Relation between intestinal transit disorders and lumbago
Abstract
Low back pain appears and disappears following a rhythm of intestinal disorders. The intestinal musculature can remain in viscospasm for hours and relax for no known reason. Likewise, in patients with colonopathy, the low dorsal and high lumbar metameric level is facilitated by affecting the myotoma corresponding to the lumbar paravertebral musculature. When colonic transit is disturbed, chylon and feces stagnate, causing local irritative phenomena and possible infectious foci, constipation is often the result of colonic atony of multiple causes. The colon is a muscle that can be spasmodized which hinders the transit and circulation of fluids. According to Barral, colonic problems often include lumbar and sacroiliac fixations. We found limitations in our results because we did not find a majority percentage of coincidence between low back pain and intestinal alterations, but we found it essential to continue with research on this subject due to its anatomical relationship of relevance in osteopathic treatment.
References
Barral JP, Mercier P. Manipulaciones viscerales. Tomo 1. Elsevier España; 2009.
Testut L, Jacob O. Tratado de anatomía topográfica con aplicaciones medicoquirúrgicas: abdomen, pelvis, miembros. Tomo 2; 1986.
Corts M. Manual de diagnóstico en osteopatía; 2014.
Busquets L. Las Cadenas Musculares. Tomo VI. Paidotribo Editorial; 2006.
Kim Burton A. How to prevent low back pain. Best Practice & Research Clinical Rheumatology. 2005;19:541-555. https://doi.org/10.1016/j.berh.2005.03.001
Carragee E, et al. Diagnostic evaluation of low back pain. Orthop ClinNAm. 2004;35:7 16. https://doi.org/10.1016/S0030-5898(03)00099-3
Deyo R, et al. Low back pain. N Engl JMed. 2001;344:363-370. https://doi.org/10.1056/NEJM200102013440508
Atlas S, et al. Evaluation and treatment of low back pain: an evidence-based approach to clinical care. Muscle Nerve. 2003;27:265-284. https://doi.org/10.1002/mus.10311
Ochoa G. Dolor Lumbar: Una re-evaluación de los conceptos. MEDUNAB. 2001;4:87- 116.
Chou R, et al. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147:478-491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006
Kovacs F., Llobera J., Gil M., et al. Validation of the Spanish Version of the Roland-Morris Questionnaire. Spine. 2002;27:538-542. https://doi.org/10.1097/00007632-200203010-00016
Lugo L., Garcia H., Gomez C. Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellin, Colombia. Rev. Fac. Nac. Salud Pública. 2006;24(2).
Vilaguta G., Ferrera M., Rajmilb L., et al. El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos. Gac Sanit. 2005;19(2):135-50. https://doi.org/10.1157/13074369
Bronfort G, et al. Efficacy of spinal manipulation and mobilization for lowback pain and neck pain: a systematic review and best evidence synthesis. Spine Journal. 2004;4:335-356. https://doi.org/10.1016/j.spinee.2003.06.002
Williams N, et al. Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care. Family Practice. 2003;20:662-669. https://doi.org/10.1093/fampra/cmg607
Van Tulder M, et al. Conservative Treatment of Acute and Chronic Nonspecific Low Back Pain: A Systematic Review of Randomized Controlled Trials of the Most Common Interventions. Spine. 1997;22(18):2128- 2156. https://doi.org/10.1097/00007632-199709150-00012
Van tulder M. Low back pain. Best Prac and research clin rheum. 2002;16(5):761-75. https://doi.org/10.1053/berh.2002.0267
Andersson G, et al. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. NEngl JMed. 1999;341:1426-31. https://doi.org/10.1056/NEJM199911043411903
Andersson GBJ, Svensson HO, Oden A. The intensity ofwork recovery in low back pain. Spine. 1983;8:880-4. https://doi.org/10.1097/00007632-198311000-00011
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