Is chronic low back pain and radicular neuropathic pain associated with smoking and a higher nicotine dependence? A cross-sectional study using the DN4 and the Fagerström test for nicotine dependence

Objectives: To evaluate, if a current smoking status and a higher nicotine dependence were associated with chronic low back pain(LBP) and/or radicular neuropathic leg pain.Methods: The study was designed as a cross-sectional study on the first eligible consecutive 120 patients. Demographic data, pain intensity,worst pain location, most distal pain radiation, the DN4 questionnaire, STarT back tool, and the Fagerström test were collected duringthe initial examination. An age- and gender-matched control group (n=50), free from chronic LBP was recruited.Results: In the chronic pain group, there was a significant difference between smokers and lifetime non-smokers in the average painintensity score (p=0.037), total DN4 score (p=0.002), STarT Back tool (p=0.006), worst pain location (p=0.023), and the most distal painradiation (p=0.049). The mean total DN4 score increased with a corresponding increase in the number of cigarettes smoked daily(p=0.002). Current smokers had an OR of 3.071 (p=0.013) (95% CI 1.268–7.438) for developing chronic LBP and lumbar related legpain and an OR of 6.484 (p

Kronik bel ağrısı ve radiküler nöropatik ağrı, sigara içme ve daha yüksek nikotin bağımlılığı ile ilişkili midir? Nikotin bağımlılığı için DN4 ve Fagerström testinin kullanıldığı kesitsel bir çalışma

Amaç: Mevcut sigara içme durumunun ve yüksek nikotin bağımlılığının kronik bel ağrısı (KBA) ve/veya radiküler nöropatik ağrı ile ilişkili olup olmadığını değerlendirmek. Gereç ve Yöntem: Çalışma, ilk uygun ardışık 120 hasta ile kesitsel bir çalışma olarak tasarlandı. Demografik veriler, ağrı yoğunluğu, en kötü ağrı konumu, en distal ağrı radyasyonu, DN4 anketi, STarT bel sağlığı tarama ölçeği ve Fagerström test sonuçları ilk muayene sırasında toplanmıştır. Kronik bel ağrısı olmayan, yaş ve cinsiyet uyumlu bir kontrol grubu (n=50) alındı. Bulgular: Kronik ağrı grubunda, ortalama ağrı şiddeti skoru (p=0,037), toplam DN4 skoru (p=0,002), STarT Back ölçeği (p=0,006), en kötü ağrı konumu (p=0,023) ve en distal ağrı radyasyonu (p=0,049) açısından sigara içenler ve yaşam boyu sigara içmeyenler arasında anlamlı bir fark vardı. Ortalama toplam DN4 puanı, günlük içilen sigara sayısında karşılık gelen artışla beraber artmıştır (p=0,002). Mevcut sigara içenlerde KBA ve bel ile ilişkili bacak ağrısı gelişimi için OR: 3.071 (p=0,013) (%95 CI 1.268–7.438) ve kronik radiküler nöropatik bacak ağrısı gelişimi için OR: 6.484 (p

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Ağrı-Cover
  • ISSN: 1300-0012
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Ali Cangül
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