The Frequency of Transition of Chronic Low Back Pain to Fibromyalgia

Lápossy, E; Maleitzke, R.; Hrycaj, Paweł; Mennet, W; Müller, Wolfgang

doi:10.3109/03009749509095151

Cited by 69 publications

(38 citation statements)

References 20 publications

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“…[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: 78%

“…The authors describe a transition rate of 25% in patients with CLBP, a fi gure which is in accordance with a previous study by Lapossy et al . 11 In summary, there are only few population-based studies evaluating the CWP transition from CRP in general, even less from CLBP, and no studies using the primary care setting. However, CWP incidence is high among patients with CLBP, which underlines the relevance of the problem.…”

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

confidence: 99%

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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

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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.

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“…[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: 78%

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

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“…In a long-term prospective study, the presence of low back pain also seemed to predict the development of FM [49]. The development of FM, however, occurred only in 25% of patients with back pain during an 18-year period [56]. Female gender and postural disorders were significant predictors of this transition.…”

Section: Nociceptive Input Associated With Chronic Widespread Pain Ormentioning

confidence: 98%

Is It All Central Sensitization? Role of Peripheral Tissue Nociception in Chronic Musculoskeletal Pain

Staud

2010

Curr Rheumatol Rep

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Fibromyalgia syndrome (FM) is a highly prevalent musculoskeletal disorder that is often accompanied by somatic hyperalgesia (enhanced pain from noxious stimuli). Neural mechanisms of somatic hyperalgesia have been analyzed via quantitative sensory testing of FM patients. Results of these studies suggest that FM pain is associated with widespread primary and secondary cutaneous hyperalgesia, which are dynamically maintained by tonic impulse input from deep tissues and likely by brain-to-spinal cord facilitation. Enhanced somatic pains are accompanied by mechanical hyperalgesia and allodynia in FM patients as compared with healthy controls. FM pain is likely to be at least partially maintained by peripheral impulse input from deep tissues. This conclusion is supported by results of several studies showing that injection of local anesthetics into painful muscles normalizes somatic hyperalgesia in FM patients.

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“…Population-based studies suggest that chronic widespread pain is seen in 5% to 15% of the population (9). A number of studies reported that widespread pain may occur among patients with CLBP (4,15), whereas other studies also suggest that widespread pain may be a result of CLBP (17). Many factors, including demographic (18,19), psychosocial (20,21), environmental (22), and structural abnormalities (5,23), have been investigated to better understand the mechanism of hypersensitivity and widespread pain in patients with CLBP.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Pain Pressure Threshold and Widespread Pain in Chronic Low Back Pain

Özdolap¹,

Sarıkaya²,

Köktürk³

2014

Turk J Phys Med Rehab

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Objective: The purpose of this study was to determine differences in pain pressure threshold (PPT) values between patients with chronic low back pain (CLPB) and healthy people and to also evaluate widespread pain sensitivity by testing PPT in different sites of patients with CLBP. Material and Methods: Seventy subjects with CLBP and 62 healthy controls were included in the study. PPT values were evaluated for a total of 34 points, including 18 tender points defined for fibromyalgia syndrome by the American College of Rheumatology, 12 points for testing of sciatic valleix, and 4 lumbar paravertebral points, in both groups. An electronic pressure algometer was used to measure PPT with a stimulation surface area of 1 cm 2 . Results: A significantly lower mean PPT was determined for all test sites in the patients with CLBP compared with healthy controls (p=0.001). Conclusion:The study showed that patients with CLBP have significantly lower PPT values at every individual site compared with healthy controls. This result suggests that widespread pain should be taken into account in the evaluation of patients with CLBP.

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The Frequency of Transition of Chronic Low Back Pain to Fibromyalgia

Cited by 69 publications

References 20 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

Is It All Central Sensitization? Role of Peripheral Tissue Nociception in Chronic Musculoskeletal Pain

Evaluation of Pain Pressure Threshold and Widespread Pain in Chronic Low Back Pain

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