2010
DOI: 10.1590/s1516-31802010000500003
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Serum cytokine levels in patients with chronic low back pain due to herniated disc: analytical cross-sectional study

Abstract: CONTEXT AND OBJECTIVE: The role of immune response and proinflammatory cytokines in the pathogenesis of chronic pain has been of growing interest. In order to evaluate whether there is any association between disc herniation and elevated cytokine levels, we measured cytokine levels in patients with chronic low back pain and in healthy subjects. DESIGN AND SETTING:Analytical cross-sectional study at the Pain Clinic of Universidade Federal da Bahia (UFBA). METHODS:Cytokine levels were measured using the enzyme-l… Show more

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Cited by 81 publications
(66 citation statements)
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“…Some studies of trauma or chronic pain do report correlation between IL-6 and symptom severity [26,42,57,103], but circulating IL-6 levels are likely to be much higher in these populations (e.g. chronic LBP [60,117]) than the acute LBP group reported here. The few studies that have examined IL-6 in acute conditions report similar findings to the present study.…”
Section: Il-6 Elevated Only In High-paincontrasting
confidence: 50%
“…Some studies of trauma or chronic pain do report correlation between IL-6 and symptom severity [26,42,57,103], but circulating IL-6 levels are likely to be much higher in these populations (e.g. chronic LBP [60,117]) than the acute LBP group reported here. The few studies that have examined IL-6 in acute conditions report similar findings to the present study.…”
Section: Il-6 Elevated Only In High-paincontrasting
confidence: 50%
“…The absence of a relationship between pain scores and intercellular proinflammatory cytokines level in this study was statistically insignificant, possibly due to the small sample size. However, in their study Kraychete et al did not find any correlation between blood serum levels of TNF-α or IL-6 and pain intensity, or the duration of pain among patients with low back pain (55). In contrast, Koch et al reported that the serum level of proinflammatory cytokine (IL-1-β, IL-2, IL-6, IFN-g and TNFα) correlated significantly with increased pain intensity in patients experiencing chronic pain (56).…”
Section: Discussionmentioning
confidence: 74%
“…Chen et al found that the bacterium was able to induce disc degeneration outright in rabbit models [28]. Furthermore, long-term antibiotics targeting anaerobes may improve lower back pain in those with disc herniation and vertebral edema [22]. Despite this, however, other studies have failed to correlate P. acnes prevalence with LDH pathology [29].…”
Section: Propionibacterium Acnesmentioning
confidence: 99%