PRINCIPLES OF TREATMENT AND REHABILITATION OF PATIENTS WITH PAINFUL LUMBAR SYNDROME

U liječenju lumbalnog bolnog sindroma priljenjujemo konzervativno i operativno liječenje. Konzervativnim liječenjem postižemo terapijski uspjeh u više od 901/e bolesnika, a samo manji broj bolesnika podvrgava se kirurškom liječenju. U akutnoj fazi lumbalnog bolnog sindroma neophodno je potrebno mirovanje u jednom od antalgičnih položaja zatim primjena nesteroidnih antiflogistika te fi.zikalna tera,pija (kriomasaža u mlađih osoba i elektroanalgezija). U kroničnoj fazi lumbalnog bolnog sindroma primjenjuju se elektro termo-, hidroi kineziterapija. Radi dekompresije provodi se trakcija lumba·lne kralješnice. Lumbalni steznik primjenjuje se u bolesnika s jačim instabilitetom i jačom deformacijom lumbalne kralješnice. Psihoterapija i edukacija bolesnika sastavni su dio liječenja i rehabilitacije bolesnika.Conserva,ti.ve and opera·tive treatment is applied in the treatment of the painful lumbar syndrome. TherapeUJtical success has been achieved in over 90 per cent of our patients by conservative treatment and only a small number of patients had to undergo surgical treatment. Rest in one the antalgic position is indispensable in the acute phase of the painful lumbar syndrome Ln addition to the application of non-steroid antiphlogistics and physical therapy (cryo-massage in younger people and electro-analgesic procedures). Electro-, thermo-, hydro- and kinesitherapy are applied in the chronic phase of the pa.inful lu.mbar syndrome. Traction of the lumbar spine is undertaken for decompression purposes. A lumbar corset is applied iln patients with grea.ter instability and a hi.gher degree of deformity of the lumbar spine. Psychotherapy and educa.tion of the pa.tients are integraJ. parts in the treatment and rehabilita.tion of these patients