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Graded exercise with motion style acupuncture therapy for a patient with failed back surgery syndrome and major depressive disorder: a case report and literature review – Lumbar Fusion

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The article discusses the challenging treatment of failed back surgery syndrome (FBSS) and the role of depression in both its development and prognosis. The case study presented involves a 53-year-old male veteran with FBSS and major depressive disorder (MDD) who underwent graded exercise combined with motion-style acupuncture therapy (MSAT) after a six-week routine treatment showed no improvement. The patient experienced a reduction in physical and mental functional disabilities, as well as a decrease in low back pain and radiative leg pain intensity after three weeks of treatment. The study also included a review of three randomized controlled trials showing significant antidepressant effects in patients with FBSS and MDD. Graded exercise with MSAT is suggested as a potentially effective rehabilitative therapy for individuals with FBSS and MDD who struggle with impaired daily routines

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine facility on Harley Street UK

Published article

Effective treatment of failed back surgery syndrome (FBSS) remains challenging despite urgent medical attention requirements. Depression is a contributing factor to the development and poor prognosis of FBSS, and vice versa. We report the case of a patient with FBSS and major depressive disorder (MDD) treated with graded exercise combined with motion-style acupuncture therapy (MSAT). A 53-year-old male veteran who had undergone lumbar discectomy and laminectomy with instrumented fusion was…

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Front Med (Lausanne). 2024 Apr 8;11:1376680. doi: 10.3389/fmed.2024.1376680. eCollection 2024. ABSTRACT Effective treatment of failed back surgery syndrome (FBSS) remains challenging despite urgent medical attention requirements. Depression is a contributing factor to the development and poor prognosis of FBSS, and vice versa. We report the case of a patient with FBSS and major depressive disorder,

Front Med (Lausanne). 2024 Apr 8;11:1376680. doi: 10.3389/fmed.2024.1376680. eCollection 2024.

ABSTRACT

Effective treatment of failed back surgery syndrome (FBSS) remains challenging despite urgent medical attention requirements. Depression is a contributing factor to the development and poor prognosis of FBSS, and vice versa. We report the case of a patient with FBSS and major depressive disorder (MDD) treated with graded exercise combined with motion-style acupuncture therapy (MSAT). A 53-year-old male veteran who had undergone lumbar discectomy and laminectomy with instrumented fusion was admitted to the hospital with re-current back pain and radiative pain in the left leg. The effects of failed surgery triggered MDD as a comorbidity. After a six-week routine treatment without remarkable improvement, a three-week program of graded exercise with MSAT was applied. The numeric rating scale (NRS) and short form-36 (SF-36) were used to assess low back pain with radiating leg pain, and daily functioning levels, respectively. The voluntary walking distance of the patients was measured. To analyze the therapeutic effects and other applications of the intervention, we surveyed clinical trials using MSAT or graded exercise therapy (GET). Three weeks of graded exercise with MSAT reduced physical and mental functional disabilities (SF-36, physical component: 15.0 to 37.2, mental component: 21.9 to 30.1) as well as the intensity of low back pain and/or radiative leg pain (NRS: 50 to 30). Furthermore, as the therapeutic intensity gradually increased, there was a significant corresponding increase in daily walking distance (mean daily walking distance, the first week vs. baseline, second, and third week, 3.05 ± 0.56: 2.07 ± 0.79, 4.27 ± 0.96, and 4.72 ± 1.04 km, p = 0.04, p = 0.02, and p = 0.003, respectively). Three randomized controlled trials of GET were included, all showing statistically significant antidepressant effects in the diseased population. Graded exercise with MSAT may be an effective rehabilitative therapy for patients with FBSS and MDD who have impaired daily routines.

PMID:38651058 | PMC:PMC11034520 | DOI:10.3389/fmed.2024.1376680

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Graded exercise with motion style acupuncture therapy for a patient with failed back surgery syndrome and major depressive disorder: a case report and literature review

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Front Med (Lausanne). 2024 Apr 8;11:1376680. doi: 10.3389/fmed.2024.1376680. eCollection 2024. ABSTRACT Effective treatment of failed back surgery syndrome (FBSS) remains challenging despite urgent medical attention requirements. Depression is a contributing factor to the development and poor prognosis of FBSS, and vice versa. We report the case of a patient with FBSS and major depressive disorder

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