Abstract
Background
Nerve Root compression can lead to severe back pain. Different risk factors like high BMI, smoking, alcohol and psychological history have been identified. The aim of our study was to identify if the incidence of these risk factors was higher in patients with nerve root compression.
Patients and methods
We collected data prospectively for 26 consecutive patients admitted between January and March 2011 with severe back pain and had an MRI scan. Demographic details were recorded along with occupation, BMI, smoking status, alcohol intake and psychological history. 12 patients had nerve root compression (Group A) on MRI scan and 14 had normal MRI scan (Group B).
Results
The mean age for Group A was 46 years (range-35–67). 6 (50%) were female and 6 male. 2 patients had degenerative disc disease (DDD), 2 had simple falls, and one had tumour. 5 (42%) were employed, 2 (17%) unemployed and 2 (17%) housewives. The mean BMI was 26 (range-14–34). 4 patients (33%) were smokers and 5 were (42%) alcohol users. 2 patients (17%) had associated psychological history of depression.
The mean age for Group B was 49 years (range-23–79). 12 (86%)were female and 2(14%)male. 2 had DDD and 1 had trauma. 6(43%)were employed, 2 (14%) unemployed and 3 (21%) housewives. The mean BMI was 25 (range-20–40). 9 patients (64%) were smokers and 9 enjoyed alcohol. 5 patients (36%) had associated psychological history; 3 of anxiety and 2 of depression.
Conclusions
More females(86%)were admitted with severe back pain and normal MRI scan and had higher incidence of psychological history(36%), smoking and alcohol problems(64%)as compared to patients with nerve root compression. There was no difference in the mean age, occupation status, predisposing risk factors and BMI in both groups. Females with severe back pain should be routinely assessed for associated psychological history, smoking and alcohol problems before arranging MRI scan and appropriate advice on treatment should be given.
Conflicts of Interest
None
Source of Funding
None
