A Prospective comparison between the effect of reflexology and steroid injection for relieving of pain in patient with chronic low back pain a clinical randomized trial study

Main Article Content

Mojgan Rahim
Nuwfal Ali Almubarak
Afzal shamsi
Saeid Vahedi
Hussein Mousa
Naeem Saleh Hussein AL-hirz

Keywords

reflexology, steroid, chronic pain, chronic low back pain.

Abstract

Introduction: Reflexology is one of the alternative therapies categorized under hand massage in the treatment of lower back pain. To affect bio-physiological changes in the body, it employs a particular technique of pressing or pushing the reflexology points on the palms and soles. Epidural injection of corticosteroids is one of the most used medical interventions in managing chronic back pain, However, controversy surrounds the appropriate uses of injection therapies.
Aim: In this study we compared reflexology and steroid for their ability to relieve pain in people suffering from chronic pain.
Method and Materials: The study included 60 patients with chronic low back pain. Divided into, reflexology, and corticosteroid injection groups. Reflexology interventions were carried out in intercourse sessions for two weeks, three days a week, for 40 minutes each day (20 minutes for each foot, and one session for injection of corticosteroid exactly in the caudal epidural area.
Result: The study showed significant differences between the two groups in terms of, improvement in pain after the first session, after 1 week, and after 3 months (P=0.0001, 0.0001, 0.013) respectively.
Conclusion: In conclusion, Reflexology therapy is an important and effective non-pharmacological method for chronic lower back pain treatment. And it has higher efficacy and lower side effects than caudal steroid injection.

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References

1. Babadi ME, Nazari F, Safari R, Abdoli S. The effect of reflexology on pain perception aspects in nurses with chronic low back pain in Isfahan. Iran J Nurs Midwifery Res. 2016;21(5):487-
2. 92.
3. Smith BH, Elliott AM, Chambers WA, Smith WC, Hannaford PC, Penny K. The impact of chronic pain in the community. Fam Pract.
2001;18(3):292-9.
4. Walsh DA, Radcliffe JC. Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain. 2002;97(1-2):23-31.
5. Baliki MN, Chialvo DR, Geha PY, Levy RM, Harden RN, Parrish TB, et al. Chronic pain and the emotional brain: specific brain activity
associated with spontaneous fluctuations of intensity of chronic back pain. J Neurosci. 2006;26(47):12165-73.
6. Rosenberg SK, Grabinsky A, Kooser C, Boswell MV. Effectiveness of transforaminal epidural steroid injections in low back pain: a one year experience. Pain Physician. 2002;5(3):266-70.
7. Embong NH, Soh YC, Ming LC, Wong TW. Perspectives on reflexology: A qualitative approach. J Tradit Complement Med.
2017;7(3):327-31.
8. Poole H, Glenn S, Murphy P. A randomised controlled study of reflexology for the management of chronic low back pain. Eur J Pain.
2007;11(8):878-87.
9. Keet L. The reflexology bible: the definitive guide to pressure point healing: Union square&co; 2009. 400 p.
10. Ghanbari A, Shahrbabaki PM, Dehghan M, Mardanparvar H, Abadi EKD, Emami A, et al. Comparison of the Effect of Reflexology and
Swedish Massage on Restless Legs Syndrome and Sleep Quality in Patients Undergoing Hemodialysis: a Randomized Clinical Trial. Int J
Ther Massage Bodywork. 2022;15(2):1-13.
11. Rejeh N, Tadrisi SD, Yazdani S, Saatchi K, Vaismoradi M. The Effect of Hand Reflexology Massage on Pain and Fatigue in Patients after
Coronary Angiography: A Randomized Controlled Clinical Trial. Nurs Res Pract. 2020;2020:8386167.
12. Samarehfekri A, Dehghan M, Arab M, Ebadzadeh MR. Effect of Foot Reflexology on Pain,Fatigue, and Quality of Sleep after Kidney
Transplantation Surgery: A Parallel Randomized Controlled Trial. Evid Based Complement Alternat Med. 2020;2020:5095071.
13. Marican ND, Hod R, Hassan A, Wan Abdul Jamil WAN. Foot Reflexology Therapy for NonSpecific Low Back Pain Condition: A
Protocol for a Randomized Controlled Trial. International Journal of Public Health Research.2018;8(1):933-8.
14. Cohen SP. Epidural steroid injections for low back pain. Bmj. 2011;343:d5310.
15. DePalma MJ, Slipman CW. Evidence-informed management of chronic low back pain with epidural steroid injections. Spine J. 2008;8(1):45-55.
16. Dansie EJ, Turk DC. Assessment of patients with chronic pain. Br J Anaesth. 2013;111(1):19-25.
17. Babadi ME, Nazari F, Safari R, Abdoli S. The effect of reflexology on pain perception aspects in nurses with chronic low back pain in Isfahan. Iranian journal of nursing and midwifery research. 2016;21(5):487.
18. Quinn F, Hughes CM, Baxter GD. Reflexology in the management of low back pain: a pilot randomised controlled trial. Complementary Therapies in Medicine. 2008;16(1):3-8.
19. Poole H, Murphy P, Glenn S. Evaluating the efficacy of reflexology for the management of chronic low back pain. Focus on Alternative and Complementary Therapies. 2002;7(1):105- 6.
20. Hashemi Javaheri SA, Ebrahimi Atri A. The effect of foot reflexology on the reduction of chronic low back pain'. Iranian Journal of Health and Physical Activity. 2012;3(2):14-8.
21. Kreiner DS, Hwang SW, Easa JE, Resnick DK, Baisden JL, Bess S, et al. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. The Spine Journal. 2014;14(1):180-91.
22. Koegh E, Herdenfeldt M. Gender, coping and the perception od pain. Pain. 2001;97(3):195201.
23. Vickers NJ. Animal communication: when i’m calling you, will you answer too? Current biology. 2017;27(14):R713-R5.

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