The association between depression and chronic lower back pain from disc degeneration and herniation of the lumbar spine

Objective Chronic lower back pain induced by lumbar disc degeneration or herniation exerts a great impact on patients’ daily lives. Depression and anxiety often exist among patients with lower back pain. Some studies mentioned about mechanisms, such as inflammatory biomarkers, which are commonly seen in herniated intervertebral disc (HIVD) and major depressive disorder (MDD). Method: Our study used a large database from the National Health Insurance to explore the incidence rate of MDD in patients with HIVD and correlated risk factors. A total of 41,874 patients with HIVD were included in this work. The control group was matched by using propensity scores. Results: The results showed a temporal association between prior HIVD and subsequent MDD after adjusting for potential confounding factors. Patients with HIVD were at high risk of developing MDD (hazard ratio, HR: 9.00, 95% confidence interval, CI: 7.196–11.257) even after adjusting for demographic characteristics and comorbidities (HR: 8.47, 95% CI: 6.84–10.49, p < 0.0001). Conclusions: The combination of HIVD and MDD represents an important health problem that is associated with higher disability rates, socioeconomic disadvantage, and greater utilization of health care resources. Early detection and combined treatment of depressive symptoms may benefit patients with HIVD.

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A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic Games

British Journal of Sports Medicine ◽

10.1136/bjsm.37.3.263 ◽

2003 ◽

Vol 37 (>3) ◽

pp. 263-266 ◽

Cited By ~ 87

Author(s):

A Ong

Keyword(s):

Back Pain ◽

Pilot Study ◽

Disc Degeneration ◽

Lower Back Pain ◽

Olympic Games ◽

Elite Athletes ◽

Lumbar Disc ◽

Lumbar Disc Degeneration ◽

Lower Back

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Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain

Medicina ◽

10.3390/medicina57010003 ◽

2020 ◽

Vol 57 (1) ◽

pp. 3

Author(s):

Kyoung-Sim Jung ◽

Jin-Hwa Jung ◽

Tae-Sung In ◽

Hwi-Young Cho

Keyword(s):

Back Pain ◽

Lower Back Pain ◽

Transversus Abdominis ◽

Muscular Fatigue ◽

Trunk Muscles ◽

Control Group ◽

Chronic Lower Back Pain ◽

Median Frequency ◽

Prolonged Sitting ◽

Lower Back

Background and Objectives: This study investigated the effects of prolonged sitting on trunk muscular fatigue and discomfort in participants with and without chronic lower back pain (LBP). Material and Methods: This study included 15 patients with LBP and 15 healthy controls. All participants were instructed to sit on a height-adjustable chair with their knee and hip joints bent at 90° for 30 min, in slumped sitting postures. Surface electromyography was used to assess the median frequency of the internal obliques (IO)/transversus abdominis (TrA) and multifidus (MF) muscles. Perceived discomfort was measured using a Borg category ratio-scale. Median frequency of the trunk muscles and perceived discomfort after 30 min of sitting were compared with baseline. Result: There were no significant differences within the group and between both groups in the median frequency of bilateral IO and MF muscles. The LBP group showed significantly greater perceived discomfort after prolonged sitting, as compared to the control group. Conclusions: Prolonged sitting with slumped posture could increase the risk of experiencing lower back discomfort.

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Emotional and Neurobehavioural Status in Chronic Pain Patients

Pain Research and Management ◽

10.1155/2011/825636 ◽

2011 ◽

Vol 16 (1) ◽

pp. 41-43 ◽

Cited By ~ 5

Author(s):

He Shuchang ◽

He Mingwei ◽

Jia Hongxiao ◽

Wu Si ◽

Yang Xing ◽

...

Keyword(s):

