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Study aim
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1- Determine the change in pain intensity before and after ozone therapy
2- Determination of changes in the test of the lens before and after treatment with ozonotherapy
3- Comparison of two methods of treatment of cannosetics and ozone therapy in the treatment of lumbric disopathies
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Design
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Patients with acute low back pain created by lumbar disc herniation were randomly divided into two groups of control and recipients of muscle intramuscular injection of ozone
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Settings and conduct
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. All patients 2 weeks, 3 and 6 months after the end of treatment were evaluated clinically by VAS and the results of Chi - Square or Fisher exact test, Student t test will be analyzed.
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Participants/Inclusion and exclusion criteria
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Inclusion criterias ; Acute low back pain with radiculopathy and the presence of a moderate to severe (5-10cm) Visual Analog Scale (VAS) on one leg and MRI indicating a protruded disc without degenerative disc.exclusion criteria ; Extruded discs, clinical signs of radiculopathy (reduction of tendon reflexes, muscle weakness, sensory impairment), horse tail syndrome, progressive neurological deficits, spinal cord stenosis. Spondylolisthesis, Previous Surgery; Diabetic Neuropathy , Body mass index greater than 30, lower back scoliosis more than 20 degrees; Lower limb length difference of more than 1.5 centimeters in simple radiography; pregnancy; and favism in which ozone therapy is contraindicated.Patients who have recently received ozone therapy.
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Intervention groups
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Injection of 250 micro grams of ozone in the disk space between the prosthetic disk Break the nucleotide proteoglycan so that the water is removed from the disk and the disk is collected and Oral administration of a non-steroidal anti-inflammatory drug Naproxen 500 mg every 12 hours and baculofen 10 mg muscle relaxant every 12 hours for 2 weeks.
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Main outcome variables
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paraverteal lumbar injection, which is associated with minimal invasion, seems to be in the elimination of pain, and It also reduces the inability and the use of analgesic drugs.