Low Pressure Pain Thresholds Are Associated With, but Does Not Predispose For, Low Back Pain

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2011 Apr 23

PMID 21512842

Citations 26

Authors

Soren ONeill

Per Kjaer

Thomas Graven-Nielsen

Claus Manniche

Lars Arendt-Nielsen

Affiliations

Soon will be listed here.

Abstract

Chronic pain is often associated with hyperalgesia in cross-sectional studies. In the present study, a random cohort of 40-year-old individuals (n = 264) from the general population was assessed for low back pain (LBP) status and pressure pain threshold (PPT), with follow-up assessment 4 and 8 years later. Low PPT at baseline as a potential risk factor for the development of LBP was investigated longitudinally and the association between LBP and hyperalgesia was studied cross-sectionally at baseline and 8-year follow-up. Generalized (p < 0.03) and localized pressure hyperalgesia (p < 0.02) was found in participants with long-lasting LBP, but not with recent LBP (p > 0.08). Of the participants without recent or long-lasting LBP, those with a low PPT at baseline (lower 10% percentile) had no increased risk of developing LBP (p > 0.05). The findings indicate that PPT decreases as a consequence of long-lasting pain, whereas a low PPT seems not to constitute a separate risk factor for the development of LBP.

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