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Bel Ağrısında Tamamlayıcı ve Alternatif Tedavi

Yıl 2018, Cilt 27, Sayı 1, 93 - 108, 31.03.2018
https://doi.org/10.17827/aktd.342583

Öz

Bel ağrısının tedavisinde de fizik tedavi, ilaç tedavisi ya da cerrahi girişim gibi çeşitli yöntemlere başvurulmakta, fakat bu yöntemlerle her zaman etkin bir tedavi sağlanamamaktadır. Tamamlayıcı ve alternatif tedavi;  bel ağrısı tedavisinde önemli bir yere sahiptir. Bel ağrılarında hidroterapi (balneoterapi), yoga, ozon, masaj, aromaterapi, meditasyon, proloterapi, osteopati,  kayropraktik, akupunktur, bardak çekme,  homeopati, refleksoloji gibi tamamlayıcı ve alternatif tedavi yöntemleri uygulanmakta ve bel ağrısına sahip kişiler bu tedavilerden olumlu sonuç alabilmektedirler. Günümüzde bel ağrılarında tamamlayıcı ve alternatif tedavi yaygınlaşmakta ve bu da uygulanma oranını arttırmaktadır. 

Kaynakça

  • Krismer M, Van Tulder M. Low back pain (non- specific). Best Prac Res Clin Rheumatol. 2007; 21(1): 77-91.
  • World Health Organization (WHO) methods and data sources for global burden of disease estimates (2000-2011). Erişim Tarihi: 20 Eylül 2017. Available from: http://cdrwww.who.int/healthinfo/statistics/GlobalDALYmethods_2000_2011.pdf
  • Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T, et al. Measuring the global burden of low back pain. Best Pract Res Clin Rheumatol. 2010; 24: 155-165.
  • Berker E. Bel ağrılarında epidemiyoloji, (Eds Erdine S): 325-332. İstanbul, Nobel Tıp Kitabevi, 2000.
  • Altınel L, Köse KC, Ergan V, Işık C, Aksoy Y, Özdemir A, ve ark. The prevalence of low back pain and risk factors among adult population in Afyon region, Turkey. Acta Orthop Traumatol Turc. 2008; 42(5): 328-333.
  • Öztürk A. Low Back Pain Epidemiyolojisi; Bel Ağrıları. Aktüel Tıp Derg.1998; 14-18.
  • Bejia I, Younes M, Jamila HB, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005; 72(3):254-259.
  • Şahin F, Yılmaz F, Şahin T, ve ark. Hastanemiz çalışanlarında muskuloskeletal sistem ağrıları. Şişli Etfal Hastanesi Tıp Bülteni. 2006; 40(1):37-43.
  • Baltacı G, Tunay VB, Tuncer A, Ergun N. Spor Yaralanmalarında Egzersiz Tedavisi: (305-311, 320-324). Ankara, Alp Yayınları, 2003.
  • Quittan M. Management of Back Pain. Disability and Rehabilitation. 2002; 24:423-434.
  • Çetin N. Kadınlarda Bel Sağlığı Eğitimi (Uzmanlık tezi). Ankara, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Fizik Tedavi ve Rehabilitasyon Programı, 2003.
  • Özcan E. İşe Bağlı Bel Ağrısı. Bel Ağrısı Tanı ve Tedavi. 1. Baskı. (Eds Özcan E, Ketenci A):303-304. İstanbul, Nobel kitabevi, 2002.
  • Manchikanti L. Epidemology of Low Back Pain .Pain Physican. 2000; 3:167-183.
  • İnanıcı F, Oğuz K, Alanay A, Palaoğlu S. Bel Ağrıları. Hacettepe Tıp Dergisi. 2008; 39(4):180-181.
  • Ladeira CE. Evidence based practice guidelines for management of low back pain: physical therapy implications. Rev Bras Fisioter. 2011; 15:190-199.
  • Brian AC. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012; 85:343-350.
  • Beyazova M, Gökçe Kutsal Y. Fiziksel Tıp ve Rehabilitasyon: (909-929, 1465-1483). Ankara, Güneş Kitabevi, 2000.
  • Negrini S, Giovannoni S, Minozzi S, et al. Diagnostic therapeutic flow-charts for low back patients: the Italian guidelines. Eur Medicophys. 2006; 42:151-170.
  • Van Tulder MW. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006; 15:169-191.
  • National Center for Complementary and Integrative Health statistics on costs of complementary health approaches. Erişim tarihi: 2 Ekim 2017. Available from: https://nccih.nih.gov/research/statistics/costs
  • Complementary, Alternative, or Integrative Health: What’s In A Name? Erişim Tarihi: 2 Ekim 2017. Available from: https://nccih.nih.gov/sites/nccam.nih.gov/files/Whats_In_A_Name_06-16-2016.pdf
  • Aker D. Farklı botanik kaynaklardan elde edilen balların antioksidan kapasitesinin karşılaştırılması (Uzmanlık tezi). Samsun, Ondokuz Mayıs Üniversitesi, 2016.
  • Rafferty AP, McGee HB, Miller CE, Reyes M. Prevalence of complementary and alternative medicine use: state-specific estimates from the 2001. Behavioral Risk Factor Surveillance System. Am J Public Health. 2002; 92(10):1598-1600.
