THERAPEUTIC APPROACH OF THE PAINFUL LUMBO-RADICULAR SYNDROME (SDLR) IN THE LACU-S RAT RESORT AND THE ”SC FIZITER SRL” BR ILA PHYSICAL REHABILITATION CENTRE

The high frequency of painful lumboradicular syndromes (SDLR) is visible in the international specialised literature, bearing upon a diversity of specialisations (orthopedics, rheumatology, neurology, brain surgery, internal medicine, physiotherapy, social assistance services). Material and method .The present study took place in the interval 2007-2009 and comprised 2847 clinical cases of various types of painful lumbar syndromes (44. 43%) out of a total of 6517 patients admitted in our service during the three years of the study,aiming at identifying differentiated nosological entities, presenting the clinical diagnosis criteria and singling out the treatment methodologies. The study proves that a careful and competent clinical examination as well as the accurate interpretation of paraclinical results may provide diagnosis elements allowing the isolation of various distinct nosological entities out of the totality of painful lumbar syndromes, which are subsequently enumerated establishing the percentual proportion to the 2 947 S.D.L.R. cases, as well as to the methodologies of kinetic approach of these entities. 1. The lumbar disc hernia (the multi- or single-level discogen lumboradicularsyndrome (phase III st. III) 34.60%. 2. The ”lumbago” discogen lumbalgic syndrome (phase II) 4.66%. 3. The myofascial syndrome 39.5%. 4. The facetal syndrome 1.53%. 5. The post-surgery HDL syndrome 12.85%. 6. The lumbalgic syndrome in generalised filrositis 4.25%. 7. Lumbar pains of other origins. The conclusions andresults of this research topic provide useful information, in view of a more certain diagnosis, accurate therapeutic orientation, adequate guiding of patients towards the suitable therapy, the kinetic approach of these entities, elements which may avoid prolonging the evolution, the useless increase of temporary work incapacity,applying precipitous treatments and patient’s iatrogenisation.