[Low back pain in general medical practice].
Terapevticheskii Arkhiv
|July 2, 2008
Summary
Low back pain (LBP) is common in Moscow outpatients, often causing disability. Spinal osteochondrosis is the most frequent diagnosis, with few patients showing warning signs.
Area of Science:
- Rheumatology
- Public Health
Background:
- Low back pain (LBP) is a prevalent condition affecting individuals worldwide.
- Understanding LBP prevalence and characteristics in specific populations is crucial for effective healthcare management.
Purpose of the Study:
- To determine the prevalence and clinical features of low back pain (LBP) among outpatients in Moscow.
- To identify common diagnostic methods and final diagnoses for LBP in this demographic.
Main Methods:
- A questionnaire developed by the Rheumatology Institute of the Russian Medical Academy was administered.
- The study included 1300 Moscow outpatients aged 18 to 50 years over a one-month period.
Main Results:
- Low back pain (LBP) is a frequent reason for outpatient consultations.
- Most patients reported acute or subacute moderate to severe LBP, often leading to disability.
- X-ray investigation of the spine was the most commonly used diagnostic tool.
Conclusions:
- Spinal osteochondrosis is the most common diagnosis in Moscow outpatients presenting with LBP.
- The detection rate of "threat marks" (warning signs) in LBP patients was found to be no more than 10%.
Related Concept Videos
01:19Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
01:29Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...