The Efficiency of MRI in Determining the Lower Back Pain associated with lumbar disc pathology | [Bioscience Research • 2023]

Author(s):

1. Qurain Turki Alshammari: Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

2. Eman Alshammari: Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia; Department of Diagnostic Radiology, King Khaled Hospital,Hail Health Cluster, Ministry of Health, Saudi Arabia

3. Wed Almutairi: Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia; Department of Diagnostic Radiology, King Khaled Hospital,Hail Health Cluster, Ministry of Health, Saudi Arabia

4. Ohood Alrashidi: Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

5. Meshari T Alshammari: Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia; Translational Medical Sciences and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham

6. Shashi Kumar CG: Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Saudi Arabia

7. Saleh Abdulkareem AlRumyan: Radiation Protection Program, Ministry of Health, Riyadh, Saudi Arabia

8. Musaed Alie Almalki: Radiation Protection Program, Ministry of Health, Riyadh, Saudi Arabia

9. Nagwan Elhussein: College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

10. Ibtisam Abdallah Fadulemulla: College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

11. Rasha M Aljohani: Department of Physics, College of Sciences, University of Tabuk,Tabuk,Saudi Arabia

Abstract:

The Magnetic Resonance Imaging (MRI) examination has proven to be the preferred examination in the assessment of patients with low back pain. MRI is a non-invasive imaging technique with excellent spatial and contrast resolution. The objective of this study was to describe the efficiency of MRI in determining lower back pain and classify the range of lumbar disc pathology in our geographical region. In this study, 80 patients were included and their consent was obtained. Patients reported their intensity of back and leg pain in Visual Analogue Scale (VAS) and recorded their disability in the Roland Morris Disability Questionnaire (RMDQ-Arabic version). Clinical examination of the spine and the lower extremity was done, followed by MRI for all all the patients. The degree of the disc displacement and nerve root compression was graded according to the Michigan State University (MSU) classification of disc herniation. Correlation between the pain intensity (VAS), Functional Disability (RMDQ) and grade-2 disc herniation in MRI were measured with Pearson correlation coefficient. Pain intensity (VAS) pain did not correlate with age of the patient (r = 0.03) and duration of their LBP (r = 0.01). Similarly, the disability index (RMDQ) also did not correlate with age of the patients (r = 0.12) and duration of their LBP (r = 0.03). Pain intensity (VAS) however has correlation with the disability (r = 0.32). Level of the disc herniation did not correlate with pain (r = 0.14) and disability (r = 0.03)The level of disc herniation is not correlated with either level of pain or level of functional disability; as a result, it is prudent to correlate the clinical symptoms of the patients with an MRI before determining the course of treatment for the patient.

Page(s): 77-82

DOI: DOI not available

Published: Journal: Bioscience Research, Volume: 20, Issue: 1, Year: 2023

Keywords:

Low back pain , Magnetic Resonance Imaging MRI , Visual analogue scale VAS , Lumbar Disc Pathology

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