  • Vallerand AH, Fouladbakhsh JM, Templin T. The use of complementary/alternative medicine therapies for the self-treatment of pain among residents of urban, suburban, and rural communities. Am J Public Health. 2003; 93(6):923-925.
  • Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health. 2002; 92(10):1582-1591.
  • Karadağ A. Romatizmal Hastalıklarda Alternatif Tıp Ve Tamamlayıcı Tedavi Yöntemleri (Uzmanlık tezi). Sivas, Cumhuriyet Üniversitesi, 2012.
  • Paltiel O, Avitzour M, Peretz T, Cherny N, Kaduri L, Pfeffer RM, et al. Determinants of the Use of Complementary Therapies by Patients With Cancer. Journal of Clinical Oncology. 2001; 19 (9):2439-2448.
  • Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE. Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology. Journal of Clinical Oncology. 2000; 18(13);2505-2514.
  • Balogh Z, Ordogh J, Gasz A, Nemet L, Bender T. Effectiveness of balneotherapy in chronic low back pain -- a randomized single-blind controlled followup study. Forsch Komplementarmed Klass Naturheilkd. 2005; 12(4):196-201.
  • Hartel U, Volger E. Use and acceptance of classical natural and alternative medicine in Germany--findings of a representative population-based survey. Forsch Komplementarmed Klass Naturheilkd. 2004; 11:327-334.
  • Pittler MH, Karagulle MZ, Karagulle M, Ernst E. Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials, Rheumatology. 2006; 45(7):880-884.
  • Sood A, Ebbert JO, Sood R, Stevens SR. Complementary treatments for tobacco cessation: a survey. Nicotine Tob Res. 2006; 8:767-771.
  • Pilkington K, Kirkwood G, Rampes H, Richardson J. Yoga for depression: the research evidence. J Affect Disord. 2005; 89:13- 24.
  • Pilkington K, Rampes H, Richardson J. Complementary medicine for depression. Expert Rev Neurother. 2006; 6:1741-1751.
  • Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004; 343:1-19.
  • Schultz LH, Uyterhoeven S, Khalsa SBS. Evalution of Yoga Program For Back Pain. Journal of Yoga and Physical Therapy. 2011; 1(2):103.
  • Bocci V. Scientific and medical aspects of ozone therapy. state of the art. Archives of Medical Research. 2006; 37:425–435.
  • Gautam S, Rastogi V, Jain, A, Singh AP. Comparative Evaluation of OxygenOzone Therapy and Combined Use of Oxygen-Ozone Therapy with Percutaneous Intradiscal Radiofrequency Thermocoagulation for the Treatment of Lumbar Disc Herniation. Pain Practice. 2011; 11:160-166.
  • Andreula CF, Simonetti L, De Santis F, Agati R, Ricci R, Leonardi M. Minimally invasive oxygenozone therapy for lumbar disk herniation. Am J Neuroradiol. 2003; 24:996-1000.
  • Bocci V. The Actual Six Therapeutic Modalities. In Ozone A New Medical Drug: 37-66. The Netherlands, Springer, 2005.
  • Wu Z, Wei LX, Li J, Wang Y, Ni D, Yang P, et al. Percutaneous treatment of non-contained lumbar disc herniation by injection of oxygen-ozone combination with collagenase. Eur J Radiol. 2009; 72:499-504.
  • Gracer RI, Bocci V. Can the combination of localized ‘proliferative therapy’ with minor ozonated autohemotherapy restore the natural healing process. Med Hypotheses. 2005; 65:752-759.
  • Furlan AD, Brosseau L, Imamura M, Irvin E. Massage for low-back pain. Cochrane Database Syst Rev. 2002; 2: CD001929.
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  • Falkensteiner M, Mantovan F, Müller I, Them C. The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature. ISRN Nurs. 2011; 929868.
  • Ovayolu Ö, Seviğ Ü, Ovayolu N, ve ark. Kemoterapi alan meme kanserli kadınlara uygulanan aromaterapinin semptomlara ve yaşam kalitesine etkisi. 13. Ulusal İç Hastalıkları Kongresinde Sunulmuş Bildiri. 5-9 Ekim 2011, Antalya, (pp. 365).
  • Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. J Adv Nurs. 2008; 63(5):430-439.
  • Hsieh LL, Kuo CH, Yen MF, Chen THA. Randomized controlled clinical trial for low back pain treated by acupressure and physical therapy. Prev Med. 2004; 39:168-176.
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Complementary and Alternative Treatment in Low Back Pain

