Permanent Back Injury Not Linked To Occupational Driving

There is no increased risk of permanent lumbar disc degeneration among people who drive for a living. “Although occupational driving might be associated with higher rates of back-related symptoms, the mechanism for this association is probably not the result of irreparable damage of lumbar discs and vertebrae,” reports Dr Michele Battié and colleagues from the Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.

 The study was done in collaboration with the Department of Clinical Radiology, Kuopio University Hospital, Kuopio, Finland, and universities in Finland, the United States and Britain. Back problems are reported more by people who drive for a living than by any other occupational group.

 One explanation is that whole-body vibration caused by the vehicle leads to accelerated disc degeneration, herniation, and associated symptoms, the clinicians note. They had access to The Finnish Twin Cohort database and obtained details on 45 male monozygotic pairs for their present and previous job titles, the probability of substantial differences in occupational driving, or other exposures of interest, suspected of affecting disc degeneration. Any disc degeneration among the twins was assessed by lumbar MRI.

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