Health Condition 1: M439- Deforming dorsopathy, unspecified
Conditions
Interventions
Intervention1: McKenzie (MDT) Exercises: Total duration: 4 weeks. Participants in this group will receive supervised Mechanical Diagnosis and Therapy (MDT), also known as McKenzie exercises. Each sess
2 3 sets of 10 15 repetitions, 10 15 minutes per session), and modalities including moist heat packs for 15 20 minutes (2 3 times daily) and TENS for 20 30 minutes (1 2 times daily). Ergonomic trainin
Sponsors
Dr Ehsanur Rahman
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged 25 to 55 years, both sexes. 2. Clinically diagnosed L5 to S1 lumbar disc herniation confirmed by MRI (disc protrusion or bulge, with or without nerve root compression). 3. Chronic low back pain with or without radiating leg pain, consistent with radiculopathy, for more than 6 weeks. 4. Pain intensity of 3 or above on the Visual Analogue Scale (VAS). 5. Inadequate response to prior conservative treatments (e.g., rest, oral medication, or physiotherapy without supervision). 6. Positive Straight Leg Raise test or neurological signs such as sensory change, weakness, or altered reflex. 7. Not currently recommended for surgery or prefers non-surgical treatment. 8. Provides written informed consent to participate.
Exclusion criteria
Exclusion criteria: 1. Patients diagnosed with calcified or hard disc herniation confirmed by MRI. 2. Symptoms indicating Cauda Equina Syndrome (e.g., urinary retention, saddle anaesthesia). 3. Presence of other spinal pathologies such as tumors, infections (e.g., tuberculosis), or vertebral fractures. 4. History of previous lumbar spine surgery at the affected level (L5/S1). 5. Participants with uncontrolled diabetes mellitus. 6. Pregnant women or those planning pregnancy during the study period. 7. Participants with medical contraindications to exercise, including bleeding disorders, active anticoagulant therapy (excluding low-dose aspirin), and severe cardiovascular or neuromuscular conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain by VAS and PPTs 2. Disc Morphology by disc height, disc echogenicity, and disc displacement (assessed via MSK-USG) 3. Neurological Recovery by SLR, NCS, and EMGTimepoint: 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Disability by Oswestry Disability Index (ODI)Timepoint: Baseline, 1 month, 3 months, and 6 months post-intervention | — |
Countries
Bangladesh
Contacts
Public ContactDr Kazi Md Amran Hossain
Jashore University of Science and Technology
Outcome results
None listed