Indian J Med Sci About us | Subscription  |  Top cited articles | Contact Us | Feedback | Login   
Print this page Email this page   Small font size Default font size Increase font size 
 Users Online : 39
Home Current Issue Ahead of print Back Issues  Instructions Search e-Alerts
  Navigate here 
 ¤  Next article
 ¤  Previous article 
 ¤  Table of Contents
 Resource links
 ¤   Similar in PUBMED
 ¤  Search Pubmed for
 ¤  Search in Google Scholar for
 ¤Related articles
 ¤   [PDF Not available] *
 ¤   Citation Manager
 ¤   Access Statistics
 ¤   Reader Comments
 ¤   Email Alert *
 ¤   Add to My List *
* Registration required (free)  

  In this article
 ¤  Abstract
 ¤  Materials and me...
 ¤  Observation
 ¤  Discussion
 ¤  References
 ¤  Article Tables

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 5    

Recommend this journal

Gadgets powered by Google

   Click here to view optimized website for mobile devices       Journal is indexed with MEDLINE/Index Medicus

Year : 2003  |  Volume : 57  |  Issue : 4  |  Page : 145-147

Incidence of low back pain in workage adults in rural North India.

Department of Orthopaedics, Paraplegia and Rehabilitation, Postgraduate Institute of Medical Sciences, Rohtak 124001,

Date of Acceptance13-Dec-2002

Correspondence Address:
S C Sharma
Department of Orthopaedics, Paraplegia and Rehabilitation, Postgraduate Institute of Medical Sciences, Rohtak 124001

Login to access the Email id

PMID: 14510345

Get Permissions

 ¤ Abstract 

Out of 11234 patients reporting to our outdoor during June 2001 to June 2002, 2594 patients (23.09%) had low back pain. 4358 roentgenograms were done in these patients, a mean of 1.68 per patient. These patients were interviewed and their psychosocial and demographic details were compared with 1000 controls who did not have back pain but attended outdoor for other reasons. In the low back pain group, 67% had psychosocial issues, 57% were in blue-collar jobs, 26% had to change/leave their profession, and 38% did not enjoy their present job. All patients had used NSAIDS at some stage of illness and 64% were advised exercises for the back. The comparative figures in control group were 19% with psychosocial issues, 34% in blue-collar jobs (heavy manual workers), 7% had to switch over to new job, 6% did not relish their present job. Hence, it is concluded that along with exercises and NSAIDS, sufficient consideration should be given to short centre-based intensive rehabilitation program followed by a home-based program for chronic low back pain patients.

Keywords: Adult, Human, Incidence, India, epidemiology,Low Back Pain, epidemiology,Middle Aged,

How to cite this article:
Sharma S C, Singh R, Sharma A K, Mittal R. Incidence of low back pain in workage adults in rural North India. Indian J Med Sci 2003;57:145-7

How to cite this URL:
Sharma S C, Singh R, Sharma A K, Mittal R. Incidence of low back pain in workage adults in rural North India. Indian J Med Sci [serial online] 2003 [cited 2014 Aug 28];57:145-7. Available from:

Back pain poses an enormous challenge to physicians and other health care providers. The problem in developing countries is compounded by ignorance to report for early treatment and occupational compulsions in rural area. According to Borenstein, low back pain should be viewed as a medical disorder, with the goal being to return to regular physical activity as quickly as possible and to enable the patient to receive the most beneficial care at optimal times.[1] In upto 80% of patients with acute low back pain, a precise anatomic cause cannot be localized.[2] Typically, an array of non-specific terms are used; lumbago, sprain, strain, mechanical low back pain and lumbar syndrome. The prognosis for recovery and full return to function from an episode of acute low back pain is excellent: 90% of patients are pain free and working within three months. Though most individuals recover quickly from acute episode, the risk of recurrence is high: upto 60% within one year.

Keeping in mind the enormity of the problem, the present study was carried out to find the psychosocial and demographic problems contributing to incidence of low back pain.

