• Pelin Yildirim and Alper Gultekin.
• Department of Physical Medicine and Rehabilitation, Kocaeli DerinceTrainingand Research Hospital, Kocaeli, Turkey.
• Spine. 2022 May 15; 47 (10): 711-719.

Study DesignRandomized controlled trial.ObjectiveTo investigate the effect of a stretch and strengthbased yoga exercise program on neuropathic pain due to LDH.Summary Of Background DataLDH with neuropathic pain influences treatment outcomes negatively. Most yoga poses include the parameters of spinal training and help reduce pain and disability in patients with low back injuries. We hypothesized that yoga positively affects both LDH and neuropathic pain by increasing mobilization, core muscle strength, and spinal and hamstring flexibility.MethodsIn total, 48 patients with neuropathic pain due to LDH were randomly assigned to a control group and a yoga group. All patients underwent a patient education program. In addition, the selected yoga exercise was taught and performed to the yoga group for one hour twice weekly for 12 weeks. Neuropathic pain (Douleur Neuropathique 4 for diagnosis; Leeds Assessment of Neuropathic Symptoms and Signs for severity), low back pain (the short-form of McGill Pain Questionnaire), disability (Oswestry Disability Index), and function (modified Schober and passive knee extension test) were measured blind before and at the one-, three-, and six-month follow-ups. The patient global assessment was applied at the six-month followup. The intention-to-treat analysis was performed in this study.ResultsThe intention-to-treat analysis showed a statistically significant difference in neuropathic pain, patient global assess ment, low back pain, disability, and function in favor of the yoga group at post-treatment. The between-group effect sizes were moderate at six-months follow-up.ConclusionIt was determined that the selected stretch and strength-based yoga exercise could be a promising treatment option for neuropathic pain due to LDH.Level Of Evidence2.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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