The Effect of Myofascial Induction and Therapeutic Pain Education in Chronic Low Back Pain
The Effect of Myofascial Induction and Therapeutic Pain Education in Chronic Low Back Pain
The aim of this study was to investigate the effects of therapeutic pain education and
 myofascial induction therapy on pain and function in patients with chronic low back pain. In
 the literature, studies on myofascial induction therapy in patients with chronic low back
 pain are very limited and there is no study comparing therapeutic pain training.
Lumbar pain has become a major health problem which is growing and is very common in all
 societies and negatively affects the full well-being of the individual. It has been reported
 that 80% of the population experienced low back pain at any time in their lives. The
 prolongation of this painful process affects the physical, mental and psychological state of
 the patient and limits its daily functions. The acute or chronic pain determines the nature
 and duration of pain. Low back pain lasting 12 weeks or more is defined as chronic. In
 chronic diseases, lumbar pain, which is the first one, restricts the daily activities of the
 person due to current chronic pain or deterioration of functional status and causes loss of
 labor force.

 Myofascial induction therapy is a therapy concept focused on optimizing function and balance
 within the fascial system. The approach aims at global recovery, local correction and
 painless body use.

 Superficial procedures are directed to surface and / or local restrictions that can be
 directly detected by palpation. Deep myofascial induction therapy is a method that eliminates
 the limitations of the myofascial system and the three-dimensional pressures.

 Therapeutic pain education is a training intervention that aims to reduce pain and disability
 by helping patients better understand the biological processes that support pain states. The
 neurobiology of pain and pain processed by the nervous system is explained to the patient in
 detail. Changes the patient's olab viewpoint to pain. For example, the patient believes that
 the cause of pain is caused by tissue damage. The patient who receives pain education
 understands that the cause of pain is the hypersensitive central nervous system. As a result,
 the patient's fear avoidance behavior decreases and he starts to move more easily. Because
 the sensitivity of the central nervous system will be alleviated, the perceived pain will
 decrease.
Inclusion Criteria:

 -  Between 25-65 years old

 -  Low back pain for at least 12 weeks

 -  Physical therapy in the last 1 month

 -  There is no other disease that may cause low back pain.

 Exclusion Criteria:

 -  Stem pressure associated with pain

 -  Having severe discopathy

 -  Available compression fracture

 -  To have rheumatic or inflammatory disease that may cause back pain.