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Intensive interdisciplinary outpatient pain management program for chronic back pain: a pilot study

Authors Artner J, Kurz S, Cakir B, Reichel H, Lattig F

Received 13 March 2012

Accepted for publication 18 April 2012

Published 3 July 2012 Volume 2012:5 Pages 209—216

DOI https://doi.org/10.2147/JPR.S31754

Review by Single-blind

Peer reviewer comments 3

Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike Lattig

Department of Orthopaedic Surgery, University of Ulm, RKU, Germany

Background: Chronic back pain is relatively resistant to unimodal therapy regimes. The aim of this study was to introduce and evaluate the short-term outcome of a three-week intensive multidisciplinary outpatient program for patients with back pain and sciatica, measured according to decrease of functional impairment and pain.
Methods: The program was designed for patients suffering from chronic back pain to provide intensive interdisciplinary therapy in an outpatient setting, consisting of interventional injection techniques, medication, exercise therapy, back education, ergotherapy, traction, massage therapy, medical training, transcutaneous electrical nerve stimulation, aquatraining, and relaxation.
Results: Based on Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) scores, a significant improvement in pain intensity and functionality of 66.83% NRS and an ODI of 33.33% were achieved by our pain program within 3 weeks.
Conclusion: This paper describes the organization and short-term outcome of an intensive multidisciplinary program for chronic back pain on an outpatient basis provided by our orthopedic department, with clinically significant results.

Keywords: chronic back pain, intense, multidisciplinary, program, outpatient

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