Analysis of Finger Photo Pulse Plethysmography and Body Composition among Low Back Pain Subjects with Lumbar Disc Degenerative Diseases Diagnosed by MRI Analysis

Abstract

Lumbar disc degenerative disc disease, accompanied by back pain, is a prominent health concern in society. The purpose of the study was to investigate the connection of arterial stiffness and body composition in the patients suffering low back pain with lumbar disc degenerative disorders. A comparative study was performed on 197 patients, both male and female, between the ages of 30 and 70, who were experiencing low back pain. These patients have undergone magnetic resonance imaging of the lumbosacral region to evaluate the intervertebral disc's nucleus and annulus as well as its signal intensity and height. The Pfirrmann grading method was used to determine the extent of disc degeneration. The statistical analysis revealed no significant link between overall body fat and stiffness index in disc bulging and nerve compression groups. However, the group experiencing nerve compression demonstrated a statistically significant association between visceral fat and reflection index in individuals who were overfat and obese. In addition, there was a notable correlation between PWV and the reflection index of the disc bulging groups. So, whole body fat and PWV had a different impact on disc degeneration. The PWV has a robust positive correlation with both the stiffness index and reflection index. The presence of subcutaneous fat and vascular stiffness may not have any impact on low back pain in patients with disc bulging and nerve compression. Early identification of vascular stiffness and study of body composition serve as initial measures to avoid the progression of disc degeneration.