 ¤ Materials and methods Top

This was a prospective study from June 2001 to June 2002 carried out in our institution. All the patients in the age group of 20 to 45 years reporting with complaint of low back pain were interviewed regarding psychiatric and work related problems. The patients with clinico-rediological evidence of fracture dislocation, tuberculosis and tumor of spine were excluded from the study. Low back pain patients due to prolapsed intervertebral disc, lordo-scoliosis, and listhesis were also excluded from the study. For control, similar patients who did not have back pain but attended orthopaedic outdoor for other complaints were also interviewed. [Table - 1]

 ¤ Observation Top

Out of 11234 patients reported to our institution, there were 2594 (23.09%) patients of low back pain. A total of 4348 roentgenograms were done in these patients, a mean of 1.68 per patient. Six hundred and eighty four patients (26.36%) had to change/leave the profession. In 1738 patients (67%) nonorganic or psychosocial issues were present. One thousand four hundred and sixty five (57%) were heavy manual workers. Nine hundred and seventy three patients were compared with 1000 young adults attending orthopaedic outdoor for reasons other than back pain.

 ¤ Discussion Top

Back pain is the second most common reason for visits to office based physicians. Conventionally, treatment of this problem has revolved around NSAIDS, physical therapy and spine exercises. Gupta et al have reported good results using epidural steroids and lignocaine in low backache patients.[3]

Nonorganic or psychosocial issues are frequently present in patients with back pain and often dwarf the organic aspects of patients' problem. The presence of these issues clearly can impact adversely on the outcome of treatment. Klenerman, et al have demonstrated that prediction of chronicity in patients with an episode of acute low back pain was most successful by assessing the presence of "fear avoidance" variables.[4] Recent guide lines in the management of low back pain include short centre based intensive rehabilitation program followed by a home-based program for chronic low back pain, psychological care of low back pain patients.[5],[6] Spinal exercises along with adjuvant physical therapies, if combined with centre-based short rehabilitation program powered with home-based program and psychological expertise not only optimise prevention and treatment of low back pain and help to prevent unnecessary suffering of the afflicted, in addition offer a contribution - cost containment.

 ¤ References Top

1.Borenstein DG. Clinician's approach to acute low back pain. Am J Med 1997,102 (suppl. 1A): 16S-22S.  Back to cited text no. 1    
2.Deyo RA, Rainville J, Kent DL. What cam the history and physical examination tell us about low back pain. JAMA 1992,,268: 760-65.  Back to cited text no. 2    
3.Gupta RC, Varma B, Singh SP. Role of epidural hydrocortisone and lignocaine in low backache. Ind J Orthop 1987,21: 178-82.  Back to cited text no. 3    
4.Stankovic R, Johnell 0. Conservative treatment of acute low back pain. A five year follow-up study of two method of treatment. Spine 1995; 20:469-72.  Back to cited text no. 4    
5.Genet F, Poiraudeau S, Revel M. Effectiveness and compliance to a centre-based short rehabilitation program with a home-based program for chronic low back pain. Ann Readapt Med Phys 2002, 45:265-72.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]
6.Basler HD. Deficits in the psychological care of low back pain patients-comments on the expertise of the expert committee for the health care system regarding low back pain. Schmerz 2002; 16:215-20.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]


[Table - 1]

This article has been cited by
1 Physiotherapy management of low back pain in India - a survey of self-reported practice
Fidvi, N., May, S.
Physiotherapy Research International. 2010; 15(3): 150-159
2 Full-time homemakers: workers who cannot "go home and relax"
Habib, R.R., Fathallah, F.A., Messing, K.
International Journal of Occupational Safety and Ergonomics. 2010; 16(1): 113-128
3 Incidence of musculoskeletal pain and rheumatic disorders in a Bangladeshi rural community: A WHO-APLAR-COPCORD study
Haq, S.A., Darmawan, J., Islam, N., Ahmed, M., Banik, S.K., Fazlur Rahman, A.K.M., Alam, M.N., (...), Rasker, J.J.
International Journal of Rheumatic Diseases. 2008; 11(3): 216-223
4 Initial results using Khan Kinetic Treatment™ as a low back pain treatment option
Desmoulin, G.T., Yasin, N.I., Chen, D.W.
Journal of Musculoskeletal Pain. 2007; 15(3): 91-102
5 Prosthetic Lumbar disc replacement for degenerative disc disease
Kulkarni, A.G., Diwan, A.D.
Neurol India. 2005; 53(4): 499-505


Print this article  Email this article
Previous article Next article


© 2004 - 2014 Indian Journal of Medical Sciences
Published by Medknow
Online since 15th December '04
Creative Commons Open Access Journal No author-side fee Romeo Green Journal Dublin Core W3C XHTML W3C CSS  This website is ACAP-enabled  View mobile site 
ISSN: Print -0019-5359, Online - 1998-3654