Chronic Pain ◽

Back Pain ◽

Lower Back Pain ◽

Mood State ◽

Control Group ◽

Chronic Lower Back Pain ◽

Control Subjects ◽

Lower Back ◽

Chronic Pain Patients ◽

Pain Patients

OBJECTIVE: To investigate the emotional and neurobehavioural status of patients suffering from chronic pain.METHODS: Fifteen male patients with chronic lower back pain and 15 healthy control subjects were studied for approximately six months. Pain was measured using a visual analogue scale. The WHO Neurobehavioral Core Test Battery (NCTB) was used to assess neurobehavioural effects of environmental and occupational exposures.RESULTS: Visual analogue scale results demonstrated a modest range of reported pain (mean [± SD] 62.0±10.8) in chronic pain patients, whereas control subjects reported no measurable pain. With the NCTB, it was found that scores of negative mood state, including anger-hostility, depression-dejection, fatigue-inertia and tension-anxiety in pain patients were significantly higher than scores in the control subjects. By contrast, scores of positive mood state (vigour-activity) in chronic pain patients were lower than those in the control group. The NCTB scores of the Santa Ana Dexterity and Pursuit Aiming II tests in chronic lower back pain patients were lower than those of the control group. Scores for other NCTB sub-tests, including the Digit Span, Benton Visual Retention and Digit Symbol tests, were not significantly different compared with controls.CONCLUSIONS: Chronic lower back pain patients had more negative mood and less positive mood than controls. These patients also demonstrated neuromotor deficits in coordination and reaction time. Further studies are required to examine possible neurological mechanisms and research potential intervention strategies for patients suffering from chronic pain.

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ANALYSIS OF FUNCTIONAL CAPACITY IN INDIVIDUALS WITH AND WITHOUT CHRONIC LOWER BACK PAIN

Acta Ortopédica Brasileira ◽

10.1590/1413-785220172504156564 ◽

2017 ◽

Vol 25 (4) ◽

pp. 143-146 ◽

Cited By ~ 4

Author(s):

Claudiane Pedro Rodrigues ◽

Rubens Alexandre da Silva ◽

Elias Nasrala Neto ◽

Rodrigo Antonio Carvalho Andraus ◽

Marcos Tadeu Parron Fernandes ◽

...

Keyword(s):

Older Adults ◽

Back Pain ◽

Functional Status ◽

Lower Back Pain ◽

Functional Capacity ◽

Control Group ◽

Chronic Lower Back Pain ◽

Level Of Evidence ◽

Younger Adults ◽

Lower Back

ABSTRACT Objective: The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . Methods: Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Functional capacity was assessed using the following tests: Timed Up and Go (TUG), Five Times Sit-to-Stand (FTSTS), six-minute walking test (SMWT), and sitting-rising test (SRT) . Results: In the younger adults, there was no difference in functional capacity between the groups (p>0.05). On the other hand, when statistical analysis was adjusted using body mass index (BMI) as a covariate, the lower back pain group performed more poorly on the SRT (p<0.004). Furthermore, poorer physical capacity was seen in the older adults with back pain via the SRT test (p=0.001), and when the BMI was adjusted, a statistical difference was seen in the SRT as well as the SMWT (p<0.05) . Conclusion: Older individuals with lower back pain have poorer physical performance, and the sitting-rising test is the most discerning for assessment of functional status in individuals with lower back pain. Level of Evidence III, Retrospective Comparative Study.

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Personalized Trial for Chronic Lower Back Pain

Case Medical Research ◽

10.31525/ct1-nct04203888 ◽

2019 ◽

Author(s):

Keyword(s):

Back Pain ◽

Lower Back Pain ◽

Chronic Lower Back Pain ◽

Lower Back

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Poster 326 Assessment of Electromagnetic Field in the Treatment of Chronic Lower Back Pain in Patients With Osteoarthritis

PM&R ◽

10.1016/j.pmrj.2011.08.354 ◽

2011 ◽

Vol 3 ◽

pp. S286-S286

Author(s):

Amarjit Arneja

Keyword(s):

Electromagnetic Field ◽

Back Pain ◽

Lower Back Pain ◽

Chronic Lower Back Pain ◽

Lower Back

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Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain

Clinical Medicine Insights Arthritis and Musculoskeletal Disorders ◽

10.1177/1179544121993778 ◽

2021 ◽

Vol 14 ◽

pp. 117954412199377

Author(s):

Philip Muccio ◽

Josh Schueller ◽

Miriam van Emde Boas ◽

Norm Howe ◽

Edward Dabrowski ◽

...

Keyword(s):

Back Pain ◽

Pain Management ◽

Lower Back Pain ◽

Chronic Lower Back Pain ◽

Analog Scale ◽

System A ◽

System Reduction ◽

Lower Back ◽

Muscular Function

Chronic lower back pain is one of the most common medical conditions leading to a significant decrease in quality of life. This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P < .05). Thus, this study suggests that the AxioBionics WTPM System is efficacious in treating chronic lower back pain even when other therapies have failed to sufficiently decrease reported pain levels.

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