An overview of evaluation of low back pain

Farid Mohammed; Arshiya Khan; Vikas Verma; Abhishek Pandey

doi:10.18203/2320-6012.ijrms20161949

Authors

Farid Mohammed Department of Orthopedics, Era’s Lucknow Medical College, Lucknow
Arshiya Khan Department of Obstetrics and gynaecology, Integral Institute of Medical Sciences, Lucknow
Vikas Verma Department of Orthopedics, Era’s Lucknow Medical College, Lucknow
Abhishek Pandey Department of Orthopedics, Era’s Lucknow Medical College, Lucknow

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161949

Keywords:

Low back pain, Lumbosciatic syndrome, Disc herniation

Abstract

Background: Low back pain has plagued humans for thousands of years and it is extremely common with lifetime prevalence of 60-90% and annual incidence of 5% so we studied the problem of acute lumbosciatic syndrome which is defined as pain located near the loins in the lower back region and along the sciatic nerve, its remedies with objective to find out the possible causes of acute lumbosciatic syndrome. Aim of the study was to study characteristics of low back pain patients and outline the best possible treatment for them.

Methods: The study comprises of 110 patient of adolescent to elderly age presenting with acute low back pain with radiation of pain to buttock and thigh. The prospective randomized study was completed in two years at the department of orthopedics at a tertiary care center.

Results: Acute low backache was found to be more common in upper middle class and Lower class. Medium and heavy manual workers were found to be more predisposed to acute low backache and among specific occupation porters carrying heavy weights were most commonly involved. Prolapsed intervertebral disc was found be commonest cause of acute lumbosciatic syndrome. By conservative treatment in a year there was 76% of patients showed improvement in back pain, 73% showed improvement in paresthesias, 79% showed improvement in numbness and 69% showed improvement in neurological claudication. Education in proper posture and body mechanics is helpful in returning the patient to the usual level of activity after the acute exacerbation has been relieved.

Conclusions: Every patient of low back pain should be thoroughly examined on all parameters before reaching to final diagnosis and treatment of low back pain by conservative treatment should be aimed on the prevention rather than treatment by multiple drugs.

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References

Mehra A, Baker D, Disney S, Pynsent PB. Oswestry Disability Index scoring made easy. Ann R Coll Surg Engl. 2008;90(6):497-9.

Bindra S, Sinha AKG, Benjamin AI. Epidemiology of low back pain in Indian population: A review. International Journal of Basic and Applied Medical Sciences. 2015;5(1):166-79

Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about Low back pain. JAMA. 1992;268(6):760-5.

Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. 2010;24(6):769-81.

Nachemson A. The lumbar spine: an orthopaedic challenge. Spine. 1976;1:59-71 .

Fairbank JCT, Couper J, Davies JB, O'Brian JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66:271-3.

Middleton GS, Teacher JH. Injury of the spinal cord due to rupture of an intervertebral disc during muscular effort. Glasgow Med J. 1911:6:1-6.

Fami WH. Observation on straight leg raising test with special reference to nerve root adhesions. Can J Surg. 1966;9:44-8.

Estridge MN, Rouhe SA, Johnson NG. The femoral stretching test : a valuable sign in diagnosing upper lumbar disc herniation. J Neurosurgery. 1982;57:813.

Scavone JF, Latshaw RF, Weidner WA. Anteroposterior and lateral radiographs: an adequate lumbar spine examination. AJR. 1981;136:715-7.

Deyo RA, Diehl AK, Rosenthal M. Reducing roentgenography use. Arch Intern Med. 1987;147(1):141-5.

Ergun T, Lakadamyali H. CT and MRI in the evaluation of extraspinal sciatica. The British Journal of Radiology. 2010;83(993):791-803.

Ahmad SJ, Rather AH. Clinical pattern of chronic low backache. A prospective study of 210 cases at a multidisciplinary hospital. JK-Practitioner. 2014;19(1-2):21-7.

Fami WH. Observation on straight leg raising test with special reference to nerve root adhesions. Can J Surg. 1966;9:44-8.

Estridge MN, Rouhe SA, Johnson NG. The femoral stretching test : a valuable sign in diagnosing upper lumbar disc herniation. J Neurosurgery. 1982;57:813.

Lurie JD, Faucett SC, Hanscom B, Toteson TD, Ball PA, Abdu WA, Frymoyer JW, Wenstein JN. Lumbar discectomy outcomes vary by herniation level in the spine patient outcomes research trial. J Bone Joint Surg Am. 2008;90:1811-9.

White AH, Derby R, Wynne G. Epidural injection for the diagnosis and treatment of low back pain. Spine. 1980;5:78.

Sologaard T, Kleppe H. Long term results of lumbar intervertebral disc prolapse. Spine. 1983;8:793.