Cognitive and Mind-Body Therapies for Chronic Low Back Pain and Neck Pain

2018 ◽  
Vol 178 (4) ◽  
pp. 556 ◽  
Author(s):  
Daniel C. Cherkin ◽  
Patricia M. Herman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Chronic Low Back Pain ◽  
Low Back

Female Gender Is Associated with a Higher Prevalence of Chronic Neck Pain, Chronic Low Back Pain, and Migraine: Results of the Spanish National Health Survey, 2017

Pain Medicine ◽  
2020 ◽  
Author(s):  
Domingo Palacios-Ceña ◽  
Romana Albaladejo-Vicente ◽  
Valentin Hernández-Barrera ◽  
Lidiane Lima-Florencio ◽  
Cesar Fernández-de-las-Peñas ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
National Health ◽  
Health Survey ◽  
Chronic Low Back Pain ◽  
Chronic Neck Pain ◽  
National Health Survey ◽  
Low Back ◽  
Care Providers

Abstract Objectives To assess the prevalence of chronic neck pain (CNP), chronic low back pain (CLBP), and migraine headache (MH) in the Spanish population and to identify sociodemographic and health-related variables associated with CNP, CLBP, and MH. Design Observational study. Setting Spain. Subjects A total of 22,511 persons 18 years of age or older (10,304 males and 12,207 females) who participated in the 2017 Spanish National Health Survey. Methods Stratified three-stage sampling was applied. CNP, CLBP, and MH were the dependent variables. The analysis was conducted separately by gender. Sociodemographic features, self-perceived health status, lifestyle habits, comorbidities, and pain features were analyzed by using logistic regression models. Results Females reported a higher prevalence of CNP, CLBP, and MH (P < 0.001) than males. For both sexes, anxiety and/or depression and poor self-rated health were associated with a significantly increased prevalence of CNP, CLBP, and MH. For CNP and CLBP, the identified associated factors were older age and limitations to usual activity. For CNP and MH, the most common associated factor was comorbid respiratory disease. Conclusions Our study identified several factors associated with CNP, CLBP, and MH in Spanish female and male adults, with potential implications for health care providers.

Gender Differences in the Prevalence and Characteristics of Pain in Spain: Report from a Population-Based Study

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2349-2359 ◽  
Author(s):  
Isabel Jiménez-Trujillo ◽  
Ana López-de-Andrés ◽  
José Luis del Barrio ◽  
Valentín Hernández-Barrera ◽  
Marisa Valero-de-Bernabé ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Chronic Low Back Pain ◽  
Female Gender ◽  
Chronic Neck Pain ◽  
Population Based ◽  
Low Back ◽  
Cross Sectional ◽  
Self Rated Health

Abstract Objective To assess the prevalence and characteristics of chronic neck pain, chronic low back pain, and migraine or frequent headaches among Spanish adults in 2014 according to gender, to identify predictors for each of these types of pains, and to compare the prevalence with those found in 2009. Design Cross-sectional study. Setting Spain. Methods We used data collected from the 2014 European Health Interview Survey (N = 22,842). Sociodemographic features, self-rated health status, lifestyle habits, comorbid conditions, pain characteristics, and self-reported use of medications were analyzed. Results The prevalence of all types of pain was significantly higher among women than men. For chronic neck pain, the figures were 25.68% vs 12.54%, for chronic low back pain, 27.03% vs 18.83%, and for migraine or frequent headaches, 15.93% vs 6.74%, in women and men, respectively. Predictors of these types of pain included female gender, advanced age, poor self-rated health, psychological distress, comorbidities, and obesity. The prevalence of neck pain and low back pain increased from 2009 to 2014 for both sexes, and the prevalence of migraine or frequent headaches remained stable over time. Conclusions The prevalence and intensity of all the forms of chronic pain were higher among women. Women experiencing pain used prescribed medications for pain, anxiety, and/or depression and sleeping pills more than men. The prevalence of chronic neck and low back has increased in the last five years in Spain, and the prevalence of migraine or frequent headaches has remained stable.

scholarly journals Patient Willingness to Pay for Reductions in Chronic Low Back Pain and Chronic Neck Pain

