title: Physiotherapy and a Homeopathic Complex for Chronic Low-back Pain Due to Osteoarthritis: A Randomized, Controlled Pilot Study.
abstract: BACKGROUND
  Osteoarthritis (OA) is a common cause of chronic low-back pain (CLBP) and can be managed with drug therapy and physiotherapy. Homeopathic remedies may assist managing OA; however, research that supports their effectiveness is limited.
  
  
  OBJECTIVE
  The study aimed to investigate the efficacy of a homeopathic complex in combination with physiotherapy in treating CLBP due to OA.
  
  
  METHODS
  The study was a 6-wk, randomized, double-blind, placebo-controlled pilot.
  
  
  METHODS
  The study took place in a private physiotherapy practice in Gauteng, South Africa.
  
  
  METHODS
  The participants were 30 males and females, aged 45-75 y, who were receiving physiotherapy treatment for OA of the lumbar spine from a therapist in private practice.
  
  
  METHODS
  The intervention and control groups both received standard physiotherapy treatment-massage, thermal therapy, and joint mobilization-every 2 wk. In addition, the treatment group received a homeopathic complex-6cH each of Arnica montana, Bryonia alba, Causticum, Kalmia latifolia, Rhus toxicodendron, and Calcarea fluorica. The control group a received a placebo.
  
  
  METHODS
  The primary measure was a visual analogue scale (VAS) for pain. Secondary outcome measures included the Oswestry Disability Index (ODI), an evaluation of each patient's range of motion (ROM) of the lumbar spine, and a determination of each patient's need for pain medication.
  
  
  RESULTS
  Intergroup analysis revealed that the treatment group significantly outperformed the control group with regard to pain, daily functioning, and ROM. No difference existed between the groups, however, in the need for conventional pain medication.
  
  
  CONCLUSIONS
  The study was too small to be conclusive, but results suggest the homeopathic complex, together with physiotherapy, can significantly improve symptoms associated with CLBP due to OA.
authors.forename: Mary
authors.initials: M
authors.lastname: Morris
authors.forename: Janice
authors.initials: J
authors.lastname: Pellow
authors.forename: Elizabeth Margaret
authors.initials: EM
authors.lastname: Solomon
authors.forename: Tebogo
authors.initials: T
authors.lastname: Tsele-Tebakang
mesh_terms: D000368:Aged; D059350:Chronic Pain / Q000209:etiology / Q000628:therapy*; D005260:Female; D006705:Homeopathy / Q000379:methods*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D016059:Range of Motion, Articular