Upper lumbar disc space related to hip pain

Upper lumbar disc space related to hip pain
Disc space narrowing at disc levels L1/L2 and L2/L3, visible on lumbar radiographs, may help to identify hip pain patients whose pain originates in the lumbar spine, according to research published in the November issue of the European Spine Journal.

(HealthDay)—Disc space narrowing at disc levels L1/L2 and L2/L3, visible on lumbar radiographs, may help to identify hip pain patients whose pain originates in the lumbar spine, according to research published in the November issue of the European Spine Journal.

In an effort to evaluate the association between hip pain and osteoarthritis of the lumbar spine, Evelien I.T. de Schepper, M.D., of the Erasmus in Rotterdam, Netherlands, and colleagues conducted an open population-based study involving 2,819 patients, 55 years of age and older, with lumbar radiographs.

The researchers found that with disc space narrowing grade 1 or higher at the L1/L2 level were 2.0-fold and 1.7-fold, respectively, more likely to have reported hip pain within the previous month. When taking into account self-reported chronic hip pain, the association was even stronger, especially in men (2.5-fold). Grade 1 or higher disc space narrowing at the L2/L3 level was only significantly associated with hip pain in women.

"In this study, disc space narrowing at level L1/L2 appeared to be associated with pain in the hip region, especially in men. The strength of the associations increased for participants with chronic hip pain and in those without radiological signs of hip ," the authors write. "These results suggest that in case of uncertainty of the cause of hip pain, evaluation of lumbar radiographs may help to identify those hip pain patients who may benefit the most from further ."

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

Coexistent lumbar disorders complicate hip arthroplasty

Jun 18, 2012

(HealthDay) -- Patients undergoing total hip arthroplasty (THA) who have coexistent lumbar spine disorders (LSDs) do not report as much improvement in pain and function after arthroplasty compared with patients ...

Pattern of disc degeneration impacts low back pain

Apr 12, 2012

(HealthDay) -- Contiguous, multilevel disc degeneration (CMDD) is associated with increased likelihood of low back pain (LBP) and pain severity compared with skipped level disc degeneration (SLDD), according ...

Recommended for you

Tracing the rise of Ebola in West Africa

7 hours ago

Since the Ebola outbreak first emerged in West Africa, The Associated Press has been reporting on it. A timeline compiled from AP dispatches since March shows the dreaded disease being identified in a remote ...

Spinal manipulation helps relieve back-related leg pain

7 hours ago

(HealthDay)—Adding spinal manipulative therapy (SMT) to home exercise and advice (HEA) may improve short-term outcomes in patients with subacute and chronic back-related leg pain (BRLP), according to research ...

User comments