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Acupuncture and bee venom therapy vs Diclofenac in the chronic low back pain treatment

Beatrice Lucache, Irina Jaba, Elena Albu, Mungiu C.O.
Abstract: Chronic low back pain (CLBP) can be treated by quite a large number of treatment methods, each method with its own advantages and drawbacks and comparable from the standpoint of efficiency, side effects, costs, necessary time, easiness, convenience etc. The aim of this paper is to assess and compare the effectiveness and side effects of three of the most common used therapies in CLBP. A prospective case-control study was conducted over o period of six months. A lot of 127 patients divided in three groups, have each followed one of the three mentioned treatments. The effectiveness was assessed through the pain intensity and pressure pain threshold (PPT), while the side effects were evaluated through clinical approach. The results were statistically processed and analyzed, the signification threshold being p=0.05. All the three applied treatments led to an improvement and the differences between the results were not significant. Acupuncture led to better results, but the differences became statistically significant slowly, in the last days of treatment. In what concerns the side effects, these were mostly minor and recorded especially for diclofenac. One major event wsa recorded in the case of bee venom therapy, namely anaphylactic shock was developed by one patient in the sixth treatment session. The results obtained by acupuncture or by bee venom therapy are not significantly , but due to the fact that they less invasive than diclofenac, we conclude that these complementary therapies have to be maintained as cost-efficient alternative procedures in CLBP treatment.

Keywords: cronic low back pain, diclofenac, acupuncture, bee venom


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