Abstract
Background: LBP is defined as a pain, muscle tension or discomfort located below the margin of the 12th rib and above the inferior gluteal fold, with or without leg pain [1]. It is defined as chronic when it persists for 12 weeks or more. It is the pain that appears in the lumbosacral area, and between the inferior rib cage and the sacrum region and is caused by a muscular-skeletal syndrome; it refers to alterations related to the lumbar vertebrae and the structures of the soft tissues {muscles, ligaments, nerves and intervertebral discs}. Low back pain is one of the most common health problems among all the population of the world. Men and women are equally reported to be affected by this condition. This study was hence conducted to assess the prevalence, management and estimation of quality of life in patients with LBP.
Methods: Patient prescriptions and medical records were studied to obtain demographic details. Other information is obtained from patient which include lifestyle, working status, duration of condition, presence of other comorbid conditions, social habits (alcohol consumption, smoking). Data from X-ray, MRI scan was obtained.
Results: The most common age group to be affected among the males and females was 41-50 years of age, where males affected are 26% and females affected are 35.04%. Most ofthe patients had LBP due to hard work and then followed by sitting for long period of time and followed by patients who are overweight. Patients with LBP are usually treated with analgesics, vitamin D supplement, calcium supplement and some patients are also treated with methylcobalamin.
Conclusion: our study concludes that LBP is prevalent in the town of Karimnagar among middle aged and old aged patients and the incidence is more among males than females
Keywords: Low back pain, prevalence, management, quality of life.
References
- Meucci RD, Fassa AG, Paniz VM, Silva MC, Wegman DH (2013) Increase of chronic low back pain prevalence in a medium-sized city of southern Brazil. BMC Musculoskelet Disord 14: 155.
- Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010; 24(6):769-81.
- Frank JW, Kerr MS, Brooker AS, DeMaio SE, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain: Part I: What do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. Spine. 1996; 21(24):2908-17.
- Allan DB, Waddell G. An historical perspective on low back pain and disability. Acta. Orthopaed Scand. 1989; 60 (sup234):1-23.
- Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007; 16(2):283-98.
- Smart KM, Blake C,Staines A,et al.: Mechanisms based classifications of musculoskeletal pain : part 1 of 3 : symptoms and signs of central sensitization in patients with low back (+/-leg)pain. Man Ther.2012;17(4):336–44.
- Garland EL: Pain processing in the human nervous system: a selective review of nociceptive and bio behavioral pathways.PrimCare.2012; 39(3):561–71.
- Roberts S, Evans H, Trivedi J, etal. Histology and pathology of the human intervertebral disc. J Bone Joint SurgAm.2006; 88(Suppl2):10–4.
- Grunhagen T, Wilde G, Soukane DM, et al. Nutrient supply and intervertebral disc metabolism.JBoneJointSurgAm.2006; 88(Suppl2):30–5.
- Standring S: Gray’s Anatomy, The Anatomical Basis of Clinical Practice. 40th London: Churchill Livingstone Elsevier; 2008; 749–761.
- Pedersen HE, Blunck CF, And Gardner E: The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerve (sinu-vertebra lnerves); with an experimental study of their functions. J Bone Joint SurgAm.1956; 38-A (2):377–91.
- Bogduk N: The anatomy of the lumbar intervertebral disc syndrome. Med J 1976; 1(23):878–81.
- Amir R, Devor M: Electrical excitability of the soma of sensory neurons is required for spike invasion of the soma, but not for through-conduction.BiophysJ.2003; 84(4):2181–91.
- Esteban-Vasallo MD, et al. Prevalencia deenfermedad escrónicas diagnostic adasenpoblacióninmigranteyautóctona. Gac Sanit.2009; 23(6):548-52
- Rodrigo Dalke Meucci et al. Prevalence of chronic low back pain: systematic review2015; 49:73.
- Knuth AG, Bacchieri G et al. Changes in physical activity among Brazilian adults over a five-year period. J Epidemiol Community Health.2009; 64(7):591-5.
- BejiaI, Younes M et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine 2005; 72(3):254-9.
- Barrero LH et al. Prevalance and physical determinants of low back pain in arural Chinese population. Spine 2006:31:2728-34.
- Gilette JV, Haycock CE. Proceedings of the 18th Conference of the Medical Aspects of Sports. Chicago: American Medical Association;
- Rasch PJ, Burke RK. Kinesiology and applied anatomy. Philadelphia: Lea & Febiger; 1978.
- Louw QA et al. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskeletal Disorder. 2007; 8:105.
- Pareek A et al. Aceclofenac-tizanidine in the treatment of acute low back pain: a double-blind, double-dummy, randomized, multicentric, comparative study against aceclofenac alone. Eur Spine J.2009, 18:1836-1842.
Corresponding Author
Dr Kadarla Rohith Kumar
Asst Professor, Department of Pharmacy Practice, Sree chaitanya Institute of Pharmaceutical Sciences, Thimmapur, Karimnagar, Telangana, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.96
