Complementary Medicine Practices in Chronic Low Back Pain: Randomized Controlled Trial

Comparison of the Effectiveness of Conventional Physiotherapy and Traditional Methods ın the Treatment of Chronic Back Pain

To compare the effectiveness of classical physiotherapy and leech therapy in patients with chronic low back pain.

investigators research will last 6 weeks in total. There will be a total of 60 participants in three groups, 20 people in each group. Participation will be on a voluntary basis. There will be no control group in our study. Physiotherapy treatments will be applied two days a week for a total of 6 weeks. In the group where leeches will be applied together with classical physiotherapy, leech application will be done every two weeks. However, in the group where leeches will be applied, the classical physiotherapy method will continue to be applied two days a week for a total of 6 weeks. Roland Morris Disability Questionnaire, Oswestry Disability Index, Short Form McGill Pain Questionnaire, Pittsburgh Sleep Quality Inventory (PSQI) will be administered before and after our study.

Inclusion Criteria:

• By a specialist physician (orthopedics, neurology, algology) for more than three months
• low back pain confirmed throughout
• Complaint of lower back pain at least three days a week in the three months before treatment
• Those who do not have any blood disease
• Those who do not use blood thinners

Exclusion Criteria:

• Regular intake of opioid analgesics
• Presence of hemophilia
• Presence of anemia or known erythropoietic disorder
• Presence of erosive gastritis, gastrointestinal bleeding or stomach ulcer in the last three months
• Immunosuppressive drugs
• Wound healing disorder
• Pregnancy, breastfeeding status
• Presence of rheumatoid arthritis, spondyloarthropathy or other inflammatory joint disease