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

Senegal monitors contacts of 1st Ebola patient

8 hours ago

Senegalese authorities on Monday were monitoring everyone who was in contact with a student infected with Ebola who crossed into the country, and who has lost three family members to the disease.

Cerebral palsy may be hereditary

14 hours ago

Cerebral palsy is a neurological developmental disorder which follows an injury to the immature brain before, during or after birth. The resulting condition affects the child's ability to move and in some ...

19 new dengue cases in Japan, linked to Tokyo park

20 hours ago

Japan is urging local authorities to be on the lookout for further outbreaks of dengue fever, after confirming another 19 cases that were contracted at a popular local park in downtown Tokyo.

User comments