux; après 1986 on a fait appel à une arthrodèse antérieure intersomatique associée à une ostéosynthèse par plaque vissée. Les manoeuvres de réduction à ciel fermé risquent d'entraîner un déplacement du disque intervertébral, un excès de distraction de la moelle épinière et une lésion de l'artère vertébrale. Les luxations non réduites et non arthrodésées évoluent selon toute probabilité vers l'instabilité chronique. Le cerclage postérieur est un mode de stabilisation insuffisant et l'on préfère les plaques antérieures et les plaques postérieures à crochet. Afin d'éviter les problèmes thérapeutiques, un protocole de traitement est proposé qui associe successivement une discectomie antérieure, une réduction par voie antérieure, une décompression chirurgicale des racine nerveuses menacées et une arthrodèse stable unisegmentaire. En dehors de la phase aigue, les structures nerveuses sont décomprimées; l'arthrodèse postérieure est réalisée sans tentative de réduction. In a retrospective study of 22 patients with unilateral locked Facet Syndrome of the cervical spine, diagnostic and treatment problems were analysed. Diagnosis was delayed in ten patients; in two-thirds of the patients minor or major therapeutic problems were encountered. The treatment protocol advised manipulative reduction and-before 1986-posterior fusion by bone blocks and interspinous wiring; after 1986 ventral intercorporeal fusion by plates was recommended. Closed reduction manoeuvres risk dislocation of intervertebral discs, overdistraction of the spinal cord or injury to the vertebral artery. Unreduced and unfused dislocations are likely to develop chronic instability. Dorsal wiring is an inadequate form of stabilization and ventral plates or dorsal hooks are preferred. To prevent treatment problems a treatment protocol is proposed according to which open reduction following anterior discectomy, operative decompression of endangered nerve roots and stable one-level fusion is done. In non-acute injuries neural structures are decompressed; posterior fusion is done without attempts at reduction.
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Treatment problems in unilateral locked Facet Syndrome of the cervical spine.
European spine journal : official publication of the European Spine Society the European Spinal Deformity Society and the European Section of the Cerv, 1993Co-Authors: N. Schwarz, E. SimAbstract:In a retrospective study of 22 patients with unilateral locked Facet Syndrome of the cervical spine, diagnostic and treatment problems were analysed. Diagnosis was delayed in ten patients; in two-thirds of the patients minor or major therapeutic problems were encountered. The treatment protocol advised manipulative reduction and-before 1986-posterior fusion by bone blocks and interspinous wiring; after 1986 ventral intercorporeal fusion by plates was recommended. Closed reduction manoeuvres risk dislocation of intervertebral discs, overdistraction of the spinal cord or injury to the vertebral artery. Unreduced and unfused dislocations are likely to develop chronic instability. Dorsal wiring is an inadequate form of stabilization and ventral plates or dorsal hooks are preferred. To prevent treatment problems a treatment protocol is proposed according to which open reduction following anterior discectomy, operative decompression of endangered nerve roots and stable one-level fusion is done. In non-acute injuries neural structures are decompressed; posterior fusion is done without attempts at reduction.
Dong Hwan Yun - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of Ultrasonography-Guided Injections in Patients with Facet Syndrome of the Low Lumbar Spine
Annals of rehabilitation medicine, 2012Co-Authors: Dong Hwan Yun, Hee-sang Kim, Seung Don Yoo, Dong Hwan Kim, Jinn Man Chon, Seong He Choi, Dae Gyu Hwang, Pil Kyo JungAbstract:Objective To investigate the efficacy of ultrasonography (US)-guided injections in patients with low lumbar Facet Syndrome, compared with that in patients who received fluoroscopy (FS)-guided injections.
Subhash Khatri - One of the best experts on this subject based on the ideXlab platform.
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PHYSIOTHERAPY MANAGEMENT IN LUMBAR Facet JOINT Syndrome: A SINGLE CASE STUDY
2017Co-Authors: Deepak Anap, Subhash KhatriAbstract:Low back pain is a major cause of disability affecting performance at work. One of the hidden and less studied culprit of chronic low back pain is Facet joint Syndrome. Currently, there is paucity in the literature regarding the effectiveness of physiotherapy techniques in treating Facet joint Syndrome. Hence this case study was undertaken to find out the effectiveness of conservative treatment protocol including therapeutic ultrasound and endurance exercise in a diagnosed case of lumbar Facet Syndrome. A 42 years old, Male Case diagnosed with lumbar Facet Syndrome was treated with Therapeutic ultrasound and back endurance exercise protocol for 2 weeks. Follow up was taken at 3 rd week. Pain intensity, Back disability (MODQ) and back endurance was measured at baseline, 2 nd week and at follow-up (3 rd week). From the results of case study we conclude that therapeutic ultrasound and back endurance exercise protocol can exhibit reduction in pain intensity, back disability and improvement in back muscle endurance in a case diagnosed with lumbar Facet Syndrome.
