EFFECTS OF COGNITIVE BEHAVIORAL THERAPY (CBT) AND MEDITATION IN CHRONIC LOW BACK PAIN

Abstract –   Context: Chronic low back pain (CLBP) is a highly prevalent and often disabling condition among adults. Meditation is a practice which uses a technique like mindfulness, or focusing their mind on a particular thought, activity - to train awareness, achieve a mentally clear and emotionally calm state. Cognitive – behavioral therapy (CBT) is a form of psychotherapy that has been documented to be effective in treating depression, chronic pain and other mental disorders. Aim:  To compare the effects of both, CBT and Meditation on pain management in CLBP. Method: 27 patients with CLBP between the age group of 36-50 yrs were selected. They were divided into 3 groups. A 4 week intervention of conventional physiotherapeutic exercises, Meditation and CBT was given. Oswestry Low Back Pain Disability Questionnaire and Numerical Pain Rating Scale were used as outcome measures. Results: Our study shows significant results pre and post all interventions, but no significant difference can be seen when the three interventions are compared to each other (with p<0.05) Conclusion: On the basis of the result obtained, we can say that all three interventions have a positive effect in pain reduction in CLBP.Statistically, no intervention has a better effect over others. But clinically meditation group performed better

EFFECTS OF COGNITIVE BEHAVIORAL THERAPY (CBT) AND MEDITATION IN CHRONIC LOW BACK PAIN

Abstract –   Context: Chronic low back pain (CLBP) is a highly prevalent and often disabling condition among adults. Meditation is a practice which uses a technique like mindfulness, or focusing their mind on a particular thought, activity - to train awareness, achieve a mentally clear and emotionally calm state. Cognitive – behavioral therapy (CBT) is a form of psychotherapy that has been documented to be effective in treating depression, chronic pain and other mental disorders. Aim:  To compare the effects of both, CBT and Meditation on pain management in CLBP. Method: 27 patients with CLBP between the age group of 36-50 yrs were selected. They were divided into 3 groups. A 4 week intervention of conventional physiotherapeutic exercises, Meditation and CBT was given. Oswestry Low Back Pain Disability Questionnaire and Numerical Pain Rating Scale were used as outcome measures. Results: Our study shows significant results pre and post all interventions, but no significant difference can be seen when the three interventions are compared to each other (with p<0.05) Conclusion: On the basis of the result obtained, we can say that all three interventions have a positive effect in pain reduction in CLBP.Statistically, no intervention has a better effect over others. But clinically meditation group performed better

Topical corticosteroid therapy: clobetasol propionate 0.025%

Topical corticosteroids have been the cornerstone of treatment over the last six decades for various dermatoses characterized by dry, scaly, crusted, or erythematous skin as well as those associated with inflammation and pruritus. The potency of a topical steroid depends on the specific molecule, the amount of drug reaching the target, absorption through the skin (0.25%–3%), and the formulation. Clobetasol propionate (CP) 0.025% cream formulation is a potent, fifth-generation topical corticosteroid. It is approved by the United States Food and Drug Administration to be applied twice daily for the treatment of moderate-to–severe psoriasis in adults. This case series covers the clinical experience of various dermatologists, including their expert opinion on the safety and efficacy of ImpoyzTM (CP) cream 0.025% in different skin disorders