Disability, Pain, Paresis
Conditions
Keywords
physiotherapy, Tuebingen concept, benzodiazepines, muscle relaxants, disc herniation
Brief summary
Sixty patients were randomized to receive either placebo or diazepam in addition to mechanical physiotherapy and analgesics for the first 7 days of conservative treatment of clinically and radiologically confirmed lumbar disk prolapse
Interventions
diazepam (2 x 5 mg/ die)
Sponsors
Study design
Eligibility
Inclusion criteria
* sciatica without or with neurological deficit attributable to lumbar disc prolapse * CT or MRI confirmation of lumbar disc prolapse * informed consent
Exclusion criteria
* bladder or bowel disturbance * acute (\< 24 h) development of paresis grade 1 or plegia * taken benzodiazepines for more than 2 weeks * history of benzodiazepine intolerance * prior surgery for disc prolapse, or prior trauma to the vertrebral column
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (i) median extent of reduction of referred pain | 7 days |
Secondary
| Measure | Time frame |
|---|---|
| median duration of inability to work after discharge | one year |