Yıl 2018, Cilt 27, Sayı 1, 93 - 108, 31.03.2018
https://doi.org/10.17827/aktd.342583

Öz

In the treatment of low back pain, various methods such as physical therapy, drug therapy or surgical intervention are used but effective treatment cannot always be achieved with these methods. Complementary and alternative therapy has an important place in the treatment of low back pain. Nowadays, complementary and alternative treatment for low back pain is becoming more common practice. Complementary and alternative therapies such as hydrotherapy (balneotherapy), yoga, ozone, massage, aromatherapy, meditation, prolotherapy, osteopathy, chiropractic, acupuncture, cupping, homeopathy and reflexology are applied in low back pain and patients are getting positive results from these therapies. 

Kaynakça

  • Krismer M, Van Tulder M. Low back pain (non- specific). Best Prac Res Clin Rheumatol. 2007; 21(1): 77-91.
  • World Health Organization (WHO) methods and data sources for global burden of disease estimates (2000-2011). Erişim Tarihi: 20 Eylül 2017. Available from: http://cdrwww.who.int/healthinfo/statistics/GlobalDALYmethods_2000_2011.pdf
  • Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T, et al. Measuring the global burden of low back pain. Best Pract Res Clin Rheumatol. 2010; 24: 155-165.
  • Berker E. Bel ağrılarında epidemiyoloji, (Eds Erdine S): 325-332. İstanbul, Nobel Tıp Kitabevi, 2000.
  • Altınel L, Köse KC, Ergan V, Işık C, Aksoy Y, Özdemir A, ve ark. The prevalence of low back pain and risk factors among adult population in Afyon region, Turkey. Acta Orthop Traumatol Turc. 2008; 42(5): 328-333.
  • Öztürk A. Low Back Pain Epidemiyolojisi; Bel Ağrıları. Aktüel Tıp Derg.1998; 14-18.
  • Bejia I, Younes M, Jamila HB, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005; 72(3):254-259.
  • Şahin F, Yılmaz F, Şahin T, ve ark. Hastanemiz çalışanlarında muskuloskeletal sistem ağrıları. Şişli Etfal Hastanesi Tıp Bülteni. 2006; 40(1):37-43.
  • Baltacı G, Tunay VB, Tuncer A, Ergun N. Spor Yaralanmalarında Egzersiz Tedavisi: (305-311, 320-324). Ankara, Alp Yayınları, 2003.
  • Quittan M. Management of Back Pain. Disability and Rehabilitation. 2002; 24:423-434.
  • Çetin N. Kadınlarda Bel Sağlığı Eğitimi (Uzmanlık tezi). Ankara, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Fizik Tedavi ve Rehabilitasyon Programı, 2003.
  • Özcan E. İşe Bağlı Bel Ağrısı. Bel Ağrısı Tanı ve Tedavi. 1. Baskı. (Eds Özcan E, Ketenci A):303-304. İstanbul, Nobel kitabevi, 2002.
  • Manchikanti L. Epidemology of Low Back Pain .Pain Physican. 2000; 3:167-183.
  • İnanıcı F, Oğuz K, Alanay A, Palaoğlu S. Bel Ağrıları. Hacettepe Tıp Dergisi. 2008; 39(4):180-181.
  • Ladeira CE. Evidence based practice guidelines for management of low back pain: physical therapy implications. Rev Bras Fisioter. 2011; 15:190-199.
  • Brian AC. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012; 85:343-350.
  • Beyazova M, Gökçe Kutsal Y. Fiziksel Tıp ve Rehabilitasyon: (909-929, 1465-1483). Ankara, Güneş Kitabevi, 2000.
  • Negrini S, Giovannoni S, Minozzi S, et al. Diagnostic therapeutic flow-charts for low back patients: the Italian guidelines. Eur Medicophys. 2006; 42:151-170.
