DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20222271
Published: 2022-08-29

Incidence of pelvic inflammatory disease in females presenting with low backache in orthopedic OPD

Juhi Deshpande, Chanchal Kumar Singh

Abstract


Background: Low backache (LBA) is one of the major global public health problems. It causes great disability and distress among females and hampers their day-to-day activities. Pelvic inflammatory disease (PID) is one of the major causes for LBA. Early diagnosis and treatment of PID leads to significant improvement in symptoms of LBA and prevents complications related to PID. The aim of the study was to determine the incidence of pelvic inflammatory disease (PID) in females attending orthopaedics OPD with complaints of low backache (LBA).

Methods: A prospective epidemiological study was done on 200 female patients attending orthopedics OPD. Detailed history was taken followed by thorough examination. Patients were interviewed regarding their age, parity, demographic parameters, associated complaints, type of contraceptive use and addiction status.

Results: Out of 200 female patients with LBA, PID was found in 55 (27.5%) patients. Majority (37%) of patients were from the age group of 40-49 years. 65% of patients were of low socio-economic status, 75% females were illiterate, 63.5% females were obese, 28% females were addicted to smoking, 24% tobacco chewing and 76.5% were parous. 53% of patients complained of discharge per vaginum. 42.5% females used oral contraceptive pills and 25.5% females had an intrauterine contraceptive device inserted.

Conclusions: The study suggests that PID is a major contributing factor of LBA in female. Therefore, gynecological opinion should be taken for the complete management of LBA among females.


Keywords


Low backache, Pelvic inflammatory disease, Orthopedic OPD

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References


Balamurugan SS, Bendigeri ND. Community based study of reproductive tract infections among women of reproductive age group in urban health training centre area in Hubli, Karnataka. Indian J Community Med. 2012;37(1):34-8.

Borenstein DG. Clinician’s approach to acute low back pain. Am J Med. 1997;102(1):16S-22S.

Atlas SJ, Deyo RA. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 2001;16(2):120-31.

Suryapani R. Backache borne of modern lifestyle. Tribune. 1996;6:16.

Beverly W. Women’s health: an alternative perspective for choosing interventions. Studies in family planning Popul Council. 1988;19(4):197-214.

Bhatia JC, Cleland J. Self-reported symptoms of gynaecological morbidity and their treatment in South India. Stud Fam Plan. 1995;26(4):203-16.

Leino PI, Berg MA, Puska P. Is back pain increasing? Results from National Surveys in Finland during 1978/9-1992. Scand J Rheumatol. 1994;23(5):269-76.

Sachdeva PK, Dahiya A, Singh R. Incidence of pelvic inflammatory disease in backache in females. Int J Reprod Contracept Obstet Gynecol. 2016;5(10):3322-5.

Hurwitz EL, Morgenstern H. Correlates of back related disability in the US. J Clin Epidemoil. 1997;50(6):669-81.

Lake JK, Power C, Cole TJ. Back pain and obesity in the 1958 British birth cohort cause or effect. J Clin Epidemoil. 2000;53(3):245-50.

Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain. JAMA. 1992;268:760-5.

Ernst E. Smoking a cause of back trouble? Oxford J Med Health Rheumatol. 1992;32(3):239-42.

Martin V, Rosemary P, Mant J. Oral contraception and other factors in relation to back disorders in women: findings in a large cohort study. Contraception. 1999;60(6):331-5.