pain-management-2016_scientifictracks-abstracts

6 / 18

Notes:
Page 29
Pain Management 2016
October 03-04, 2016
Volume 5, Issue 5(Suppl) J Pain Relief
ISSN: 2167-0846 JPAR, an open access journal
conferenceseries .com
October 03-04, 2016 Vancouver, Canada
International Conference on
Pain Research & Management
Marco Romoli, J Pain Relief 2016, 5:5(Suppl)
Long-term results of therapeutic local anesthesia (neural therapy) in patients with chronic pain,
disability and postural misalignment
Marco Romoli
University of Florence, Italy
Introduction: Musculoskeletal complaints are one of the most common reasons leading patients to revert to medical care.
These include osteoarthritis, rheumatoid arthritis, low back pain (LBP), neck pain (NP) and myofascial pain syndrome. Patients
with chronic LBP and NP in particular show a relevant disability and a significant number of them turn to complementary and
alternative medicine (CAM). Amongst CAM methods most frequently used in Europe is therapeutic local anesthesia (neural
therapy-NT) which includes the infiltration of anesthetics into “interference” fields such as surgery and vaccination scars,
burns, bruises, etc.
Aim: The aim of this research was to ascertain whether and to what extent one session of neural therapy on “active” scars could
improve pain, disability and postural misalignment in a referred group of patients with chronic nonspecific LBP and NP.
Methods: 50 patients with prevalent back pain (26) or prevalent neck pain (24) were included in the study if they showed at
least one active scar to be treated. Outcome measures, assessed after infiltration and during a 6-month follow-up were pain
scored using the McGill pain questionnaire; disability was scored using the Oswestry disability index and Neck disability index;
the consumption of analgesics was recorded; and the improvement of the body’s center of pressure (COP) was measured using
a force platform.
Results: A significant reduction of pain, disability and consumption of analgesics were observed for one, three and six months
after treatment. It was observed that the coordinates of the patient’s COP improved significantly after NT and in the follow-up
up to three months.
Conclusion: The long-term results of NT on active scars enlighten the importance of this complementary method for relieving
pain and disability of low-back and neck pain. Further trials are needed to understand the pathogenic mechanism of active
scars on postural instability.
Biography
Marco Romoli has graduated in Medicine from Florence University. He has done his further studies in Acupuncture and related techniques from Japan, China,
France, Austria and Italy. He has published more than 40 papers on Acupuncture, Ear Acupuncture and Neural Therapy. He has been serving as an Editorial Board
Member in several journals of Complementary and Alternative Medicine.