2019 ◽  
Vol 20 (11) ◽  
pp. 1317-1327 ◽  
Author(s):  
Patricia M. Herman ◽  
Jill E. Luoto ◽  
Mallika Kommareddi ◽  
Melony E. Sorbero ◽  
Ian D. Coulter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Willingness To Pay ◽  
Chronic Low Back Pain ◽  
Chronic Neck Pain ◽  
Low Back ◽  
Patient Willingness

scholarly journals Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis

2018 ◽  
Vol 53 (3) ◽  
pp. 172-181 ◽  
Author(s):  
Gisela Cristiane Miyamoto ◽  
Chung-Wei Christine Lin ◽  
Cristina Maria Nunes Cabral ◽  
Johanna M van Dongen ◽  
Maurits W van Tulder
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cost Effectiveness ◽  
Neck Pain ◽  
Usual Care ◽  
Exercise Therapy ◽  
Chronic Low Back Pain ◽  
Economic Evaluations ◽  
Low Back ◽  
The Cost

ObjectiveTo investigate the cost-effectiveness of exercise therapy in the treatment of patients with non-specific neck pain and low back pain.DesignSystematic review of economic evaluations.Data sourcesThe search was performed in 5 clinical and 3 economic electronic databases.Eligibility criteria for selecting studiesWe included economic evaluations performed alongside randomised controlled trials. Differences in costs and effects were pooled in a meta-analysis, if possible, and incremental cost-utility ratios (ICUR) were descriptively analysed.ResultsTwenty-two studies were included. On average, exercise therapy was associated with lower costs and larger effects for quality-adjusted life-year (QALY) in comparison with usual care for subacute and chronic low back pain from a healthcare perspective (based on ICUR). Exercise therapy had similar costs and effect for QALY in comparison with other interventions for neck pain from a societal perspective, and subacute and chronic low back pain from a healthcare perspective. There was limited or inconsistent evidence on the cost-effectiveness of exercise therapy compared with usual care for neck pain and acute low back pain, other interventions for acute low back pain and different types of exercise therapy for neck pain and low back pain.ConclusionsExercise therapy seems to be cost-effective compared with usual care for subacute and chronic low back pain. Exercise therapy was not (more) cost-effective compared with other interventions for neck pain and low back pain. The cost-utility estimates are rather uncertain, indicating that more economic evaluations are needed.RegistrationPROSPERO, CRD42017059025.

scholarly journals Are Patients with Chronic Low Back Pain or Chronic Neck Pain Fatigued?

Pain Medicine ◽  
2004 ◽  
Vol 5 (2) ◽  
pp. 187-195 ◽  
Author(s):  
David A. Fishbain ◽  
R. B. Cutler ◽  
Brandly Cole ◽  
J. Lewis ◽  
E. Smets ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Chronic Low Back Pain ◽  
Chronic Neck Pain ◽  
Low Back

scholarly journals The impact of patient preferences and costs on the appropriateness of spinal manipulation and mobilization for chronic low back pain and chronic neck pain

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Patricia M. Herman ◽  
Margaret D. Whitley ◽  
Gery W. Ryan ◽  
Eric L. Hurwitz ◽  
Ian D. Coulter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Patient Preferences ◽  
Chronic Low Back Pain ◽  
Chronic Neck Pain ◽  
Low Back ◽  
System Perspective ◽  
The Individual ◽  
The Impact

Abstract Background Although the delivery of appropriate healthcare is an important goal, the definition of what constitutes appropriate care is not always agreed upon. The RAND/UCLA Appropriateness Method is one of the most well-known and used approaches to define care appropriateness from the clinical perspective—i.e., that the expected effectiveness of a treatment exceeds its expected risks. However, patient preferences (the patient perspective) and costs (the healthcare system perspective) are also important determinants of appropriateness and should be considered. Methods We examined the impact of including information on patient preferences and cost on expert panel ratings of clinical appropriateness for spinal mobilization and manipulation for chronic low back pain and chronic neck pain. Results The majority of panelists thought patient preferences were important to consider in determining appropriateness and that their inclusion could change ratings, and half thought the same about cost. However, few actually changed their appropriateness ratings based on the information presented on patient preferences regarding the use of these therapies and their costs. This could be because the panel received information on average patient preferences for spinal mobilization and manipulation whereas some panelists commented that appropriateness should be determined based on the preferences of individual patients. Also, because these therapies are not expensive, their ratings may not be cost sensitive. The panelists also generally agreed that preferences and costs would only impact their ratings if the therapies were considered clinically appropriate. Conclusions This study found that the information presented on patient preferences and costs for spinal mobilization and manipulation had little impact on the rated appropriateness of these therapies for chronic low back pain and chronic neck pain. Although it was generally agreed that patient preferences and costs were important to the appropriateness of M/M for CLBP and CNP, it seems that what would be most important were the preferences of the individual patient, not patients in general, and large cost differentials.

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