Pain at Midlife

Rousseau, Mary Ellen; Gottlieb, Sarabeth F.

doi:10.1016/j.jmwh.2004.08.026

Cited by 16 publications

(23 citation statements)

References 57 publications

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“…Menopause represents a period of accelerated changes for women which is pivotal in the development of osteoporosis [1], obesity [2] and some pain states [3]. …”

Section: Introductionmentioning

confidence: 99%

Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

Spencer

Briffa

2013

Chiropr Man Therap

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BackgroundMenopause would seem to exist as a period of accelerated changes for women and their upper torso mechanics. Whether these anthropometric changes reflect changes in pain states remains unclear. Plausible mechanisms of pain exist for the independent and combined effect of increasing breast size and thoracic kyphosis. Bra fit has the potential to change when the anthropometric measures (chest circumference and bust circumference) used to determine bra size change, such as postmenopausally.Identifying an association between breast size, thoracic kyphosis and thoracic spine pain in postmenopausal women and identifying the relevance of bra fit to this association may be of importance to the future management and education of post-menopausal women presenting clinically with thoracic spine pain.MethodsA cross-sectional study design. Fifty-one postmenopausal bra-wearing women were recruited. Measures included breast size (Triumph International), thoracic kyphosis (flexible curve), bra fitted (Y/N) and pain (Short Form McGill Pain Questionnaire) and tenderness on palpation (posteroanterior pressure testing). These measures were collected in one session at a physiotherapy clinic.ResultsThe majority of the women in this study were overweight or obese and wearing an incorrect sized bra. Pain was significantly related to breast size, body weight and BMI at mid thoracic levels (T7-8). In contrast self-reported thoracic pain was not correlated with age or index of kyphosis (thoracic kyphosis). Women with thoracic pain were no more likely to have their bra professionally fitted whereas women with a higher BMI and larger breasts were more likely to have their bra professionally fitted.ConclusionThe findings of this study show that larger breasts and increased BMI are associated with thoracic pain in postmenopausal women. This is unrelated to thoracic kyphosis. Increasing breast size and how a bra is worn may have biomechanical implications for the loaded thoracic spine and surrounding musculature. Post-menopause women present with a spectrum of anthropometrical changes that have the potential to contribute to altered biomechanics and affect pain states in the thoracic spine.

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“…Menopause represents a period of accelerated changes for women which is pivotal in the development of osteoporosis [1], obesity [2] and some pain states [3]. …”

Section: Introductionmentioning

confidence: 99%

Breast size, thoracic kyphosis & thoracic spine pain - association & relevance of bra fitting in post-menopausal women: a correlational study

Spencer

Briffa

2013

Chiropr Man Therap

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“…However, some articles reported ages ranging from 20s to the late 60s. [ 4 , 14 ] The co-occurrence of vulvodynia and stomatodynia appears to confirm this information, with a preponderance of patients around the age of 60 years. [ 5 , 6 ]…”

Section: Resultsmentioning

confidence: 72%

“…All the publications included in this review originated from 2 geographical areas: North America (US, n = 3; Canada, n = 2) [1,4,10,14,17] and Western Europe (France, n = 3; UK, n = 3; Italy, n = 2; Netherlands, n = 1). [3,5,6,9,11–13,15,16]…”

Section: Resultsmentioning

confidence: 99%

Burning mouth syndrome and pelvodynia: A literature review

et al. 2023

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Burning mouth syndrome (BMS) and pelvodynia are chronic pain still poorly understood and the links between them are all the more so. Health professionals therefore have few resources to understand, diagnose and treat these pains. They may consider and treat these ailments individually, which does not represent optimal care management for the patient and leads to overmedication. This article aims to highlight their contiguity from epidemiological, etiological, diagnostic, and therapeutic perspectives. This study was based on articles which were found using databases such as PubMed and Web of Science. No exclusion criteria were used. Fourteen studies were reviewed. This present work shows that the clinical presentations of these syndromes are similar, as exemplified by their strong association with anxiety and depression. The neurophysiological mechanisms involved in these conditions are similar to those in patients. The diagnosis is essentially based on visual examination and an elimination of all other possible causes. In addition, this work promotes the fact that a common therapy can be implemented when BMS and pelvodynia co-occur. However, the literature on the subject is still very limited. This can be deepened by exploring all the effective treatments in BMS and vulvodynia for penoscrotodynia. Finally, for all these pains, there is a therapeutic order to respect starting with a psychological approach, then topical treatments, systemic therapy and surgical. This therapeutic gradient assists practitioner in their patient's pain management. This article also allows health care providers to quickly find an effective systemic treatment for a patient with both BMS and pelvodynia.

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“…The present study could not address the influence of menopausal status as only postmenopausal women were analyzed. In addition it is also important to bear in mind that muscleskeletal symptoms are more prevalent in women than in men and can be related to other conditions unrelated to the menopause, including osteoarthritis, vitamin D deficit, fibromyalgia, sarcopenia, and rheumatoid arthritis [32][33][34]. Pain complaints correlate with high distress and avoidance behavior or ineffective coping mechanisms to avoid problems [35].…”

Section: (196)mentioning

confidence: 99%