  • Van Tulder MW. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006; 15:169-191.
  • National Center for Complementary and Integrative Health statistics on costs of complementary health approaches. Erişim tarihi: 2 Ekim 2017. Available from: https://nccih.nih.gov/research/statistics/costs
  • Complementary, Alternative, or Integrative Health: What’s In A Name? Erişim Tarihi: 2 Ekim 2017. Available from: https://nccih.nih.gov/sites/nccam.nih.gov/files/Whats_In_A_Name_06-16-2016.pdf
  • Aker D. Farklı botanik kaynaklardan elde edilen balların antioksidan kapasitesinin karşılaştırılması (Uzmanlık tezi). Samsun, Ondokuz Mayıs Üniversitesi, 2016.
  • Rafferty AP, McGee HB, Miller CE, Reyes M. Prevalence of complementary and alternative medicine use: state-specific estimates from the 2001. Behavioral Risk Factor Surveillance System. Am J Public Health. 2002; 92(10):1598-1600.
  • Vallerand AH, Fouladbakhsh JM, Templin T. The use of complementary/alternative medicine therapies for the self-treatment of pain among residents of urban, suburban, and rural communities. Am J Public Health. 2003; 93(6):923-925.
  • Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health. 2002; 92(10):1582-1591.
  • Karadağ A. Romatizmal Hastalıklarda Alternatif Tıp Ve Tamamlayıcı Tedavi Yöntemleri (Uzmanlık tezi). Sivas, Cumhuriyet Üniversitesi, 2012.
  • Paltiel O, Avitzour M, Peretz T, Cherny N, Kaduri L, Pfeffer RM, et al. Determinants of the Use of Complementary Therapies by Patients With Cancer. Journal of Clinical Oncology. 2001; 19 (9):2439-2448.
  • Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE. Complementary/Alternative Medicine Use in a Comprehensive Cancer Center and the Implications for Oncology. Journal of Clinical Oncology. 2000; 18(13);2505-2514.
  • Balogh Z, Ordogh J, Gasz A, Nemet L, Bender T. Effectiveness of balneotherapy in chronic low back pain -- a randomized single-blind controlled followup study. Forsch Komplementarmed Klass Naturheilkd. 2005; 12(4):196-201.
  • Hartel U, Volger E. Use and acceptance of classical natural and alternative medicine in Germany--findings of a representative population-based survey. Forsch Komplementarmed Klass Naturheilkd. 2004; 11:327-334.
  • Pittler MH, Karagulle MZ, Karagulle M, Ernst E. Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials, Rheumatology. 2006; 45(7):880-884.
  • Sood A, Ebbert JO, Sood R, Stevens SR. Complementary treatments for tobacco cessation: a survey. Nicotine Tob Res. 2006; 8:767-771.
  • Pilkington K, Kirkwood G, Rampes H, Richardson J. Yoga for depression: the research evidence. J Affect Disord. 2005; 89:13- 24.
  • Pilkington K, Rampes H, Richardson J. Complementary medicine for depression. Expert Rev Neurother. 2006; 6:1741-1751.
  • Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004; 343:1-19.
  • Schultz LH, Uyterhoeven S, Khalsa SBS. Evalution of Yoga Program For Back Pain. Journal of Yoga and Physical Therapy. 2011; 1(2):103.
  • Bocci V. Scientific and medical aspects of ozone therapy. state of the art. Archives of Medical Research. 2006; 37:425–435.