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Effectiveness of Sustained Natural Apophyseal Glides and Maitland Mobilization in Facet Joint Syndrome: A Single Blind Randomized Control Pilot Study. -
International Journal of Health Sciences and Research, 2014Co-Authors: Deepak Anap, Subhash Khatri, Zambre B.rAbstract:Facet Syndrome is a common cause of low back pain. In 1933, Ghormley coined the term “Facet Syndrome”, suggesting that hypertrophic changes secondary to osteoarthritis of the zygapophyseal processes led to lumbar nerve root entrapment, which caused low back pain. To our knowledge to date no study has assessed effect of three physiotherapy treatment protocols on Lumbar Facet Syndrome. Hence this pilot study was undertaken to assess and compare effect of a) Mulligans Sustained Natural apophyseal Glides, therapeutic ultrasound and Spinal stabilization exercises, b) Maitland spinal mobilization , Therapeutic ultrasound and spinal stabilization exercises and C) Therapeutic ultrasound and Spinal stabilization exercises in cases of lumbar Facet Syndrome. Design: Single Blind, Randomized Control Pilot Study. Setting: Out Patient Department of Orthopedics and Department of Musculoskeletal Physiotherapy, PDVVPF, Ahmednagar. Intervention: After baseline assessment participants (N=15)were randomly assigned to Group A which received Mulligans Sustained Natural Apophyseal glides (SNAG‟S), Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min ) and Spinal stabilization exercises, Group B which received Maitland spinal(PA Glides), Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min )and spinal stabilization exercises and Group C which received Therapeutic ultrasound(Cont.1MHz, 2.0-W/cm2,10min )and spinal stabilization exercises for the period of 2 weeks. Two participants left the study before completion of treatment protocol. Outcome Measures: Participants underwent a first baseline assessment pre intervention, 2 nd assessment at the end of 2 nd Week and 3 rd at the end follow up(i.e. 1 week) after the active intervention (3 rd Week).Outcome measures included for the study were Modified Oswestry Low Back Disability Questionnaire ( MODQ), Visual Analogue scale and Sorensen Test hold time. Result: The ANOVA test showed that there is statistically highly significant difference in pain (f=18.53,p
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is sustained natural apophyseal glides combined with conventional physiotherapy effective for patients with Facet joint Syndrome a case series
International Journal of Medical Research and Health Sciences, 2014Co-Authors: Deepak Anap, Subhash Khatri, B R ZambreAbstract:Background: Chronic back pain has been the nemesis of the human race since the time they evolved and began walking on their two legs; leaving aside the 4 limb locomotion of their predecessors. Varied are the causes of low back ache and Facet joint Syndrome is one amongst them. Hence this study was undertaken to find out the effectiveness of SNAGS and conventional physiotherapy in patients with lumbar Facet joint Syndrome. Purpose: To describe the management and outcomes of 4 patients with lumbar Facet joint Syndrome treated with Sustained Natural apophyseal glides (SNAGs), Therapeutic Ultrasound and lumbar stabilization exercises. Study Design : A case series of consecutive patients with Lumbar Facet Syndrome Case Description: Four consecutive patients (mean age 52 years) who presented with lumbar Facet Syndrome were treated with two weeks protocol which included Sustained Natural apophyseal glides, Therapeutic Ultrasound (Cont. 1-MHz , 2.0-W/cm2, 10min) and lumbar stabilization exercises. Follow up was taken 1 week after the end of active intervention. All patients completed Visual analogue Scale (VAS), Modified Oswestery Disability Questionnaire (MODQ), Sorensen Test hold Timing and spinal Range of motion on initial assessment, immediately at the end of active intervention (2 weeks) and at the end of follow up. Outcome: All four patients showed the mean percentage change in score of VAS 49.87 %, MODQ 61.14 %, Sorensen test scores 19.63 %, Flexion range 9.21 % and extend range 17.07 % at the end of follow up. Conclusion: All four patients with Lumbar Facet joint Syndrome treated with sustained natural apophyseal glides (SNAGS), Therapeutic Ultrasound and lumbar stabilisation exercises exhibited reduced pain, reduced disability, improved endurance of back muscles and range of motion at the time follow-up.
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EFFECTIVENESS OF DICLOFENAC SODIUM PHONOPHORESIS TO RESOLVE PAIN RELATED TO Facet Syndrome: A CASE STUDY
Journal of Pharmaceutical and Scientific Innovation, 2013Co-Authors: Deepak Anap, Subhash Khatri, Ashish J PrabhakarAbstract:A single case study design was used to investigate the effects sodium diclofenac (Voltaren Emulgel® , Novartis ) p honophoresis an d back stabili zation exercises for lumbar Facet Syndrome. A visual analogue scale was used to measure pain , Modified Oswestery disability questionnaire was used to measure disability and Sorensen test was used to measure back endurance. The study involved three phases in an ABC design. They were 1 - week pre assessment, 2 treatment phase and 2 week post treatment assessment phase and 2 weeks follow up phase . The technique resulted in reduction in pain, reduction in disability and improvement in core muscle strength in case of Facet Syndrome. Although single case study design limits generalization of the results, it does provide evidence of the beneficial response o btained by use of Phonophoresis and stabilization exercises in Facet Syndrome patients.
-
Facet Syndrome: A Hidden Culprit in Neck and Low Back Pain?
Journal of Spine, 2012Co-Authors: Deepak Anap, Subhash Khatri, Sushil KachewarAbstract:Copyright: © 2012 Anap D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Lumbar spinal Facet joints were first suggested in the medical literature as a source of low back and lower extremity pain in 1911[1]. Since then, the so-called “Facetogenic back pain” has become a widely accepted, although still controversial entity in the radiologic and orthopaedic literature [2–6]. Estimates of the prevalence of lumbar Facet joint pain based on single diagnostic blocks have been reported to range from 7.7% to 75% among patients reporting back pain [7].
