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Prevalence and Tracking of Back Pain From Childhood to Adolescence

By Frank M. Painter|May 17, 2016|Pediatrics, Spinal Joint Pain|

Prevalence and Tracking of Back Pain From Childhood to Adolescence

SOURCE: BMC Musculoskelet Disord. 2011 (May 16); 12: 98

Per Kjaer, Niels Wedderkopp, Lars Korsholm
and Charlotte Leboeuf-Yde

Institute of Sports Science and Clinical Biomechanics,
Part of Clinical Locomotion Network,
University of Southern Denmark,
Campusvej 55, DK-5230, Odense, Denmark.

BACKGROUND: It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper are to show the prevalence estimates of BP, low back pain (LBP), mid back pain (MBP), neck pain (NP), and care-seeking because of BP at three different ages (9, 13 and 15 years) and how the BP reporting tracks over these age groups over three consecutive surveys.

METHODS: A longitudinal cohort study was carried out from the years of 1997 till 2005, collecting interview data from children who were sampled to be representative of Danish schoolchildren. BP was defined overall and specifically in the three spinal regions as having reported pain within the past month. The prevalence estimates and the various patterns of BP reporting over time are presented as percentages.

RESULTS: Of the 771 children sampled, 62%, 57%, and 58% participated in the three back surveys and 34% participated in all three. The prevalence estimates for children at the ages of 9, 13, and 15, respectively, were for BP 33%, 28%, and 48%; for LBP 4%, 22%, and 36%; for MBP 20%, 13%, and 35%; and for NP 10%, 7%, and 15%. Seeking care for BP increased from 6% and 8% at the two youngest ages to 34% at the oldest. Only 7% of the children who participated in all three surveys reported BP each time and 30% of these always reported no pain. The patterns of development differed for the three spinal regions and between genders. Status at the previous survey predicted status at the next survey, so that those who had pain before were more likely to report pain again and vice versa. This was most pronounced for care-seeking.

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Is Puberty a Risk Factor For Back Pain in the Young?

By Frank M. Painter|May 14, 2016|Low Back Pain, Pediatrics|

Is Puberty a Risk Factor For Back Pain in the Young?
A Systematic Critical Literature Review

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2014 (Oct 15); 22 (1): 27

Arnaud Lardon, Charlotte Leboeuf-Yde,
Christine Le Scanff and
Niels Wedderkopp

EA 4532 CIAMS, Université Paris-Sud,
UFR STAPS, 91405 Orsay, France ;
Institut Franco-Européen de Chiropraxie,
24 Bld Paul Vaillant Couturier,
94200 Ivry sur Seine, France.

BACKGROUND: Back pain is a common condition that starts early in life and seems to increase markedly during puberty. A systematic review was performed in order to investigate the link between puberty and back pain, using some Bradford Hill criteria for causality.

OBJECTIVES: We sought to obtain answers to the following questions: 1) Is there an association between puberty and back pain? If so, how strong is this association? And do the results remain unchanged also when controlling for age and sex? 2) Are the results of the studies consistent? 3) Is there a dose-response, showing a link between the increasing stages of puberty and the subsequent prevalence of back pain? 4) Is there a temporal link between puberty and back pain?

DESIGN: A systematic critical literature review.

METHODS: Systematic searches were made in March 2014 in PubMed, Embase, CINAHL and PsycINFO including longitudinal or cross-sectional studies on back pain for subjects <19 years, written in French or English. The review process followed the AMSTAR recommendations. Interpretation was made using some of the Bradford-Hill criteria for causality.

RESULTS: Four articles reporting five studies were included, two of which were longitudinal. 1) Some studies show a weak and others a strong positive association between puberty and back pain, which remains after controlling for age and sex; 2) Results were consistent across the studies; 3) There was a linear increase of back pain according to the stage of puberty 4) Temporality has not been sufficiently studied.

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Musculoskeletal Pain in Children and Adolescents

By Frank M. Painter|May 10, 2016|Pediatrics|

Musculoskeletal Pain in Children and Adolescents

The Chiro.Org Blog

SOURCE: Braz J Phys Ther. 2016 (Feb 16) [Epub]

Steve J. Kamper, Nicholas Henschke, Lise Hestbaek,
Kate M. Dunn, Christopher M. Williams

The George Institute,
University of Sydney, Australia.

Introduction Musculoskeletal (MSK) pain in children and adolescents is responsible for substantial personal impacts and societal costs, but it has not been intensively or systematically researched. This means our understanding of these conditions is limited, and healthcare professionals have little empirical evidence to underpin their clinical practice. In this article we summarise the state of the evidence concerning MSK pain in children and adolescents, and offer suggestions for future research.

