The Most Common Causes of Low Back Pain in Surabaya Hajj General Hospital

Main Article Content

Rita Vivera Pane
Eko Agus Subagio
Aufar Zimamuz Zaman Al Hajiri

Abstract

Introduction: Low back pain (LBP) become one of the major complaints among the worldwide population leading to morbidity increase. LBP affects the patient's productivity and quality of life. Frequent hospital visits among patients due to the unknown cause of LBP. This study aimed to determine the most common causes among LBP patients at Surabaya Hajj General Hospital.
Methods: This is an observational study with a cross-sectional approach. Patients with complaints of LBP who came to the Physical Medicine and Rehabilitation Installation of Surabaya Hajj General Hospital from May to September 2019 were included in this study.
Results: This study involved a total of 223 participants. Chronic LBP was reported to occur mostly in the mean age of 58.37 years and female participants. The average BMI in this study fell within the obesity range. The three most common causes of LBP included sacroiliac joint (35.4%), piriformis syndrome (27.3%), and facet joint (23.7), followed by other causes such as myofascial trigger point syndrome, canal stenosis, discogenic, and radiculopathy. 
Conclusion: The most common causes of LBP patients at Haji General Hospital are sacroiliac joint, piriformis syndrome, and facet joint. It is important for the physician to determine the cause of LBP to treat the patient appropriately.

Article Details

How to Cite
Pane, R. V., Subagio, E. A., & Al Hajiri, A. Z. Z. (2023). The Most Common Causes of Low Back Pain in Surabaya Hajj General Hospital. Indonesian Journal of Physical Medicine and Rehabilitation, 12(01), 92 - 99. https://doi.org/10.36803/indojpmr.v12i01.350
Section
Original Article
Author Biographies

Rita Vivera Pane, Faculty of Medicine Universitas NahdlatulUlama Surabaya

1. Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas NahdlatulUlama Surabaya, Surabaya, Indonesia 2. Department of Physical Medicine and Rehabilitation, Hajj General Hospital of Surabaya, Surabaya,Indonesia

Eko Agus Subagio, Faculty of Medicine Universitas Airlangga, Surabaya

Department of Neurosurgery, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.

Aufar Zimamuz Zaman Al Hajiri, Faculty of Medicine Universitas Nahdlatul Ulama Surabaya

Faculty of Medicine Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia.

