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ISSN 2992-779X (Electronic)
ISSN 2007-6452 (Print)

2014, Number 1

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Investigación en Discapacidad 2014; 3 (1)

bosciatic and sciatic pain in patients who attend to Spine-Rehabilitation Department from Instituto Nacional de Rehabilitación

Macías-Hernández SI, Cruz-Medina E, Chávez-Heres T, Hernández-Herrador A, Nava-Bringas T, Chávez-Arias D, Coronado-Zarco R

Language: Spanish
References: 22
Page: 3-9
PDF size: 150.13 Kb.


ABSTRACT

Introduction: Low back pain is a major public health problem worldwide. Most of the available international literature describes lumbar pain as idiopathic, regardless of the presence of radicular pain or its absence. An accurate diagnosis is not always performed and lack of specificity is the rule, since natural history of pain has a natural tendency to relief. Objective: To make a precision diagnosis on the anatomical and structural cause of lumbar pain, either with or without sciatic concomitant pain in patients of a Spine Rehabilitation Service from National Institute of Rehabilitation. Methods: Observational, longitudinal and descriptive study was made by consulting records of patients who were admitted at our spine rehabilitation department, because of having low back pain, sciatica or lumbosciatica in 2010, who were followed until 2012. χ2, Student-t and multivariate logistic regression were used. Results: A whole 973 patients were included as follows: 641 low back pain, 290 lumbosciatica, and 42 sciatica. Structural diagnosis was achieved in 87 % of cases. Main diagnosis were: lumbar disc disease, spondylolistesis and herniated disc. OR was 40.66 (95% confidence intervals; 21.16-78.1) with plane x-rays. Conclusion: It is concluded that a major rate of patients who were formerly classified as bearing idiopathic chronic low back pain, clinical picture could be related to a spinal structural alteration, explaining at least in part the cause of pain.


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