Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Intervention1: Manual Segmental Traction: Participants will receive Manual Segmental Traction to the lumbar spine in addition to conventional physiotherapy. The traction will be administered by a trai
frequency: 3 4 sessions per week for 4 5 weeks
total: 12 sessions. No traction techniques will be applied.
Sponsors
Sitaram Bhartia Institute of Science and Research
Eligibility
Inclusion criteria
Inclusion criteria: Participants must have symptomatic lumbar disc herniation presenting as low back pain with or without radiating leg pain for at least four weeks, with a pain intensity of three or more on the Visual Analog Scale in the past week. Diagnosis must be confirmed by MRI showing disc bulge protrusion or extrusion at one or more contiguous lumbar levels. Clinical findings should correlate with imaging, including a positive straight leg raise test less than seventy degrees on the symptomatic side or corresponding motor sensory or reflex deficits, with symptoms matching the dermatomal level identified on MRI. In cases of back pain only there must be positive examination findings along with MRI evidence of nerve root involvement. Participants must also be physically able to tolerate segmental traction in supine or crook lying position.
Exclusion criteria
Exclusion criteria: Participants will be excluded if they have undergone prior lumbar spine surgery at the index level or have received recent invasive spinal procedures such as epidural injections within four to six weeks before baseline assessment. Individuals with red flag conditions including cauda equina syndrome progressive motor deficits spinal infection tumor fracture inflammatory arthropathy or prolonged systemic steroid use in the recent past will be excluded. Patients with spondylolisthesis greater than Grade one at the index level will not be eligible. Those with peripheral neuropathies significant hip or lower limb musculoskeletal disorders mimicking radicular symptoms or non discogenic back pain without clinical radiological agreement will be excluded. Additional exclusions include pregnancy severe cardiopulmonary disease severe osteoporosis active skin pathology over the lumbar region and MRI evidence of sequestered or free fragment herniations not suitable for conservative traction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score using Visual Analog ScaleTimepoint: 1. Day 0 (baseline) 2. At Week 5 (post intervention) 3. 8 weeks post intervention (follow-up) | — |
Secondary
| Measure | Time frame |
|---|---|
| Lumbar ROM using Modified-Modified Schobers TestTimepoint: 1. Day 0 (baseline) 2. At Week 5 (post intervention) 3. 8 weeks post intervention (follow-up);Disability using Roland Morris Disability Questionnaire (RMDQ)Timepoint: 1. Day 0 (baseline) 2. At Week 5 (post intervention) 3. 8 weeks post intervention (follow-up);MRI including 1. Disc herniation size (sagittal & axial) 2. Disc height 3. Canal compromise / nerve root compression 4. T2 signal intensity (disc hydration) Timepoint: 1. Day 0 (baseline) 2. At Week 5 (post intervention) 3. Optional at follow up with no compensation at 8 weeks | — |
Countries
India
Contacts
Public ContactDevesh Mandhyan
Sitaram Bhartia Institute of Science and Research
Outcome results
None listed