• Arch Orthop Trauma Surg · Oct 2023

    Are there any correlations among the number of discopathy levels and pain intensity or disability in patients with symptomatic low back pain?

    • Kamil Zaworski and Robert Latosiewicz.
    • Department of Physiotherapy, John Paul II University of Applied Sciences in Biała Podlaska, ul. Sidorska 95/97, 21-500, Biała Podlaska, Poland. k.zaworski@dyd.akademiabialska.pl.
    • Arch Orthop Trauma Surg. 2023 Oct 1; 143 (10): 607760856077-6085.

    IntroductionLow back pain (LBP) is considered a civilization disease that affects people in an increasing number. Discopathy (degeneration of intervertebral discs) is recognised as one of LBP causes. Still, the relationship between the number of discopathy levels and LBP remains unclear. The aim of this study was to evaluate the correlation between the number of discopathy levels with intensity of LBP, functional level and the degree of disability.Materials And MethodsThe prospective, cohort study involved 200 patients aged 27 to 55 years (44.9 ± 9.2 years) with single- or multilevel lumbar discopathy confirmed by imaging examinations. Functional examination included NRSscale, goniometric measurements, Modified Laitinen Pain Questionnaire, Oswestry Disability Index and Back Pain Function Scale.ResultsThere were statistically significant positive correlations between the number of discopathy levels and the age of the subjects (r = 0.266; p = 0.000), BMI (r = 0.158; p = 0.029) and ODI (r = 0.157; p = 0.026). Positive correlation (r = 0.142; p = 0.044) was also observed between the results of Fingertip-to-floortest and the number of levels of discopathy.ConclusionsThe number of levels of discopathy was depended on the age and BMI of the patients. It had no effect on pain intensity, range of rotational motion of the lumbar spine and functional status of patients. As the number of levels of discopathy increased, a higher degree of everyday disability was observed.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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