Causes of low back pain (LBP) in women without pregnancy, in relation to different age groups during the reproductive period, are primarily treated as musculoskeletal disorders: a retrospective study

Introduction: Low back pain (LBP) is a musculoskeletal disorder of several causes that can mess up the spine. It is characterized by pain, stiffness or muscle tension and is usually localized in the lumber region. – During their working years, people frequently experience low back pain. Approximately 84% of adults experience LBP once or more during their lifetime. In Bangladesh, wt. related prevalence of LBP is 18.5% and age group 18-34 years prevalence are 10.5% and >55 years 27.8%, average 19.2%, which is more in women 27.2% than men. Pain in the soft tissue of the back is extremely common among adults and often affects individuals during their working years. LBP in women, is strongly linked to hormonal and reproductive factors, the work environment and lifestyle. Females frequently experience lower abdominal and back pain at reproductive age, usually due to PMS, PMDD, dysmenorrhea, endometriosis, pregnancy, menopause, muscle spasms, arthritis, UTI, PID, HTN, DM, obesity, multiple C/S tracts and lower abdominal operations, all of which cause RAD, osteoporosis, vertebral and intervertebral disc diseases (PLID, herniation, slipping etc.). The L4 and L5 neural arches are involved in the transmission of a considerable load. Therefore, the joints between the articular facets of L4 and L5,- are sites of LBP. Low back pain (LBP) was diagnosed by history and clinical examination according to the Pain Scale. To determine the cause of HELLP syndrome/causes by routine investigations and sometimes abdominal ultrasonography (USG), magnetic resonance imaging (MRI) is needed. Treatment of LBP depends on the cause. When a definite lesion is not found, the patient should be informed and reassured about the treatment of LBP. Purpose/Objective of the study: To identify the causes of LBP and prevalence of LBP in women of reproductive age excluding pregnant individuals and establish referral guidelines. Methodology: This was a retrospective (observational) cross sectional study jointly conducted by Orthopedics and Gynecology Expertise in the North-East region, named the Sylhet Division of Bangladesh. Female patients were considered to be of reproductive age for the last three (3) years (2020 - 2022) at the Z overweight, obesity, age group and working posture had direct effects on LBP incidence (p>0.05). LBP is more common in women- than in men and may be due to household activities and a greater frequency of visceral pain during menstruation, pregnancy and labor. Conclusion: Low back pain (LBP) can occur in multiple physical conditions in women of reproductive age except during pregnancy and can disrupt the back tissues of the lumbosacral region. Women are more susceptible to LBP because of menstrual and obstetric factors. A diagnosis was made by obtaining a meticulous detailed medical history, performing a physical examination and performing proper investigations. The causal parameters revealed that LBP had no effect on any of the patients, but women of reproductive age may suffer from LBP due to differences in cause.