Results Rates of self-reported MSK pain in adolescents are similar to those in adult populations and they are typically higher in teenage girls than boys. Epidemiological research has identified conditions such as back and neck pain as major causes of disability in adolescents, and in up to a quarter of cases there are impacts on school or physical activities. A range of physical, psychological and social factors have been shown to be associated with MSK pain report, but the strength and direction of these relationships are unclear. There are few validated instruments available to quantify the nature and severity of MSK pain in children, but some show promise. Several national surveys have shown that adolescents with MSK pain commonly seek care and use medications for their condition. Some studies have revealed a link between MSK pain in adolescents and chronic pain in adults.

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Bladder Metastasis Presenting as Neck, Arm and Thorax Pain

By Frank M. Painter|May 9, 2016|Cancer|

Bladder Metastasis Presenting as Neck, Arm and Thorax Pain: A Case Report

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2016 (May 4); 24: 14

Clinton J. Daniels, Pamela J. Wakefield
and Glenn A. Bub

Chiropractic Clinic,
VA St. Louis Healthcare System

Background A case of metastatic carcinoma secondary to urothelial carcinoma presenting as musculoskeletal pain is reported. A brief review of urothelial and metastatic carcinoma including clinical presentation, diagnostic testing, treatment and chiropractic considerations is discussed.

Case presentation This patient presented in November 2014 with progressive neck, thorax and upper extremity pain. Computed tomography revealed a destructive soft tissue mass in the cervical spine and additional lytic lesion of the 1st rib. Prompt referral was made for surgical consultation and medical management.

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Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain

By Frank M. Painter|May 8, 2016|Medicare|

Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain

The Chiro.Org Blog

SOURCE: J Am Board Fam Med. 2015 (Jul); 28 (4): 481–490

Matthew A. Davis, MPH, DC, PhD, Olga Yakusheva, PhD,
Daniel J. Gottlieb, MS and Julie P.W. Bynum, MD, MPH

Dartmouth Institute for Health Policy and Clinical Practice,
Dartmouth College,
Geisel School of Medicine,
Hanover, NH

BACKGROUND: Whether availability of chiropractic care affects use of primary care physician (PCP) services is unknown.

METHODS: We performed a cross-sectional study of 17.7 million older adults who were enrolled in Medicare from 2010 to 2011. We examined the relationship between regional supply of chiropractic care and PCP services using Spearman correlation. Generalized linear models were used to examine the association between regional supply of chiropractic care and number of annual visits to PCPs for back and/or neck pain.

RESULTS: We found a positive association between regional supply of chiropractic care and PCP services (rs = 0.52; P <.001). An inverse association between supply of chiropractic care and the number of annual visits to PCPs for back and/or neck pain was apparent. The number of PCP visits for back and/or neck pain was 8% lower (rate ratio, 0.92; 95% confidence interval, 0.91-0.92) in the quintile with the highest supply of chiropractic care compared to the lowest quintile. We estimate chiropractic care is associated with a reduction of 0.37 million visits to PCPs nationally, at a cost of $83.5 million.

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Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use

By Frank M. Painter|May 7, 2016|Medicare|

Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare Beneficiaries

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther. 2016 (Mar 28) [Epub]

William B Weeks, MD, PhD, MBA, Christine M Goertz, DC, PhD

The Dartmouth Institute for
Health Policy and Clinical Practice,
Lebanon, NH

OBJECTIVE: The purpose of this study was to determine whether the per-capita supply of doctors of chiropractic (DCs) or Medicare spending on chiropractic care was associated with opioid use among younger, disabled Medicare beneficiaries.

METHODS: Using 2011 data, at the hospital referral region level, we correlated the per-capita supply of DCs and spending on chiropractic manipulative therapy (CMT) with several measures of per-capita opioid use by younger, disabled Medicare beneficiaries.

RESULTS: Per-capita supply of DCs and spending on CMT were strongly inversely correlated with the percentage of younger Medicare beneficiaries who had at least 1, as well as with 6 or more, opioid prescription fills. Neither measure was correlated with mean daily morphine equivalents per opioid user or per chronic opioid user.

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Prevalence and Tracking of Back Pain From Childhood to Adolescence

Prevalence and Tracking of Back Pain From Childhood to Adolescence

Is Puberty a Risk Factor For Back Pain in the Young?

Is Puberty a Risk Factor For Back Pain in the Young? A Systematic Critical Literature Review

Musculoskeletal Pain in Children and Adolescents

Musculoskeletal Pain in Children and Adolescents

Bladder Metastasis Presenting as Neck, Arm and Thorax Pain

Bladder Metastasis Presenting as Neck, Arm and Thorax Pain: A Case Report

Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain

Regional Supply of Chiropractic Care and Visits to Primary Care Physicians for Back and Neck Pain

Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use

Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare Beneficiaries

Is Puberty a Risk Factor For Back Pain in the Young?
A Systematic Critical Literature Review