Assessment of Correlation between Clinical and Roentgenographic Features in Patients with Low Back Pain at a Tertiary Care Hospital

Kelash Khoja, Ramprakash Lohiya, R.P.S. Tomar, B.L. Khajotia, Ram Narayan Yadav
2016 International Journal of Medical Research Professionals  
Timely assessment and treatment of back pain is therefore essential to relieve the patient's pain and distress to decrease the likelihood of long term disability. In view of this, the present study was undertaken to clinically evaluate the clinical features and roentgenographic findings in patients with low back pain. Material and Methods: The present case series study was conducted among 25 consecutive patients with low back pain for 1 month duration who were not responding to conservative
more » ... to conservative treatment. A detailed history were taken, clinical examination was conducted. Inspection in standing posture was done. To measure the range of motion of the lumbar spine, four movements were performed -flexion, extension and side bending. The straight leg raise (SLR) test was used to evaluate for lumbar nerve root impingement or irritation. For radiological assessment, standard radiographic positioning was maintained in all the radiographs. The data so obtained was evaluated using SPSS-16 and was evaluated accordingly. Results: Average age of the patients was 32.5 years. 44 % patients were in the 3 rd decade and 40% were in the 4 th decade. Male and female patient's ratio was 5.25:1. Majority of patients (48 %) were labourer followed by 24% farmer. Majority(56%) patients had no tenderness on palpation. 56% patients had moderate degree of restriction of lumbar flexion, 48% patients had restriction of extension and 36 % patients had restriction of lateral flexion. Significantly positive passive SLR test was present in 56 % patients. Conclusion: Clinical examination is an important tool for assessment of patient's disability, especially to support and exclude organic lesions X-rays are an essential and cost effective initial screening tool. Patients having significant symptoms and definite findings but normal looking X rays, need further imaging studies in the form of MRI.
doi:10.21276/ijmrp.2016.2.6.042 fatcat:yn4x24ammngt5fvup3tuwmbbki