Background: PLID is one of the most common medical problems and causes a significant amount of disability and incapacity in different countries. PLID has a persistent and recurrent nature, with major consequences for individuals and society.

Objective: see the effects of drug treatment and ADL instructions in patients with PLID

Method: Randomized Clinical Trial was carried out in the department of Physical Medicine & Rehabilitation in Dhaka Medical College Hospital, Dhaka, Bangladesh. Patients presenting with PLID in the age group of 18 to 50 years of both sexes attending in the Department of Physical Medicine & Rehabilitation at Dhaka Medical College Hospital, Dhaka were included as study population. A total number of 70 patients with PLID who fulfilled the selection criteria were taken as study population and among them 35 patients were selected who were treated with drugs and ADL instruction.

Results: Among the 70 patients, majority of the patients were in the age group of 41 to 50 years which was 14 (40.0%) cases. Male was   predominant than female which was 21(60.0%) cases.   The mean score of Schober’s test before treatment was 3.6 ± 0.7.The mean score of Schober’s test 2 weeks after treatment was  4.5 ± 0.6, after 4 weeks      4.7 ± 0.7 and after 6 weeks   was  5.3 ± 0.8  . The mean score of VAS before treatment was 8.9 ± 0.9  , 2 weeks after treatment   was 6.4 ± 1.1). 4 weeks after was 4.3 ± 1.1.and 6 weeks after   was 2.9 ± 1.4.

Conclusion: This study was done on very small, selected admitted patients in department of medicine, Dhaka Medical College Hospital. Though the improvement was positive still the effects of drugs treatment was not that much impressive that treatment with traction.

Keywords: Drug treatment, PLID, LBP.

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Dr Ripon Kumer Saha

Assistant Professor, Department of Physical Medicine and Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh