Compensation of MRI findings in asymptomatic patients with chronic low back pain

Year 2018, , 141 - 146, 31.03.2018

Levent Adiyeke , Suavi Aydogmus , Ozge Yapici Ugurlar , Tahir Mutlu Duymus , Tolga Kececi

https://doi.org/10.17546/msd.399735

Abstract

Objective: Chronic low back pain can originate from a number of constructs. It has a range of pathologies depending on multifactorial causes. In this study, we aimed to investigate in asymptomatic patients who compensation complaint of chronic low back pain in our outpatient clinic and demonstrate its for functionality in treatment planning. Material and Methods: Magnetic Resonance Imaging (MRI) results of 78 asymptomatic patients (46 males, 32 females) who complained of low back pain for at least 12 weeks atMarch 2016 - January 2017 were examined. During MRI assessments, T1 and T2 weighted sagittal plane and transaxial images of the lumbar region (L1-S1) and radiology reports of these images were obtained for all patients.  Degenerative disc disease, Bulging protrusion, Spinal canal stenosis and Nerve root compression re-evaluated and patient findings were assessed. Results: There was no abnormality in the MRI results of 16 patients (20%) examined within the study criteria.  Nerve root compression was detected in 17 patients (22%), spinal stenosis in 24 patients (30%) and disc degeneration or bulging in 57 patients (78%). There was no statistically significant difference in the incidence of pathologies by asymptomatic patient findings. Conclusion: Chronic back pain is a disease that involves a wide range of pathologies. MRI scan provides detailed images to the clinician, it is difficult to make a specific diagnosis in the majority of patients with low back pain. Difficulty should be taken into account that the findings obtained by the clinician during assessment can also be seen in asymptomatic individuals

Keywords

low back pain, MRI, asymptomatic

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