Multivariable analyses of the relationships between age, gender, and body mass index and the source of chronic low back pain
Pain Medicine,

DePalma MJ et al. – These findings suggest a significant relationship among gender, age, and body mass index (BMI) and structural causes of chronic low back pain. Lumbar internal disc disruption (IDD) is more prevalent in young males while facet joint pain (FJP) is more prevalent in females with increased BMI. Female gender and low BMI are associated with SIJP.

Methods
  • Retrospective chart review.
  • University spine center.
  • Charts from 378 cases from 358 consecutive patients were reviewed and 157 independent cases from 153 patients who underwent definitive diagnostic injections were analyzed.
  • Discography, dual diagnostic facet joint blocks, sacroiliac joint injections, anesthetic interspinous ligaments/opposing spinous processes/posterior fusion hardware injections, percutaneous augmentation.
  • Chronic low back pain source was the primary outcome variable.
  • Predictor variables included age at initial presentation, gender, and BMI.

Results
  • Age, gender, and BMI were each significantly associated with the source of chronic low back pain, after controlling for the effects of each other.
  • Increases in age were associated with significant decreases in the odds of internal disc disruption (IDD) vs facet joint pain (FJP), sacroiliac joint pain (SIJP), and other sources and decreases in the odds of FJP and SIJP vs other sources.
  • Being female was associated with significant increases in the odds of SIJP vs IDD, FJP, and other sources.
  • Increased BMI was associated with significant increases in the odds of FJP vs SIJP.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Pain Management

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Pain Management Articles

1 The utility of the Sino-Nasal Outcome Test (SNOT) as a treatment outcome measure in nonsinogenic facial pain syndrome Annals of Otology, Rhinology & Laryngology, November 24, 2014    Clinical Article

2 Radiofrequency ablation for chronic low back pain: A systematic review of randomized controlled trials Pain Research and Management, October 6, 2014    Review Article    Clinical Article

3 Transforaminal versus parasagittal interlaminar epidural steroid injection in low back pain with radicular pain: a randomized, double-blind, active-control trial Full Text Pain Physician, July 23, 2014    Free full text

4 Efficacy and safety of oral ketamine for the relief of intractable chronic pain: A retrospective 5-year study of 51 patients European Journal of Pain, November 11, 2014    Clinical Article

5 Treatment of sacroiliac joint pain with peripheral nerve stimulation Neuromodulation: Technology at the Neural Interface, November 20, 2014    Clinical Article

6 Pilates versus general exercise on pain and functionality in non-specific chronic low back pain subjects: A randomised, controlled trial Journal of Bodywork & Movement Therapies , November 21, 2014    Clinical Article

7 The impact of buprenorphine transdermal delivery system on activities of daily living among patients with chronic low back pain: an application of the international classification of functioning, disability and health The Clinical Journal of Pain, November 12, 2014    Clinical Article

8 Effectiveness of duloxetine compared with pregabalin and gabapentin in diabetic peripheral neuropathic pain The Clinical Journal of Pain, September 23, 2014    Clinical Article

9 Efficacy of honey in reduction of post tonsillectomy pain, randomized clinical trial International Journal of Pediatric Otorhinolaryngology , October 24, 2014    Clinical Article
Exclusive Author Commentary

10 Effectiveness of Chinese massage therapy (Tui Na) for chronic low back pain: study protocol for a randomized controlled trial Full Text Trials, November 7, 2014    Free full text    Clinical Article

11 Efficacy and safety of pregabalin for treating painful diabetic peripheral neuropathy: a meta-analysis Acta Anaesthesiologica Scandinavica, October 31, 2014    Review Article    Clinical Article
Exclusive Author Commentary

12 Efficacy of dry needling for treatment of myofascial pain syndrome Journal of Back and Musculoskeletal Rehabilitation, October 22, 2014    Review Article    Clinical Article

13 Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review Full Text BMC Musculoskeletal Disorders, November 20, 2014    Free full text    Clinical Article

14 Prevalence of persistent pain in the U.S. adult population: new data from the 2010 national health interview survey The Journal of Pain, November 6, 2014    Clinical Article

15 Efficacy of the McKenzie method in patients with chronic nonspecific low back pain: A protocol of randomized placebo-controlled trial Physical Therapy, October 20, 2014    Clinical Article

16 Noninvasive and alternative management of chronic low back pain Neuromodulation: Technology at the Neural Interface, November 26, 2014    Clinical Article

17 Morphine or oxycodone for cancer-related pain? A randomized, open-label, controlled trial Journal of Pain and Symptom Management, October 29, 2014    Clinical Article

18 Cost-effectiveness of early interventions for non-specific low back pain: A randomized controlled study investigating medical yoga, exercise therapy and self-care advice Full Text Journal of Rehabilitation Medicine, November 17, 2014    Free full text    Clinical Article

19 Treatment of common low back pain: A new approach to an old problem Pain Practice, June 25, 2014    Clinical Article

20 Effect of vitamin D on musculoskeletal pain and headache: A randomized, double-blind, placebo-controlled trial among adult ethnic minorities in Norway Pain, September 26, 2014    Clinical Article

Indexed Journals in Pain Management: more