  • Gautam S, Rastogi V, Jain, A, Singh AP. Comparative Evaluation of OxygenOzone Therapy and Combined Use of Oxygen-Ozone Therapy with Percutaneous Intradiscal Radiofrequency Thermocoagulation for the Treatment of Lumbar Disc Herniation. Pain Practice. 2011; 11:160-166.
  • Andreula CF, Simonetti L, De Santis F, Agati R, Ricci R, Leonardi M. Minimally invasive oxygenozone therapy for lumbar disk herniation. Am J Neuroradiol. 2003; 24:996-1000.
  • Bocci V. The Actual Six Therapeutic Modalities. In Ozone A New Medical Drug: 37-66. The Netherlands, Springer, 2005.
  • Wu Z, Wei LX, Li J, Wang Y, Ni D, Yang P, et al. Percutaneous treatment of non-contained lumbar disc herniation by injection of oxygen-ozone combination with collagenase. Eur J Radiol. 2009; 72:499-504.
  • Gracer RI, Bocci V. Can the combination of localized ‘proliferative therapy’ with minor ozonated autohemotherapy restore the natural healing process. Med Hypotheses. 2005; 65:752-759.
  • Furlan AD, Brosseau L, Imamura M, Irvin E. Massage for low-back pain. Cochrane Database Syst Rev. 2002; 2: CD001929.
  • Lim JT, Wong ET, Aung SK. Is there a role for acupuncture in the symptom management of patients receiving palliative care for cancer? A pilot study of 20 patients comparing acupuncture with nurse-led supportive care. Acupunct Med. 2011; 29(3):173-179.
  • Falkensteiner M, Mantovan F, Müller I, Them C. The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature. ISRN Nurs. 2011; 929868.
  • Ovayolu Ö, Seviğ Ü, Ovayolu N, ve ark. Kemoterapi alan meme kanserli kadınlara uygulanan aromaterapinin semptomlara ve yaşam kalitesine etkisi. 13. Ulusal İç Hastalıkları Kongresinde Sunulmuş Bildiri. 5-9 Ekim 2011, Antalya, (pp. 365).
  • Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. J Adv Nurs. 2008; 63(5):430-439.
  • Hsieh LL, Kuo CH, Yen MF, Chen THA. Randomized controlled clinical trial for low back pain treated by acupressure and physical therapy. Prev Med. 2004; 39:168-176.
  • Gray DP. Complementary and alternative therapies. In : Medical Surgical Nursing, (Eds Lewis SM, Heitkemper L, Dirksen SR): 94-109, St. Louis, Mosby Inc, 2004.
  • Snyder M, Wieland J. Complementary and alternative therapies: What is their place in the management of chronic pain? Nurs Clin Nrth Am. 2003; 38:495-508.
  • Gedney JJ, Glover TL, Fillingim RB. Sensory and affective pain discrimination after inhalation of essential oils. Psychosom Med. 2004; 66: 599-606.
  • Tseng YH. Aromatherapy in nursing practice. Hu Li Za Zhi. 2005; 52:11-15.
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Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Derleme
Yazarlar

Ezgi YARAŞIR>
FIRAT ÜNİVERSİTESİ, SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU
0000-0002-2065-1703
Türkiye


Edibe PİRİNÇCİ>
FIRAT ÜNİVERSİTESİ, TIP FAKÜLTESİ HALK SAĞLIĞI ABD
0000-0002-1344-4562
Türkiye


Süleyman Erhan DEVECİ>
FIRAT ÜNİVERSİTESİ, TIP FAKÜLTESİ HALK SAĞLIĞI ABD
0000-0002-3041-2327
Türkiye

Yayımlanma Tarihi 31 Mart 2018
Kabul Tarihi 27 Ekim 2017
Yayınlandığı Sayı Yıl 2018, Cilt 27, Sayı 1

Kaynak Göster

AMA Yaraşır E. , Pirinçci E. , Deveci S. E. Bel Ağrısında Tamamlayıcı ve Alternatif Tedavi. aktd. 2018; 27(1): 93-108.