1. [Mesotherapy as a treatment of pain and disability in patients affected by neck pain in spondylartrosis].
- Author
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Viscito R, Ferrara PE, Ljoka C, Pascuzzo R, Maggi L, Ronconi G, and Foti C
- Subjects
- Aged, Aged, 80 and over, Humans, Middle Aged, Neck Pain etiology, Spondylarthropathies complications, Treatment Outcome, Visual Analog Scale, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Mesotherapy methods, Neck Pain therapy, Pain Management methods, Sodium Chloride administration & dosage
- Abstract
Mesotherapy is a technique that treats locoregional pain with intradermal injection of a drug in the affected area. Its short-term efficacy was observed in patients with low back pain using both normal saline solution, if there were contraindications to drugs' use, or a cocktail of drugs (normal saline solution, lidocaine hydrochloride, and lysine acetylsalicylate), whereas only the latter provided benefit for up to three months after treatment. The aim of this study was to measure the effects of mesotherapy in patients affected by neck pain in spondylarthrosis, a common pathology in rehabilitation, associated with significant disability and increased health expenditure. One hundred patients participated in the study, of whom 50 (mean age 66.9 years) were treated with mesotherapy with a cocktail of drugs and 50 (mean age 64.7 years) with normal saline solution. Pain and disability were measured at different times (i.e. before treatment, at the end of five weeks of treatment, four weeks and 12 weeks after treatment), by using different pain scales, including a visual analogue scale, the short-form McGill pain questionnaire, the Present Pain Intensity scale and the Neck Disability Index. Mesotherapy with either normal saline solution or with a cocktail of drugs were both found to be effective in the short term in reducing pain and disability. However, only patients treated with a cocktail of drugs showed improvement at three months following treatment.
- Published
- 2018