Prevalence of Chronic Neck Pain, Low Back Pain, and Knee Pain and Their Related Factors in Community-Dwelling Adults in Iran

2017 ◽  
Vol 33 (2) ◽  
pp. 181-187 ◽  
Author(s):  
Pardis Noormohammadpour ◽  
Mohammad Ali Mansournia ◽  
Jalil Koohpayehzadeh ◽  
Fereshteh Asgari ◽  
Mohsen Rostami ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Knee Pain ◽  
Chronic Neck Pain ◽  
Community Dwelling ◽  
Low Back ◽  
Related Factors

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.

The Association of Chronic Neck Pain, Low Back Pain, and Migraine With Absenteeism Due to Health Problems in Spanish Workers

Spine ◽  
2014 ◽  
Vol 39 (15) ◽  
pp. 1243-1253 ◽  
Author(s):  
Arthur Eumann Mesas ◽  
Alberto Durán González ◽  
Cézar Eumann Mesas ◽  
Selma Maffei de Andrade ◽  
Isabel Sánchez Magro ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Chronic Neck Pain ◽  
Health Problems ◽  
Low Back

scholarly journals Visit Frequency and Outcomes for Patients Using Ongoing Chiropractic Care for Chronic Low-Back and Neck Pain: An Observational Longitudinal Study

2020 ◽  
Vol 1;24 (1;1) ◽  
pp. E61-E74
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neck Pain ◽  
Hierarchical Linear Modeling ◽  
Chronic Neck Pain ◽  
Spinal Pain ◽  
Chiropractic Care ◽  
Low Back ◽  
Linear Modeling ◽  
Visit Frequency

BACKGROUND: Chronic spinal pain is prevalent and long-lasting. Although provider-based nonpharmacologic therapies, such as chiropractic care, have been recommended, healthcare and coverage policies provide little guidance or evidence regarding long-term use of this care. OBJECTIVE: To determine the relationships between visit frequency and outcomes for patients using ongoing chiropractic care for chronic spinal pain. STUDY DESIGN: Observational 3-month longitudinal study. SETTING: Data collected from patients of 124 chiropractic clinics in 6 United States regions. METHODS: We examined the impact of visit frequency and patient characteristics on pain (pain 0-10 numeric rating scale) and functional outcomes (Oswestry Disability Index [ODI] for low-back pain and Neck Disability Index [NDI] for neck pain, both 0-100 scale) using hierarchical linear modeling (HLM) in a large national sample of chiropractic patients with chronic low back pain (CLBP) and/or chronic neck pain (CNP). This study was approved by the RAND Human Subjects Protection Committee and registered under ClinicalTrials.gov Identifier: NCT03162952. RESULTS: One thousand, three hundred, sixty-two patients with CLBP and 1,214 with CNP were included in a series of HLM models. Unconditional (time-only) models showed patients on average had mild pain and function, and significant, but slight improvements in these over the 3-month observation period: back and neck pain decreased by 0.40 and 0.44 points, respectively; function improved by 2.7 (ODI) and 3.0 points (NDI) (all P < 0.001). Adding chiropractic visit frequency to the models revealed that those with worse baseline pain and function used more visits, but only visits more than once per week for those with CLBP were associated with significantly better improvement. These relationships remained when other types of visits and baseline patient characteristics were included. LIMITATIONS: This is an observational study based on self-reported data from a sample representative of chiropractic patients, but not all patients with CLBP or CNP. CONCLUSIONS: This 3-month window on chiropractic patients with CLBP and/or CNP revealed that they were improving, although slowly; may have reached maximum therapeutic improvement; and are possibly successfully managing their chronic pain using a variety of chiropractic visit frequencies. These results may inform payers when building coverage policies for ongoing chiropractic care for patients with chronic pain. KEY WORDS: Chronic low back pain, chronic neck pain, spinal pain, physical function, hierarchical linear modeling, healthcare utilization, chiropractic visits, insurance coverage

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 Prevalence and Related Factors of Low Back Pain in the General Elderly Population: A Japanese Cross-Sectional Study Randomly Sampled from a Basic Resident Registry

2021 ◽  
Vol 10 (18) ◽  
pp. 4213
Author(s):  
Masashi Uehara ◽  
Shota Ikegami ◽  
Hiroshi Horiuchi ◽  
Jun Takahashi ◽  
Hiroyuki Kato
Keyword(s):  
Multivariate Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Community Dwelling ◽  
Low Back ◽  
Independent Factor ◽  
Related Factors ◽  
Subject Specific ◽  
Specific Factors ◽  
The Impact

Low back pain (LBP) is one of the main etiologies of disability in daily life. In the face of LBP increases in super-aged societies, there are serious concerns of escalating medical costs and deteriorations in the social economy. It is therefore important to identify the factors associated with LBP for prompt preventative and therapeutic measures. This study investigated the prevalence of LBP and the impact of subject-specific factors on LBP development in Japanese community-dwelling older adults. We established eight groups based on age (50’s, 60’s, 70’s, and 80’s) and gender after random sampling from a resident registry. A total of 411 participants (201 male and 210 female) were enrolled for a whole-spine lateral radiographic examination and dual-energy X-ray absorptiometry. All subjects were evaluated for the presence and degree of LBP. We analyzed the impact of clinical factors on LBP using multivariate analysis. Fifty-three (12.9%) participants (23 (11.4%) male and 30 (14.3%) female) were found to have LBP. The prevalence of LBP tended to increase with age, and similar results were found between genders. In univariate analysis, the subject-related factors of the sagittal vertebral axis, pelvic incidence minus lumbar lordosis (PI-LL) mismatch, and aging had significant associations with LBP. PI-LL mismatch was a significant independent factor in multivariate analysis. In conclusion, this study identified LBP prevalence and subject-specific factors on a general population basis. Multivariate analysis revealed PI-LL mismatch as an independent factor associated with LBP in the healthy community-dwelling elderly.

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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