Health Condition 1: M545- Low back pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Chronic Low Back Pain (CLBP) for more than 3 months. 2.Positive Supine Provocation: Patients who report an increase in Visual Analogue Scale (VAS) score by at least 2 points upon lying flat on a standard examination table compared to standing.
Exclusion criteria
Exclusion criteria: 1. Previous history of lumbar spine surgery (fusion, laminectomy, or discectomy). 2. Recent acute spinal trauma or fracture (Less than 4 weeks). 3. Active pregnancy. 4. Known psychiatric illness or cognitive impairment preventing accurate pain reporting.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Distribution of etiological causes of supine-lying back pain: mechanical instability, inflammatory pathology, extension intolerance, and red-flag pathology.Timepoint: No followup visit is required. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Correlation of immediate pain with retrolisthesis on X-ray. 2.Correlation of delayed/nocturnal pain with MRI marrow edema. 3.Sensitivity & specificity of Pillow Sign. 4.VAS, ODI, & sleep impact scores. 5. Association of psoas tightness with sedentary occupation.Timepoint: No followup visit is required. | — |
Countries
India
Contacts
Stavya Spine Hospital And Research Institute