STUDY ON INCIDENCE OF LOWER BACK PAIN IN SUBJECTS OPERATED UNDER SPINAL ANESTHESIA

Dr. Narendra Kumar Kalia; Dr. Pankaj Wadhwa

Volume : IX, Issue : VII, July - 2020

STUDY ON INCIDENCE OF LOWER BACK PAIN IN SUBJECTS OPERATED UNDER SPINAL ANESTHESIA

Dr. Narendra Kumar Kalia, Dr. Pankaj Wadhwa

Abstract :

BACKGROUND: Spinal anesthesia (SA) one of the most popular widely used regional anesthetic procedure. It is simple, cost effective and efficient technique that provides complete sensory and motor block as well as postoperative analgesia with high success rate. Recent studies suggest that preoperative LBP may be the main cause of LBP in patients who were operated on under SPA. METHODS: We included the subjects aged between 18–60 years who were undergoing non–obstetrical surgeries (Orthopedic, General Surgery), with no history suggestive of pre–operative LBP and injury. LBP was assessed in all the subjects. RESULTS: The results of our study show that, after SA, 16 (8%) subjects experienced LBP within the first week. Of these 16 subjects, 14 (87.5%) of them reported the quality of their pain, 11 (68.75%) had weak pain and 3 (18.75%) had a sharp pain. Most of the subjects complained of pain in the midline of the body. Among the 16 subjects who had post SA LBP, in 4 (25%) subjects LBP lasted less than 24 hours, in 10 (62.5%) subjects had LBP lasting for 1–7 days and 2 (12.5%) subjects had LBP lasting for more than 2 weeks. CONCLUSIONS: Post–spinal LBP seems to be a short–termed and self–limiting complication especially in patients without preoperative LBP. Patients with persistent LBP and those who have severe LBP should be investigated to rule out other serious conditions such as hematomas and abscesses.