Incidence Of Backache After Spinal Anesthesia Between Male And Female Patients

Abstract

This study investigated postoperative low back pain (PSDB) in 200 patients (100 men and 100 women) undergoing spinal anesthesia. Female patients reported higher levels of low back pain intensity and psychological distress than male patients. Correlation analysis showed significant positive correlations between pain intensity, range of motion limitations, early onset of symptoms, and effect on recovery. Factor analysis revealed that physiological, psychological, and situational factors explained 74.68% of the variance. Regression analysis revealed that gender, surgical duration, beliefs about spinal causality, and psychological distress were significant predictors, explaining 58.6% of the variance in PSDB severity. Although spinal anesthesia is safe and effective, low back pain is often associated with surgical technique, needle size, patient characteristics, and surgical factors. These findings illustrate the multifactorial and gender-driven nature of PSDB and suggest the integration of psychological counseling, risk stratification, and careful postoperative observation to improve satisfaction and outcomes.

Keywords: Spinal Anesthesia, Postoperative Backache, Back Pain Severity, Psychological Impact.