Spinal anesthesia during cesarean section and persisting low back pain: a cross sectional study in West Bengal, India

  • Aditi Mukhopadhyay Post Graduate, Department of Physiology, Hooghly Mohsin College, University of Burdwan, Bardhaman, West Bengal, India
  • Arpan Bhattacharyya Post Graduate, Department of Physiology, Hooghly Mohsin College, University of Burdwan, Bardhaman, West Bengal, India
  • Alak Kumar Syamal Post Graduate, Department of Physiology, Hooghly Mohsin College, University of Burdwan, Bardhaman, West Bengal, India
  • Sarmishtha Chanda Department of Physiology, Sister Nibedita Govt. General Degree College for Girls, Hastings House, Kolkata, West Bengal, India
Keywords: Back Pain, Spinal Anesthesia, Cesarean Section

Abstract

Background: Spinal anesthesia related spinal injury can be a major issue in elevating back pain. Several evidences have established this process as a significant contributor of back pain; though contradictions are also present. This study aims to focus on the consequences of back pain associated with the effects of spinal anesthesia that have been received before several years.

Methodology: 48 housewives are included in this study (20 subjects for vaginal delivery and 28 subjects for spinal anaesthesia induced cesarean section) based on convenient sampling method through assessing their socio-economic status and other attributing criteria. Pain detect tool was used to track back pain status and a semi structure questionnaire was used to explore other considerations.

Results: Results have shown significant differences in pain responses after receiving spinal anesthesia (exposed group) than control group. Subjects have reflected significant differences in their pain perception scores.

Conclusion: This study concludes that subjects have shown significant higher pain perception levels after receiving spinal anesthesia compared to general anesthesia. Decision of Cesarean section delivery should include patient’s previous pain conditions and current need. Acute care in post surgical pain should be immediately addressed even after several months of the surgery.

Downloads

Download data is not yet available.

References

Gupta G, Nandini N. Prevalence of low back pain in non working rural housewives of Kanpur, India. Int J Occup Med Environ Health. 2015;28(2):313-320. doi: http://dx.doi.org/10.13075/ijomeh.1896.00299.

Saya G, Ahdhi G, Subramanian R, Yamuna T. Prevalence of low back pain and its relation to quality of life and disability among women in rural area of Puducherry, India. Ind J Pain, 2016;30(2):111-115. doi: http://www.indianjpain.org/text.asp?2016/30/2/111/186467.

Mitra K, Chatterji S, Nandy S, Nandi C, Banerjee S. Prevalence of Low Back Pain and Disability among the Non-working Adult Women in a Rural Community of Purba Barddhaman, West Bengal. J Med Sci Clinic Res. 2017;5(5):22693-22698. doi: https://dx.doi.org/10.18535/jmscr/v5i5.233.

Surana M, Dongre A. Too much care? Private health care sector and surgical interventions during childbirth in India. IIMA Working Papers, WP, 2018;1-26. Available on https://web.iima.ac.in/assets/snippets/workingpaperpdf/916097432018-11-01.pdf.

Holder HG, Graves CL. Spinal Anesthesia—A Survey of Neurologic Complications. California medicine, 1955;82(6):426-429.

Ghafari MH, Movafegh A, Zadeh NS. A comparison of incidence of the Postdural Puncture Headache and Low Back Pain in the cesarean section patients undergoing spinal anesthesia and general anesthesia: a randomized clinical trial study. Res J Biol Sci. 2009;4(2):187-189.

Schwabe K, Hopf HB. Persistent back pain after spinal anaesthesia in the non‐obstetric setting: incidence and predisposing factors. Brit J Anaesthes. 2001;86(4):535-539. doi: https://doi.org/10.1093/bja/86.4.535.

Joudi M, Fathi M, Amin Dalili SJ, Ardabili AM, Akhondi M, Izanloo A. The association of anesthetic method with developing back pain after lower extremity operations. Anesthesiol Pain Med. 2014;4(5):e18194. doi: https://dx.doi.org/10.5812%2Faapm.18194.

