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What is the source of low back pain?
AIMS: Determining the source of low back pain (LBP) is still controversial. This study was designed to determine the source of LBP and its relations with age and gender. SETTINGS AND DESIGN: A retrospective chart review at Isfahan University of Medical Sciences, Isfahan, Iran. MATERIALS AND METHODS:...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872656/ https://www.ncbi.nlm.nih.gov/pubmed/24381452 http://dx.doi.org/10.4103/0974-8237.121620 |
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author | Shemshaki, Hamidreza Nourian, Sayed-Mohammad Amin Fereidan-Esfahani, Mahboobeh Mokhtari, Masoud Etemadifar, Mohammad Reza |
author_facet | Shemshaki, Hamidreza Nourian, Sayed-Mohammad Amin Fereidan-Esfahani, Mahboobeh Mokhtari, Masoud Etemadifar, Mohammad Reza |
author_sort | Shemshaki, Hamidreza |
collection | PubMed |
description | AIMS: Determining the source of low back pain (LBP) is still controversial. This study was designed to determine the source of LBP and its relations with age and gender. SETTINGS AND DESIGN: A retrospective chart review at Isfahan University of Medical Sciences, Isfahan, Iran. MATERIALS AND METHODS: A total of 1,125 patients were evaluated to determine the sources of their LBP with physical examinations, imaging, injections, and other laboratory examinations, if needed. The patients were divided into five groups based on their ages. Frequencies of the sources of pain were assessed in the five age groups, and the assessments were done separately by gender. STATISTICAL ANALYSIS USED: Independent t-test, analysis of variance (ANOVA), chi-square test. RESULTS: The patients enrolled in this study consisted of 527 males (46.8%) and 598 females (53.2%). The frequencies of the sources of pain were, in descending order, spine (689, 61.2%), no cause found (163, 14.5%), spine with sacroiliac joint (SIJ) (72, 6.4%), spine with hip (65, 5.8%), SIJ (60, 5.3%), hip (44, 3.9%), spine along with hip and SIJ (20, 1.8%), hip with SIJ (8, 0.7%), and other diseases (4, 0.4%). There were significant statistical differences between the genders and mean ages for different sources (P = 0.03 and 0.000, respectively). CONCLUSIONS: This study showed that the spine was the main source of LBP in all age groups. Physicians should always be alert for other sources in middle-aged and older patients. Future studies with long-term follow-up for determining the benefits of treatments are warranted. |
format | Online Article Text |
id | pubmed-3872656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-38726562013-12-31 What is the source of low back pain? Shemshaki, Hamidreza Nourian, Sayed-Mohammad Amin Fereidan-Esfahani, Mahboobeh Mokhtari, Masoud Etemadifar, Mohammad Reza J Craniovertebr Junction Spine Original Article AIMS: Determining the source of low back pain (LBP) is still controversial. This study was designed to determine the source of LBP and its relations with age and gender. SETTINGS AND DESIGN: A retrospective chart review at Isfahan University of Medical Sciences, Isfahan, Iran. MATERIALS AND METHODS: A total of 1,125 patients were evaluated to determine the sources of their LBP with physical examinations, imaging, injections, and other laboratory examinations, if needed. The patients were divided into five groups based on their ages. Frequencies of the sources of pain were assessed in the five age groups, and the assessments were done separately by gender. STATISTICAL ANALYSIS USED: Independent t-test, analysis of variance (ANOVA), chi-square test. RESULTS: The patients enrolled in this study consisted of 527 males (46.8%) and 598 females (53.2%). The frequencies of the sources of pain were, in descending order, spine (689, 61.2%), no cause found (163, 14.5%), spine with sacroiliac joint (SIJ) (72, 6.4%), spine with hip (65, 5.8%), SIJ (60, 5.3%), hip (44, 3.9%), spine along with hip and SIJ (20, 1.8%), hip with SIJ (8, 0.7%), and other diseases (4, 0.4%). There were significant statistical differences between the genders and mean ages for different sources (P = 0.03 and 0.000, respectively). CONCLUSIONS: This study showed that the spine was the main source of LBP in all age groups. Physicians should always be alert for other sources in middle-aged and older patients. Future studies with long-term follow-up for determining the benefits of treatments are warranted. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3872656/ /pubmed/24381452 http://dx.doi.org/10.4103/0974-8237.121620 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Shemshaki, Hamidreza Nourian, Sayed-Mohammad Amin Fereidan-Esfahani, Mahboobeh Mokhtari, Masoud Etemadifar, Mohammad Reza What is the source of low back pain? |
title | What is the source of low back pain? |
title_full | What is the source of low back pain? |
title_fullStr | What is the source of low back pain? |
title_full_unstemmed | What is the source of low back pain? |
title_short | What is the source of low back pain? |
title_sort | what is the source of low back pain? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872656/ https://www.ncbi.nlm.nih.gov/pubmed/24381452 http://dx.doi.org/10.4103/0974-8237.121620 |
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