Objective: This study aimed to establish a correlation between clinical symptoms and MRI findings in individuals with chronic back pain. Methodology: This Descriptive cross-sectional study was conducted over a period of four months after ethical approval in the Radiology department at a Tertiary Care Hospital in Lahore. Acohort of 135 young adults were assessed through a consecutive sampling method and underwent lumbar spine MRI examinations. Results: The pool of participants in the study encompassed 42.2% males and 57.8% females, aged between 18 and 40 years, with an average age of 31.5 years and a standard deviation of 6.06. There were four prominent MRI findings: Lumbar Spondylosis (46%, Disc Degeneration (25%, Disc Bulge (10%), and Disc Desiccation (9%). The study also found significant correlations between these findings and clinical characteristics, with Lumbar Spondylosis linked to lower limb numbness and mobility difficulties, and Disc Bulge correlated with pain duration. Conclusion: The findings underscore the effectiveness of MRI scans in identifying underlying causes of chronic back pain in young adults in Pakistan. Keywords: Lumber spondylosis, disc degeneration, disc bulge, Lower Limb Numbness, and Magnetic Resonance Imagin
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