Pinczower GR, Gyorke A. Vertebral osteomyelitis as a cause of back pain after epidural anesthesia. Anesthesiol:J Am Soc Anesthesiol. 1996;84(1):215-217. doi: https://doi.org/10.1097/00000542-199601000-00024.

Dahl JB, Schultz P, Anker-Moller E, Christensen EF, Staunstrup HG, Carlsson P. Spinal anaesthesia in young patients using a 29-gauge needle: technical considerations and an evaluation of postoperative complaints compared with general anaesthesia. Br J Anaesth. 1990;64(2):178-182. doi: https://doi.org/10.1093/bja/64.2.178.

Rafique M, Taqi A. The Causes, prevention and management of post spinal backache: an overview. Anaesth Pain Intens Care. 2011;15(1): 65-69.

Mogren IM. Does caesarean section negatively influence the post-partum prognosis of low back pain and pelvic pain during pregnancy? Europe Spine J. 2007;16(1):115-121. doi: https://doi.org/10.1007/s00586-006-0098-8.

Abbasi S, Hamid M, Ahmed Z, Nawaz FH. Prevalence of low back pain experienced after delivery with and without epidural analgesia: A non-randomised prospective direct and telephonic survey. Ind J Anaesthes. 2014; 58(2):143-148. doi: https://dx.doi.org/10.4103%2F0019-5049.130814.

Lak M, Forozanmehr M, Dodange F. Spinal versus epidural anesthesia complications, outcomes and pain relieving capacity. Kawsar Med J. 2008;13(2):153-161.

Freynhagen R, Baron R, Gockel U, Tölle TR. Pain DETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opinion. 2006;22(10):1911-1920. doi: https://doi.org/10.1185/030079906X132488.

Vachon-Presseau E, Roy M, Martel MO, Albouy G, Chen J, Budell L, Rainville P. Neural processing of sensory and emotional-communicative information associated with the perception of vicarious pain. Neuroimage. 2012;63(1):54-62. doi: https://doi.org/10.1016/j.neuroimage.2012.06.030.

Castro M, Quarantini LC, Daltro C, Pires-Caldas M, Koenen KC, Kraychete DC, et al. Comorbid depression and anxiety symptoms in chronic pain patients and their impact on health-related quality of life. Arch Clinic Psych (São Paulo). 2011;38(4):126-129. doi: http://dx.doi.org/10.1590/S0101-60832011000400002.

de Heer EW, Gerrits MM, Beekman AT, Dekker J, van Marwijk HW, de Waal MW, et al. The association of depression and anxiety with pain: a study from NESDA. PloS one. 2014; 9(10):e106907. doi: https://doi.org/10.1371/journal.pone.0106907.

Chia YY, Yuan Lo, Chen YB, Liu CP., Huang WC, Wen CH. Risk of Chronic Low Back Pain Among Parturients Who Undergo Cesarean Delivery with Neuraxial Anesthesia A Nationwide Population-Based Retrospective Cohort Study. Medicine, 2016;95(16): 1-6. doi: https://dx.doi.org/10.1097%2FMD.0000000000003468.

Katonis P, Kampouroglou A, Aggelopoulos A, Kakavelakis K, Lykoudis,S, Makrigiannakis A, et al. Pregnancy-related low back pain. Hippokratia. 2011;15(3):205–210.

Wang CH, Cheng KW, Neoh CA, Tan S, Jawan B Lee JH. Comparison of the incidence of postpartum low back pain in natural childbirth and cesarean section with spinal anesthesia. Acta Anaesthesiologica Sin.1994; 32(4):243-246.

CITATION
DOI: 10.17511/ijmrr.2019.i06.09
Published: 2019-12-18
How to Cite
1.
Mukhopadhyay A, Bhattacharyya A, Kumar Syamal A, Chanda S. Spinal anesthesia during cesarean section and persisting low back pain: a cross sectional study in West Bengal, India. Int J Med Res Rev [Internet]. 2019Dec.18 [cited 2024Dec.23];7(6):496-03. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1104
Section
Original Article