Pattern of Presentation of Backache and Association between Profession and Age with Backache; Study Conducted in Tertiary Care Hospitals; Karachi
Keywords:
Backache, Risk factors, Assessment protocol and Management strategyAbstract
Objectives
- To study presentation of backache.
- To find out association between profession and age with backache.
Materials and Methods: This cross sectional study was conducted in the department of Neurosurgery and Urology , Baqai University Hospital Karachi and department of Neurosurgery Abbasi Shaheed Hospital Karachi from Feb 2015 to Dec 2017. It was non probability purposive sampling consisting of 100 cases. All consecutive low back ache patients from 15 to 60 years along with those with known cause for low backache related to other specialty and remained well after subsequent expert’s management were included while terminally ill patients were excluded.
Results: There were 35 males. Mean age of the patients was 44 years with SD 13, minimum 15 and maximum 80. In females 66% were house wives. Seventy six cases exhibited typical pain. Mean duration of pain was 2.7 months with SD three, minimum one and maximum 24. Most prevalent risk factor was obesity (22%). Straight leg raising sign was positive in 37. Degeneration was the most common finding in x-ray back (26). Mostly (51) exhibited moderate pain. Forty four were dealt with non-surgical /conservative management. 67% cases had DM and the same percent hypertension. The most common finding in MRI/CT was muscle spasm (37%). Eight patients had associated small renal stones. Out of these two had stone size of 0.8 cm and 1.0 cm, remaining six had less than 0.4 cm size. No association was found between profession and backache (p = 1.02) while that between age group and backache was significant (p = 0.005)
Conclusion: Profession was not significantly associated Intensity of backache However age group was significantly associated with pain intensity.
Abbreviations: ESWL: Extra Corporeal Shock wave lithotripsy. CT: Computer Tomography. MS: Metabolic Syndrome. BMI: Body Mass Index. QoL: Quality of Life. SD: Standard Deviation. MRI: Magnant Resonance Insulin.
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