Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal
Background: Low back pain (LBP) is a very common cause of disability in working age adults, lumbar canal stenosis (LCS) being one of the chief anatomical correlates. However, number of studies seeking role of LCS in the origin of LBP are not many, particularly in India. Aims and Objectives: The a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2022-06-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/43637 |
| _version_ | 1818208485683232768 |
|---|---|
| author | Mahadeb Mandal Durga Prasad Chakraborty Aniruddha Chattopadhyay Pulakesh Sarmah Nirmal Kumar Bera |
| author_facet | Mahadeb Mandal Durga Prasad Chakraborty Aniruddha Chattopadhyay Pulakesh Sarmah Nirmal Kumar Bera |
| author_sort | Mahadeb Mandal |
| collection | DOAJ |
| description | Background: Low back pain (LBP) is a very common cause of disability in working age adults, lumbar canal stenosis (LCS) being one of the chief anatomical correlates. However, number of studies seeking role of LCS in the origin of LBP are not many, particularly in India.
Aims and Objectives: The aims of this study were to investigate LBP and its relation to lumbar canal diameter (LCD), also to evaluate the impact of psychosomatic factors on LBP.
Materials and Methods: Eighty symptomatic (LBP) and 41 asymptomatic (without LBP) subjects were chosen and LCD for three lowest lumbar segments measured by 1.5 Tesla magnetic resonance imaging for both symptomatic and asymptomatic subjects was ascertained. Canal diameters of both groups were compared by Pearson’s Chi-square test. Pain intensity of patients was assessed using visual analog scale (VAS)-pain score. Using tests of normality and non-parametric test Spearman’s rank coefficient, correlation between VAS score (pain intensity) and lowest canal diameter of the cases was evaluated. To evaluate the role of psychosomatic factors in LBP, the number of subjects (LBP) with somatic symptoms disorder (SSD) score ≥8 was ascertained.
Results: The results were as follows: (1) Significant association between presence of LCS (diameter <10 mm) and LBP (P=0.015). (2) No significant correlation between intensity of LBP (VAS score) and LCD. (3) 13.75% of LBP patients had SSD (Male 8% and Female 23.33%).
Conclusion: LCS may be an important factor in the origin of LBP. More studies are needed in this regard and also seeking correlation between LBP and other anatomical factors. Psychosocial factors may play important role in the origin and maintenance of LBP. |
| first_indexed | 2024-12-12T04:45:34Z |
| format | Article |
| id | doaj.art-38bd71e364eb4252b2169b604f2d01cb |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-12T04:45:34Z |
| publishDate | 2022-06-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-38bd71e364eb4252b2169b604f2d01cb2022-12-22T00:37:38ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-06-01136158162https://doi.org/10.3126/ajms.v13i6.43637Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North BengalMahadeb Mandal 0https://orcid.org/0000-0002-3301-0032Durga Prasad Chakraborty 1https://orcid.org/0000-0003-1356-7877Aniruddha Chattopadhyay 2https://orcid.org/0000-0002-4000-7181Pulakesh Sarmah 3https://orcid.org/0000-0002-3449-0517Nirmal Kumar Bera 4https://orcid.org/0000-0002-2411-7137Junior Resident, Department of Psychiatry, North Bengal Medical College, Darjeeling Associate Professor and Head, Department of Neuromedicine, North Bengal Medical College, Darjeeling Assistant Professor, Department of Neurosurgery, Institute of Post-Graduate Medical Education and Research and Bangur Institute of Neurosciences, Kolkata, West Bengal Senior Resident, Department of Psychiatry, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam, India Professor and Head, Department of Psychiatry, 2Associate Professor and Head, Department of Neuromedicine, North Bengal Medical College, Darjeeling Background: Low back pain (LBP) is a very common cause of disability in working age adults, lumbar canal stenosis (LCS) being one of the chief anatomical correlates. However, number of studies seeking role of LCS in the origin of LBP are not many, particularly in India. Aims and Objectives: The aims of this study were to investigate LBP and its relation to lumbar canal diameter (LCD), also to evaluate the impact of psychosomatic factors on LBP. Materials and Methods: Eighty symptomatic (LBP) and 41 asymptomatic (without LBP) subjects were chosen and LCD for three lowest lumbar segments measured by 1.5 Tesla magnetic resonance imaging for both symptomatic and asymptomatic subjects was ascertained. Canal diameters of both groups were compared by Pearson’s Chi-square test. Pain intensity of patients was assessed using visual analog scale (VAS)-pain score. Using tests of normality and non-parametric test Spearman’s rank coefficient, correlation between VAS score (pain intensity) and lowest canal diameter of the cases was evaluated. To evaluate the role of psychosomatic factors in LBP, the number of subjects (LBP) with somatic symptoms disorder (SSD) score ≥8 was ascertained. Results: The results were as follows: (1) Significant association between presence of LCS (diameter <10 mm) and LBP (P=0.015). (2) No significant correlation between intensity of LBP (VAS score) and LCD. (3) 13.75% of LBP patients had SSD (Male 8% and Female 23.33%). Conclusion: LCS may be an important factor in the origin of LBP. More studies are needed in this regard and also seeking correlation between LBP and other anatomical factors. Psychosocial factors may play important role in the origin and maintenance of LBP.https://www.nepjol.info/index.php/AJMS/article/view/43637low back painlumbar canal diameterlumbar canal stenosissomatic symptom disordervisual analog scale pain score |
| spellingShingle | Mahadeb Mandal Durga Prasad Chakraborty Aniruddha Chattopadhyay Pulakesh Sarmah Nirmal Kumar Bera Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal Asian Journal of Medical Sciences low back pain lumbar canal diameter lumbar canal stenosis somatic symptom disorder visual analog scale pain score |
| title | Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal |
| title_full | Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal |
| title_fullStr | Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal |
| title_full_unstemmed | Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal |
| title_short | Chronic low back pain – its association with lumbar spinal canal diameter – a cross-sectional hospital-based study in a tertiary care hospital in North Bengal |
| title_sort | chronic low back pain its association with lumbar spinal canal diameter a cross sectional hospital based study in a tertiary care hospital in north bengal |
| topic | low back pain lumbar canal diameter lumbar canal stenosis somatic symptom disorder visual analog scale pain score |
| url | https://www.nepjol.info/index.php/AJMS/article/view/43637 |
| work_keys_str_mv | AT mahadebmandal chroniclowbackpainitsassociationwithlumbarspinalcanaldiameteracrosssectionalhospitalbasedstudyinatertiarycarehospitalinnorthbengal AT durgaprasadchakraborty chroniclowbackpainitsassociationwithlumbarspinalcanaldiameteracrosssectionalhospitalbasedstudyinatertiarycarehospitalinnorthbengal AT aniruddhachattopadhyay chroniclowbackpainitsassociationwithlumbarspinalcanaldiameteracrosssectionalhospitalbasedstudyinatertiarycarehospitalinnorthbengal AT pulakeshsarmah chroniclowbackpainitsassociationwithlumbarspinalcanaldiameteracrosssectionalhospitalbasedstudyinatertiarycarehospitalinnorthbengal AT nirmalkumarbera chroniclowbackpainitsassociationwithlumbarspinalcanaldiameteracrosssectionalhospitalbasedstudyinatertiarycarehospitalinnorthbengal |