Evaluation of MRI Findings in Low Back Pain: An Institution Based Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Introduction: The problem of low back pain not only has a greater incidence but also the handicaps a person in daily living which is more pronounced because of life style requirements. Many patients with minimal or no radiographic changes report a higher level of pain and definitive clinical findings. Hence, in view of this the present study was undertaken to evaluate the disability score and MRI findings in patients with low back pain. Material and Methods: The study was conducted among 25 patients with low back pain for at least 1 month duration and had not responded to conservative treatment. Based upon various factors, a questionnaire was drafted to include patient’s symptoms and activities. In all low back pain patients, MRI of lumbosacral spine was taken. Data so obtained was analyzed using Statistical Package for Social Science (SPSS) Version-16 data analysis software. Results: The most common activity affected was forward bending (56%) followed by lifting and squatting, 12% each. Average disability score of the study group was 22.28. Average disability index was 37.13%. 100% patients showed disc blackening (hypointense disc), 52% patients showed disc protrusion, 52% patients showed Facets joint changes and 48 % patients showed annular tear. Conclusion: The patients complaints (questionnaire grading) were not found proportionate to intensity of disc changes i.e. patient with severe disc changes on MRI were found to have minimal symptoms and findings also patients with aggravated symptoms had minimal MRI disc changes. MRI recommended for patients with persistent pain just as a base line tool.
Authors and Affiliations
Ramprakash Lohiya, Kelash Khoja, R. P. S. Tomar, B. L. Khajotia, Ram Narayan Yadav
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