Trigger Point Incidence After Lumbar Disc Herniation Surgery

Study Overview
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Brief Summary
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Our purpose is to determine the incidence of trigger points in patients who remain in a fixed position for a long time during lumbar disc herniation surgery.

Detailed Description
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The 110 participants between 30-70 years are chosen from patients who had lumbar disc herniation surgery. The trigger points are determined by manually palpating quadratus lumborum, iliocostalis lumborum, gluteus Maximus, gluteus minimus, gluteus medius, ve piriformis muscles before and after surgery. Data will be recorded on the patient assessment file and transferred to the computer and analyzed. Data analysis will be performed with SPSS.20.

Official Title
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The Determination of the Trigger Point Incidence After Lumbar Disc Herniation Surgery

Conditions
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Trigger Point Pain, Myofascial

Intervention / Treatment
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* Diagnostic Test: Manual palpation for incidence determination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be between 30-70 years To have low back pain during minimum 6 weeks To be voluntary participation for this study To approve the informed consent form To have the trigger point causing low back pain on muscles including quadratus lumborum, iliocostalis lumborum, gluteus maximus, gluteus minimus, gluteus medius, ve piriformis muscles. Exclusion Criteria: To be diagnosed with spinal stenosis or spondylolisthesis To have any skin problem affecting lower extremity evaluation To have tumor on spinal region To have rheumatological or any systemic problem that may interfere with trigger point diagnose

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Manual palpation for incidence determination|The patients are positioned in a sitting and prone lying posture. Trigger points are discrete, local, hypersensitive spots located in a taut band of muscles. Palpation of the trigger point will cause elicitation pain over the affected area and radiation of pain toward a zone of reference and a local twitch response.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Manual Palpation | The patients are positioned in a sitting and prone lying posture.Trigger points are discrete, local, hypersensitive spots located in a taut band of muscles. Palpation of the trigger point will cause elicitation pain over the affected area and radiation of pain toward a zone of reference and a local twitch response. | Change from baseline (preoperative state) to postoperative first and third day | 
| Visual Analog Scale | Pain will be assessed with Visual Analog Scale (VAS).The VAS is usually a horizontal line, 10 cm in length, anchored by word descriptors at each end with No Pain (score of zero) on the left side up to pain as bad as it could be or the worst imaginable pain (Score of 100 [100-mm scale]) on the right side.The patient was asked to mark the line point that represented his or her current pain. | Change from baseline (preoperative state) to postoperative first and third day |