Risk Factors Predicting the Development of Widespread Pain From Chronic Back or Neck Pain

Kindler, Lindsay L.; Jones, Kim Dupree; Perrin, Nancy; Bennett, Robert M.

doi:10.1016/j.jpain.2010.03.007

Cited by 83 publications

(88 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[34][35][36][37] Beyond that, female sex seems to be a risk factor for the onset of CWP among patients with CLBP. [9][10][11] The results of our study confi rm this assumption.…”

Section: Discussionsupporting

confidence: 83%

“…[4][5][6][7][8] Consequently, it is crucial to understand which predictors are associated with pain spreading in order to unravel the underlying mechanisms and to develop preventive strategies. 9 A systematic review by Larsson et al 10 detected 14 studies that examined the onset of CWP among patients with CRP (pain generalization). Pain generalization occurred in 18% (minimum 9% to maximum 25%) of the subjects.…”

Section: Even Worse -Risk Factors and Protective Factors For Transitimentioning

confidence: 99%

See 1 more Smart Citation

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

View full text Add to dashboard Cite

STUDY DESIGN: Prospective cohort study with patients with chronic low back pain (CLBP) at primary care setting. OBJECTIVE: The aim of our study was to identify predictors for transition from localized CLBP to chronic widespread pain in general practice. In contrast to the typically investigated risk factors, this study also focuses intensively on protective factors, which decrease the probability of chronic widespread pain. For this, we investigated the resources resilience and coping strategies, which are suspected as potential protective factors for incident chronic pain syndromes. SUMMARY OF BACKGROUND DATA: In primary care, about a quarter of patients with CLBP experience chronic widespread pain (CWP). METHODS: Patients experiencing localized CLBP were included and evaluated after a 6-and 12-month follow-up period regarding the development of CWP. Potential risk factors (sociodemographic data, pain characteristics, depression, anxiety, somatization), protective factors (resilience, coping strategies), and sample characteristics were assessed at baseline. Predictor identification was done by multivariate logistic regression analysis. RESULTS: The 1-year incidence for the onset of CWP among patients with CLBP was 23.8%. We identified the 3 risk factors, female sex, long duration of back pain, and a high rate of psychosomatic symptoms, for the onset of CWP among patients with CLBP. Coping resources and resilience had no impact on the transition from CLBP to CWP. CONCLUSION: The results suggest that CWP is no independent entity but rather a particularly negative occurrence on a continuum of chronic pain. Processes of somatization play a major role in the development of this extreme. LEVEL OF EVIDENCE: 2. Originally published at: Viniol, Annika; Jegan, Nikita; Brugger, Markus; Leonhardt, Corinna; Barth, Jürgen; Baum, Erika; Becker, Annette; Strauch, Konstantin (2015). Even worse -risk factors and protective factors for transition from chronic localized low back pain to chronic widespread pain in general practice. Spine, 40(15):E890-E899.

show abstract

“…[34][35][36][37] Beyond that, female sex seems to be a risk factor for the onset of CWP among patients with CLBP. [9][10][11] The results of our study confi rm this assumption.…”

Section: Discussionsupporting

confidence: 83%

Section: Even Worse -Risk Factors and Protective Factors For Transitimentioning

confidence: 99%

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

View full text Add to dashboard Cite

show abstract

“…Chronic neck pain (CNP) can be defined as pain experienced in the anatomic region of the cervical spine between C1 and C7 and the surrounding musculature only, in accordance with the criteria set by the International Association for the Study of Pain and the American Pain Society which defines the condition as chronic when pain persists beyond 3 months regards the normal tissue healing time [4,5]. Many factors contribute to the development of CNP and many have not yet been identified.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Trigger Points Mesotherapy for the Treatment of Chronic Neck Pain: A Short Term Retrospective Study

Paolucci¹,

Piccinini²,

Trifan³

et al. 2016

Int J Phys Ther Rehabil

View full text Add to dashboard Cite

Case StudyOpen Access IntroductionThe lifetime prevalence of neck pain in Western populations has been estimated at around 70%, while annual or point prevalence rates range from 10% to 35% [1][2][3]. Chronic neck pain (CNP) can be defined as pain experienced in the anatomic region of the cervical spine between C1 and C7 and the surrounding musculature only, in accordance with the criteria set by the International Association for the Study of Pain and the American Pain Society which defines the condition as chronic when pain persists beyond 3 months regards the normal tissue healing time [4,5]. Many factors contribute to the development of CNP and many have not yet been identified. However, it is known that pain can become more complex in its pathophysiology than its original injury. Chronic musculoskeletal pain, like CNP for instance, usually develops as a result of an injury or an insult followed by neurogenic inflammation, hyperalgesia, and allodynia; then occurs a central sensitization followed by a loss of nociceptive control [6,7].Clinical guidelines for CNP treatment recommends cervical mobilization, thoracic spine thrust manipulation, flexibility exercises for specific muscles group (anterior/medial/posterior scalene, upper trapezius, elevator scapulae, pectoralis minor, and pectoralis major), the use of coordination, strengthening, and endurance exercises to reduce neck pain and headache. To improve recovery in patients with whiplash-associated disorder, clinicians should educate the patient to be more confident in coming back at a well-being status [8]. It is well known that there are many therapeutic strategies for CNP, but the long term effects of individual rehabilitation approaches are limited. Between the flexibility muscles exercises, the relaxation of myofascial trigger points (MTrPs) in the splenius capitis, elevator scapulae, or upper trapezius muscles as a clinical entity seems to contribute to CNP [9]. Moreover, the reported pain elicited by active MTrPs in the neck and shoulder muscles has been shown to contribute to symptoms of mechanical neck pain [10,11]. An MTrP is defined as a hyperirritable focus within a taut band of skeletal muscle that is painful However, no studies have investigated the effects of mesotherapy on MTrPs to improve chronic neck pain and function. Moreover the efficacy of mesotherapy was confirmed as a viable option as an additional treatment in an overall rehabilitation treatment planning in other research on chronic lower back pain [13]. Mesotherapy was introduced 50 years ago by Michel Pistor, a French physician who used this technique as a novel analgesic therapy for a variety of rheumatologic disorders. Mesotherapy is a minimally invasive technique that consists of subcutaneous injections of drugs and, occasionally, plant extracts, homeopathic agents, or other bioactive substances [14][15][16].The pharmacological effects of intradermal administration do not entirely account for the observed clinical benefits of mesotherapy. The needle dry prick activates the cutan...

show abstract

“…47,48 Predictors of the development of widespread pain are pain intensity and interference with physical activity. Furthermore, disability is directly related to the number of painful areas a person exhibits.…”

mentioning

confidence: 99%

Spinal Cord Stimulation Reduces Mechanical Hyperalgesia and Restores Physical Activity Levels in Animals with Noninflammatory Muscle Pain in a Frequency-Dependent Manner

Gong

Johanek

Sluka

2014

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

show abstract

Risk Factors Predicting the Development of Widespread Pain From Chronic Back or Neck Pain

Cited by 83 publications

References 47 publications

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Efficacy of Trigger Points Mesotherapy for the Treatment of Chronic Neck Pain: A Short Term Retrospective Study

Spinal Cord Stimulation Reduces Mechanical Hyperalgesia and Restores Physical Activity Levels in Animals with Noninflammatory Muscle Pain in a Frequency-Dependent Manner

Contact Info

Product

Resources

About