Herniated Nucleus Pulposus in Healthcare Workers in the Cardiac Catheterization Lab: Case Report
Keywords:
herniated nucleus pulposus, health care worker, liftingAbstract
Background and objective: Low back pain (LBP) is a common work-related problem in healthcare workers. In the Cardiac Catheterization Lab at Queen Sirikit Heart Center of Northeast, workers are regularly required wearing a lead apron and frequently expose to heaving lifting during working time. In that case, LBP was commonly found; moreover, two cases of herniated nucleus pulposus (HNP) were newly reported. There was no previous report of work-related HNP in this setting. Thus, it is crucial to investigate to confirm the diagnosis of work-related HNP and provide preventive measures.
Methods: Two case reports with the use of epidemiological methods to identify risk factors for a specific disease.
Results: The results showed that both patients were diagnosed with HNP due to sudden injury from improper lifting of a heavy object and inappropriate posture while lifting and wearing a lead apron for a prolonged period. Further investigation revealed that more than half of the staff (53.6%) experienced work-related LBP.
Conclusion: Two case reports has been diagnosed HNP from their work, with the risk factor being improper lifting technique. Preventive measures include the use of force-reducing equipment, proper education on correct lifting technique, and ongoing monitoring or medical surveillance for lower back pain symptoms in staffs.
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