A Study on Factors Affecting Low Back Pain and Safety and Efficacy of NSAIDs in Acute Low Back Pain in a Tertiary Care Hospital of Western Nepal

Bhattarai, Srijana; Chhetri, Himal Paudel; Alam, Kadir; Thapa, Pabin

doi:10.7860/jcdr/2013/6520.3752

Cited by 11 publications

(15 citation statements)

References 12 publications

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“…This is perhaps because the rate of current employment was also highest in Nepal which is associated with higher likelihood of experiencing back pain. A follow-up study in Western Nepal reported that LBP was higher among subjects involved in agriculture and heavy weight lifting 23. Similar evidence were reported by WHO estimates which found that ~37% of all LBP is of occupational origin 24.…”

Section: Discussionsupporting

confidence: 69%

Participation in physical activity and back pain among an elderly population in South Asia

Bishwajit¹,

Tang²,

Yaya³

et al. 2017

JPR

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IntroductionGlobally, chronic back pain is one of the most commonly encountered medical conditions among an elderly population with significant bearings on health, functional mobility and general well-being.ObjectiveTo estimate the burden of chronic back pain and its association with physical activity (PA) among population aged 50 years and above in Bangladesh, India, Nepal, Pakistan and Sri Lanka.MethodsCross-sectional data on 8502 men and women aged 50 years and above were collected from the World Health Survey (2002). Three forms of PA were considered – vigorous physical activity (VPA), moderate physical activity (MPA) and walking. Odds ratios (ORs) of the association between self-reported back pain and VPA, MPA and walking were calculated by using generalized estimating equations.ResultsThe prevalence of back pain was, respectively, 64.8%, 19.8%, 69.5%, 40.6% and 36.2% in Bangladesh, India, Nepal, Pakistan and Sri Lanka. No significant association between back pain and VPA was observed among men in any of the countries. In India, Pakistan and Sri Lanka, the odds of suffering from back pain were, respectively, 29%, 2.5 times and 59% higher among women who almost never took MPA. In India, taking MPA for few days a week and almost never was associated with, respectively, 38% (OR=1.38; 95% confidence interval [CI]=1.017–1.876) and 56% (OR=1.564; 95% CI=1.003–2.438) higher odds of reporting back pain. Walking almost never was also associated with, respectively, 83% (OR=1.829; 95% CI=1.14–2.934) and 2.9 times (OR=2.854; 95% CI=1.419–5.738) higher odds of reporting back pain among men in Nepal and Pakistan, respectively.ConclusionThough the relationship was not consistent across sex and countries, results indicate that inadequate or nonparticipation can substantially increase the likelihood of suffering from back pain among an elderly population in this region. Further research is needed to better understand this relationship and the potential of exercised-based strategies to prevent and treat back pain among elderly persons.

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Section: Discussionsupporting

confidence: 69%

Participation in physical activity and back pain among an elderly population in South Asia

Bishwajit¹,

Tang²,

Yaya³

et al. 2017

JPR

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“…Being a common musculoskeletal condition, the point prevalence among the world population ranges between 60-80% 3 . The risk of LBP increases above 35 years of age, with prevalence being more among females.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of aceclofenac versus etoricoxib in the management of acute low back pain in a tertiary care hospital

Jagannathan¹,

Thota²,

Kumarappa

et al. 2020

Journal of Drug Assessment

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Background: The aim of management of acute low back pain is to alleviate the pain quickly and improve functional ability. Non-steroidal anti-inflammatory drugs are the first line of treatment. The challenge lies in deciding which NSAIDs will provide greater symptomatic relief, while also being cost-effective. Objective: To compare the effectiveness of aceclofenac and etoricoxib in the management of acute low back pain. Methods: This prospective, open label, observational study was conducted at a tertiary care hospital. Patients over 18 years of age and presenting with low back pain of less than 6 weeks duration were enrolled in the study. Fifty patients with non-specific low back pain were randomized into two groups: Group A received aceclofenac (2 mg/kg) twice a day and Group B received etoricoxib (1 mg/kg) twice a day for 1 week. The Numerical Rating Scale (NRS) and Oswestry Low Back Disability Index (ODI) determined the clinically meaningful outcomes. Results: The decrease in pain intensity in Group A was 52.27%, while in Group B it was 62.53%. However, the decrease in pain scores between the groups was not statistically significant (p ¼ .3795). Improvement in functional ability in Group A and Group B was 57.01% and 61.48%, respectively. However, this improvement between the groups was not statistically significant (p > .999) at the end of 1 week. The average cost-effectiveness ratio indicated that etoricoxib was the dominant treatment over aceclofenac. Therefore, etoricoxib was found to be the cost-effective option for short-term pain relief in acute low back pain for 1 week. Conclusion: Both aceclofenac and etoricoxib were clinically effective in reducing the pain intensity and in improving functional ability. However, etoricoxib was found to be the cost-effective intervention.

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“…Back pain is a major health problem of the world [1][2][3] about 90% adults experience back pain at some point in their lives [4], 85% never given precise pathoanatomical diagnosis [2,3,[5][6][7][8]. The incidence age is 18 -55 years.…”

mentioning

confidence: 99%

“…This includes spinal fusion and disc replacement. Medications commonly used include NSAIDs and muscle relaxants [5,10].…”

mentioning

confidence: 99%

Prevalence of Risk Factors Associated With Non-Specific Back Pain Among Female Patients in Afirm

Ghulam¹,

Sharif²,

Saeed³

2016

IJPR

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Introduction: Back pain is a common musculoskeletal disorder of world, the most frequent back pain is known as non -specific back pain. Majority of back pain does not require medical care and resolve itself within days and weeks but some recurrent and severe non-specific back pain need management and cure. The selection of intervention depends upon the cause of back pain. The study identified the association of physical and psychosocial factors and investigated the most frequent causative factor of non -specific back pain in female patients of AFIRM. Materials and Methods:The cross sectional study was conducted in AFIRM. The Keele Start Back pain screening tool was used to collect data from female patients with non-specific back pain, who came in physiotherapy department of AFIRM .The tool provided the brief demographic data of subjects and described the disability and belief about their back pain. The tool is also divided the patients in to sub groups according to the level of risk.Our study identified that there is a high prevalence of psychosocial factor than physical factor in female patients with non-specific back pain of AFIRM and the large number of patients are at high risk than moderate and low risk. Conclusion:The research will help to clinician, to select appropriate and accurate for cure and management of back pain it will also help to prevent back pain.There is a need to conduct study in both genders and in other centers of region. The sample size should be large and study time should be long. There is also need to further identify particular physical and psychosocial factor like anxiety, depression etc KEY WORDS: Back pain, physical factors and psychosocial factors.

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A Study on Factors Affecting Low Back Pain and Safety and Efficacy of NSAIDs in Acute Low Back Pain in a Tertiary Care Hospital of Western Nepal

Cited by 11 publications

References 12 publications

Participation in physical activity and back pain among an elderly population in South Asia

Participation in physical activity and back pain among an elderly population in South Asia

A comparative study of aceclofenac versus etoricoxib in the management of acute low back pain in a tertiary care hospital

Prevalence of Risk Factors Associated With Non-Specific Back Pain Among Female Patients in Afirm

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