The relationship between degree of facet tropism and amount of dynamic disc bulge in lumbar spine of patients symptomatic for low back pain

BACKGROUND: Epidural steroid injection (ESI) is one of the most common nonsurgical treatments for low back pain. In general, corticosteroid therapy often results in bone loss and osteoporosis. In previous studies, bone mineral density (BMD) was evaluated after epidural injections of relatively small numbers and relatively low total doses of corticosteroids. However, the relationship between BMD and multiple ESIs remains to be elucidated.OBJECTIVE: To explore the relationship between BMD and multiple ESIs in postmenopausal women with low back pain.METHODS: Medical records of postmenopausal women with low back pain treated with or without ESIs were reviewed. BMD was measured in the lumbar spine, femoral neck and total femur after the treatments. A total of 71 patients were divided into two groups: group 1 included patients who had received non-ESI medications; and group 2 included those who had received ESIs >10 times, with a cumulative administered triamcinolone dose >200 mg.RESULTS: Patients in group 2 showed lower BMD in the femoral neck and total femur. However, no significant intergroup differences in the BMD of the lumbar spine were observed. The prevalences of osteoporosis and osteopenia in the lumbar spine and femoral neck were significantly higher in group 2; these patients also had lower femoral neck BMD Z-scores.CONCLUSIONS: Multiple ESIs (approximately 14 injections with a cumulative triamcinolone dose of approximately 400 mg) can reduce BMD in postmenopausal women with low back pain.

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The Relationship Between Lumbar Spine Facet Joint Arthritis and Dynamic and Static Low Back Pain. Which Level of Lumbar Spine Facet Joint Arthritis is Most Influenced on the Static or Dynamic Low Back Pain?

The Spine Journal ◽

10.1016/j.spinee.2013.07.357 ◽

2013 ◽

Vol 13 (9) ◽

pp. S139

Author(s):

Sang-Bong Ko

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Facet Joint ◽

Low Back ◽

The Relationship ◽

Joint Arthritis

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The Relationship between Prolonged Sitting Position and Adaptive Alterations in Lumbar Spine and Pelvic Range of Motion in Cyclists with Chronic Low Back Pain

World Family Medicine Journal/Middle East Journal of Family Medicine ◽

10.5742/mewfm.2017.93132 ◽

2017 ◽

Vol 15 (10) ◽

pp. 23-27

Author(s):

Sara Zamiri ◽

Mohammad Jafar Shaterzadeh Yazdi ◽

Mohammad Mehravar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Range Of Motion ◽

Chronic Low Back Pain ◽

Sitting Position ◽

Low Back ◽

Prolonged Sitting ◽

The Relationship

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The relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males

European Spine Journal ◽

10.1007/bf01358742 ◽

1997 ◽

Vol 6 (2) ◽

pp. 106-114 ◽

Cited By ~ 122

Author(s):

R. A. Savage ◽

G. H. Whitehouse ◽

N. Roberts

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Magnetic Resonance ◽

Low Back ◽

Resonance Imaging ◽

Imaging Appearance ◽

Magnetic Resonance Imaging Appearance ◽

The Relationship

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Magnetic Resonance Imaging Findings Among Young Adults with Low Back Pain at Nsambya Hospital

10.21203/rs.3.rs-820253/v1 ◽

2021 ◽

Author(s):

Komakech Richard Lukecha ◽

Erem Geoffrey ◽

Mubuuke A. Gonzaga ◽

Bugeza Sam

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Young Adult ◽

Clinical Features ◽

Adult Patients ◽

Low Back ◽

Mri Findings ◽

Mri Features ◽

Disc Bulge

Abstract Back ground: Studies on MRI findings among patients with LBP have been conducted; especially among adolescents and young adult population in developed countries. However, MRI lumber spine evaluation findings in young adult patients with low back pain in Uganda is not known. The purpose of this study was to determine the MRI findings and their correlation to clinical features in young adult patients with low back pain in Nsambya hospitalMethods: This was a descriptive cross sectional study. One hundred and fifty-seven patients with low back pain in the 18 - 39year age group underwent MRI lumbar spine evaluation. The MRI changes in the lumbar spine and correlation to clinical features were determined. Correlation was assessed by Pearson chi square tests (Fisher’s exact test) and p-values reported at 0.05 level of significance. Results: Of the 157 patients 129 (82.2%) had severe pain, whereas ninety (57.3%) had pain that had lasted more than 10 weeks. Sixty-five (41.4%) patients were found to have MRI evidence of disc desiccation, majority (61%) of whom had multiple level disease, mostly involving the lowest 2 disc levels. Facet joint arthropathy (47.8%), marginal osteophyte (31.8%) and disc contour irregularity [disc bulge] (31.2%) were other common MRI features seen. There was an association between duration of pain and limb weakness, and development of marginal osteophytes. There was also association between clinical presentation and disc bulge. Conclusions: The MRI finding of disc degeneration among young adult patients with LBP is higher than reported. Age and pain distribution are predictors of developing disc desiccation.

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The Relationship of Lumbar Flexion to Disability in Patients With Low Back Pain

Physical Therapy ◽

10.1093/ptj/80.3.240 ◽

2000 ◽

Vol 80 (3) ◽

pp. 240-250 ◽

Cited By ~ 57

Author(s):

M Scott Sullivan ◽

Lisa Donegan Shoaf ◽

Daniel L Riddle

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Physical Therapists ◽

Low Back ◽

Lumbar Flexion ◽

Active Range Of Motion ◽

Surrogate Measures ◽

Relationship Of ◽

The Relationship

Abstract Background and Purpose. Physical therapists routinely assess spinal active range of motion (AROM) in patients with low back pain (LBP). The purpose of this study was to use 2 approaches to examine the relationship between impairment of lumbar spine flexion AROM and disability. One approach relied on the use of normative data to determine when an impairment in flexion AROM was present. The other approach required therapists to make judgments of whether the flexion AROM impairment was relevant to the patient's disability. Subjects. Fifteen physical therapists and 81 patients with LBP completed in the study. Methods. Patients completed the Roland-Morris Back Pain Questionnaire (RMQ), and the therapists assessed lumbar spine flexion AROM using a dual-inclinometer technique at the initial visit and again at discharge. Results. Correlations between the lumbar flexion AROM measure and disability were low and did not vary appreciably for the 2 approaches tested. Conclusion and Discussion. Measures of lumbar flexion AROM should not be used as surrogate measures of disability. Lumbar spine flexion AROM and disability are weakly correlated, suggesting that flexion AROM measures should not be used as treatment goals.

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