References

1. Novitasari, D. D., Sadeli, H. A., Soenggono, A., Sofiatin, Y., Sukandar, H., & Roesli, R.
M. A. (2016). Prevalence and Characteristics of Low Back Pain among Productive Age Population in Jatinangor. Althea Medical Journal, 3(3), 469–476. https://doi.org/10.15850/amj.v3n3.863
2. Will, J. S., Bury, D. C., & Miller, J. A.(2018). Mechanical Low Back Pain. Am
Fam Physician, 98(7), 421–428. https://doi.org/10.1016/B978-1-4160-2384-5.50009-2
3. Urits, I., Burshtein, A., Sharma, M., Testa,L., Gold, P. A., Orhurhu, V., Viswanath, O.,
Jones, M. R., Sidransky, M. A., Spektor, B.,& Kaye, A. D. (2019). Low Back Pain, a
Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports, 23(3). https://doi.org/10.1007/S11916-019-0757-1
4. Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S.
P. (2021). Low back pain. The Lancet, 398(10294), 78–92. https://doi.org/10.1016/
S0140-6736(21)00733-9
5. Semeru, G. M., & Halim, M. S. (2019). Acceptance versus catastrophizing in
predicting quality of life in patients with chronic low back pain. The Korean Journal of
Pain, 32(1), 22–29. https://doi.org/10.3344/KJP.2019.32.1.22
6. Makkiyah, F., Sinaga, T. A., & Khairunnisa, N. (2022). A Study from a Highly Populated
Country : Risk Factors Associated with Lower Back Pain in Middle-Aged Adults.
Journal of Korean Neurosurgical Society. https://doi.org/10.3340/JKNS.2021.0278
7. Shiri, R., Falah-Hassani, K., Heliövaara, M., Solovieva, S., Amiri, S., Lallukka, T.,
Burdorf, A., Husgafvel-Pursiainen, K., & Viikari-Juntura, E. (2019). Risk Factors
for Low Back Pain: A Population-Based Longitudinal Study. Arthritis Care and
Research, 71(2), 290–299. https://doi.org/10.1002/acr.23710
8. Ghafouri, M., Teymourzadeh, A., Nakhostin-Ansari, A., Sepanlou, S. G.,
Dalvand, S., Moradpour, F., Bavarsad, A. H., Boogar, S. S., Dehghan, M., Ostadrahimi,
A., Aghazadeh-Attari, J., Kahnooji, M., Hosseinipour, A., Gohari, A., Hosseini, S. V., Mirzaei, M., Khorram, A., Shahmoradi, M., Pourfarzi, F., … Kordi, R. (2022). Prevalence and predictors of low back pain
among the Iranian population: Results from the Persian cohort study. Annals of Medicine
and Surgery, 74. https://doi.org/10.1016/j.amsu.2022.103243
9. Wang, Y. X. J. (2017). Menopause as a potential cause for higher prevalence of low
back pain in women than in age-matched men. Journal of Orthopaedic Translation, 8, 1–4.
https://doi.org/10.1016/j.jot.2016.05.012
10. Wáng, Y. X. J., Wáng, J. Q., & Káplár, Z. (2016). Increased low back pain prevalence
in females than in males after menopause age: evidences based on synthetic literature
review. Quantitative Imaging in Medicine and Surgery, 6(2), 199. https://doi.
org/10.21037/QIMS.2016.04.06
11. Siddiqui, A. S., Javed, S., Abbasi, S.,Baig, T., & Afshan, G. (2022). Association
Between Low Back Pain and Body Mass Index in Pakistani Population: Analysis
of the Software Bank Data. Cureus, 14(3). https://doi.org/10.7759/cureus.23645
12. Chen, X., Tang, H., Lin, J., & Zeng, R. (2022). Causal relationships of obesity on
musculoskeletal chronic pain: A two-sample Mendelian randomization study. Frontiers in
Endocrinology, 13. https://doi.org/10.3389/fendo.2022.971997
13. Zhang, T. T., Liu, Z., Liu, Y. L., Zhao, J. J., Liu, D. W., & Tian, Q. B. (2018). Obesity
as a Risk Factor for Low Back Pain: A Meta-Analysis. Clinical Spine Surgery,
31(1), 22–27. https://doi.org/10.1097/BSD.0000000000000468
14. Fernandes, I. M. da C., Pinto, R. Z., Ferreira, P., & Lira, F. S. (2018). Low back pain,
obesity, and inflammatory markers: exercise as potential treatment. Journal of Exercise
Rehabilitation, 14(2), 168–174. https://doi. org/10.12965/JER.1836070.03515. Probst, D., Stout, A., & Hunt, D. (2019). Piriformis Syndrome: A Narrative Review
of the Anatomy, Diagnosis, and Treatment.
In PM and R: Vol. 11 Suppl 1. PM R. https:// doi.org/10.1002/pmrj.12189
16. Hooten, W. M., & Cohen, S. P. (2015). Evaluation and Treatment of Low Back
Pain: A Clinically Focused Review for Primary Care Specialists. Mayo Clinic
Proceedings, 90(12), 1699–1718. https://doi.org/10.1016/J.MAYOCP.2015.10.009
17. Kim, B., & Yim, J. (2020). Core stability and hip exercises improve physical function and
activity in patients with non-specific low back pain: A randomized controlled trial.
Tohoku Journal of Experimental Medicine, 251(3), 193–206. https://doi.org/10.1620/
tjem.251.193
18. Vining, R. D., Minkalis, A. L., Shannon, Z. K., & Twist, E. J. (2019). Development
of an Evidence-Based Practical Diagnostic Checklist and Corresponding Clinical Exam
for Low Back Pain. Journal of Manipulative and Physiological Therapeutics, 42(9),
665–676. https://doi.org/10.1016/J.JMPT.2019.08.003
19. Barros, G., McGrath, L., & Gelfenbeyn, M. (2019). Sacroiliac Joint Dysfunction in Patients With Low Back Pain. Federal Practitioner : For the Health Care Professionals of the VA, DoD, and PHS, 36(8), 370–375.
20. Allegri, M., Montella, S., Salici, F., Valente, A., Marchesini, M., Compagnone,
C., Baciarello, M., Manferdini, M. E., & Fanelli, G. (2016). Mechanisms of low back
pain: a guide for diagnosis and therapy. F1000Research, 5, 1530. https://doi.
org/10.12688/F1000RESEARCH.8105.2/DOI
21. Won, H.-S., Yang, M., & Kim, Y.-D. (2020). Facet joint injections for management of
low back pain: a clinically focused review.Anesthesia and Pain Medicine, 15(1), 8–18.
https://doi.org/10.17085/apm.2020.15.1.8
22. Chuang, C. W., Hung, S. K., Pan, P. T., & Kao, M. C. (2019). Diagnosis and
interventional pain management options for sacroiliac joint pain. Tzu-Chi Medical
Journal, 31(4), 207. https://doi.org/10.4103/TCMJ.TCMJ_54_19
23. Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, E. M., Kaye, A. D., Imani, F.,
Varrassi, G., Pourbahri, M., Viswanath, O., & Urits, I. (2021). Surgical and non-surgical
treatment options for piriformis syndrome: A literature review. Anesthesiology and
Pain Medicine, 11(1), 1–8. https://doi.org/10.5812/aapm.112825