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Is it all about a pain in the back?
Jan Hartvigsen1, Bard Natvig, Manuela Ferreira
1University of Southern Denmark, Institute of Sports Science and Clinical Biomechanics, Campusvej 55, 5230 Odense M, Denmark; Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230 Odense M, Denmark.
Best Practice & Research. Clinical Rheumatology
|December 10, 2013
Summary
Multisite musculoskeletal pain often accompanies low back pain, impacting function and treatment outcomes. A unified diagnostic and management approach for various pain sites is proposed.
Area of Science:
- Musculoskeletal health
- Pain management
- Rehabilitation
Background:
- Multisite musculoskeletal pain is prevalent in individuals with low back pain.
- Co-occurring pain conditions are linked to diminished functional status and poorer treatment prognosis.
- Increased pain sites correlate with reduced physical and mental functioning, irrespective of pain location.
Purpose of the Study:
- To explore the prevalence, consequences, and implications of shared characteristics among low back pain, other pain sites, and co-occurring pain.
- To propose a unified conceptual framework for diagnosing and managing diverse musculoskeletal pain conditions.
Main Methods:
- Literature review on multisite musculoskeletal pain and low back pain.
- Analysis of evidence regarding the impact of pain sites on function and prognosis.
- Development of a conceptual framework for a stepwise diagnostic and management approach.
Main Results:
- Evidence indicates similar diagnostic and treatment strategies for various musculoskeletal disorders, including low back pain, neck pain, and osteoarthritis.
- The number of reported pain sites is a significant factor in functional impairment.
- Patients with multiple pain sites often exhibit worse outcomes.
Conclusions:
- A common, stepwise approach to diagnosis and management is feasible and potentially beneficial for patients with low back pain and other musculoskeletal pain conditions.
- Addressing multisite pain requires a holistic strategy that considers the interplay between different pain locations and their impact on overall function.
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