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Kicherova O.A.

Tyumen State Medical University

Klimov G.Ju.

Tyumen State Medical University, Tyumen Russi

Reikhert L.I.

Tyumen State Medical University

Skrjabin E.G.

Tyumen State Medical University, Tyumen Russi;
Regional Clinical Hospital No. 2

Features of pain syndrome in vertebrogenic pathology in women

Authors:

Kicherova O.A., Klimov G.Ju., Reikhert L.I., Skrjabin E.G.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(5): 14‑21

DOI: 10.17116/jnevro202412405114

Read: 2074 times

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Table of contents

FEATURES OF PAIN SYNDROME IN VERTEBROGENIC PATHOLOGY IN WOMEN
FEATURES OF PAIN SYNDROME IN VERTEBROGENIC PATHOLOGY IN WOMEN

To cite this article:

Kicherova OA, Klimov GJu, Reikhert LI, Skrjabin EG. Features of pain syndrome in vertebrogenic pathology in women. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(5):14‑21. (In Russ.)
https://doi.org/10.17116/jnevro202412405114

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
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Abstract:

Pain syndrome is one of the important problems faced by women, and its treatment requires an integrated approach, taking into account the individual characteristics of the female body. Currently, several hypotheses have been formulated to explain sex differences in the perception of pain, but they all have a number of contradictions. It has been established that pain syndrome occurs more often in women than in men and its prevalence increases with age. The characteristics of pain syndrome in women are based on hormonal fluctuations during menstruation, changes associated with pregnancy, menopause, anatomical aspects, as well as psycho-social factors. An analysis of studies of non-drug methods of treating vertebrogenic pain syndrome (acupuncture, manual therapy, physical methods) is presented from the point of view of sex differences in their effectiveness. In female patients, the effectiveness of such therapy is shown to be generally higher than in men, and the percentage of pain relapses is lower. Also, women are more likely than men to use methods to prevent chronic pain syndrome. The features of vertebrogenic pain syndrome during pregnancy, as well as the effectiveness of medical and surgical treatment methods in patients of both sexes, are separately considered. Thus, taking into account the individual characteristics of vertebrogenic pain syndrome and its response to various treatment methods in women contributes to the development of effective comprehensive rehabilitation programs for this category of patients.

Keywords:

pain
vertebrogenic pain syndrome
gender characteristics
pain in women
rehabilitation

Authors:

Kicherova O.A.

Tyumen State Medical University

Klimov G.Ju.

Tyumen State Medical University, Tyumen Russi

Reikhert L.I.

Tyumen State Medical University

Skrjabin E.G.

Tyumen State Medical University, Tyumen Russi;
Regional Clinical Hospital No. 2

Received:

19.01.2024

Accepted:

26.01.2024

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References:

  1. Casale R, Atzeni F, Bazzichi L, et al. Pain in Women: A Perspective Review on a Relevant Clinical Issue that Deserves Prioritization. Pain Ther. 2021;10(1):287-314.  https://doi.org/10.1007/s40122-021-00244-1
  2. Bailey A. Risk factors for low back pain in women: still more questions to be answered. Menopause. 2009;16:3-4.  https://doi.org/10.1097/gme.0b013e31818e10a7
  3. Fillingim RB. Sex, gender and pain: the biopsychosocial Model in action XX vs. XY: The International Journal of Sex Differences in the Study of Health. Dis Aging. 2003;1:98-101.  https://doi.org/10.1007/s11916-000-0006-6
  4. Rollman GB, Lautenbacher S. Sex differences in musculoskeletal pain. Clin J Pain. 2001;17:20-24.  https://doi.org/10.1097/00002508-200103000-00004
  5. Riley JL, Robinson ME, Wise EA, et al. A meta-analytic review of pain perception across the menstrual cycle. Pain. 1999;81:225-235.  https://doi.org/10.1016/S0304-3959(98)00258-9
  6. Wolfe F, Ross K, Anderson J, et al. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1999;38:19-28.  https://doi.org/10.1002/art.1780380104
  7. Manek NJ, MacGregor AJ. Epidemiology of back disorders: prevalence, risk factors, and prognosis. Curr Opin Rheumatol. 2005;17:134-140. 
  8. Leveille SG, Zhang Y, McMullen W, et al. Sex Differences in musculoskeletal pain in older adults. Pain. 2005;116:332-338.  https://doi.org/10.1016/j.pain.2005.05.002
  9. Turk DC, Okifuji A. Psychological factors in chronic pain: Evolution and revolution. J Consult Clin Psychol. 2002;70:678-690.  https://doi.org/10.1037//0022-006x.70.3.678
  10. Riley JL, Robinson ME, Wise EA, et al. A meta-analytic review of pain perception across the menstrual cycle. Pain. 1999;81:225-235.  https://doi.org/10.1016/S0304-3959(98)00258-9
  11. Piazzolla A, Solarino G, Bizzoca D, et al. Spinopelvic parameter changes and low back pain improvement due to femoral neck anteversion in patients with severe unilateral primary hip osteoarthritis undergoing total hip replacement. Eur Spine J. 2018;27:125-134.  https://doi.org/10.1007/s00586-017-5033-7
  12. Cricco C, Daugenti A, Angilecchia D, et al. Differential diagnosis of endometriosis in a patient with nonspecific low back pain: A case report. J Bodyw Mov Ther. 2021;27:227-232.  https://doi.org/10.1016/j.jbmt.2021.02.019
  13. Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: A new classification and literature review. Orthop Clin N Am. 2004;35:65-71.  https://doi.org/10.1016/S0030-5898(03)00105-6
  14. Leboeuf-Yde C. Body weight and low back pain. A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies. Spine. 2000;25:226-237.  https://doi.org/10.1097/00007632-200001150-00015
  15. Heuch I, Hagen K, Heuch I, et al. The impact of body mass index on the prevalence of low back pain: The HUNT study. Spine. 2010;35:764-768.  https://doi.org/10.1097/BRS.0b013e3181ba1531
  16. Deyo RA, Dworkin SF, Amtmann D, et al. Focus article: Report of the NIH task force on research standards for chronic low back pain. Eur Spine J. 2014;23:2028-2045. https://doi.org/10.1007/s00586-014-3540-3
  17. Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64:2028-2037. https://doi.org/10.1002/art.34347
  18. Barros G, McGrath L, Gelfenbeyn M. Sacroiliac Joint Dysfunction in Patients with Low Back Pain. Fed Pract. 2019;36:370-375. 
  19. Wáng YX, Wáng JQ, Káplár Z. Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quant Imaging Med Surg. 2016;6(2):199-206.  https://doi.org/10.21037/qims.2016.04.06
  20. Witt CM, Vertosick EA, Foster NE, et al. Acupuncture Trialists’ Collaboration. The Effect of Patient Characteristics on Acupuncture Treatment Outcomes: An Individual Patient Data Meta-Analysis of 20,827 Chronic Pain Patients in Randomized Controlled Trials. Clin J Pain. 2019;35(5):428-434.  https://doi.org/10.1097/AJP.0000000000000691
  21. Witt CM, Schützler L, Lüdtke R, et al. Patient characteristics and variation in treatment outcomes: which patients benefit most from acupuncture for chronic pain? Clin J Pain. 2011;27(6):550-555.  https://doi.org/10.1097/AJP.0b013e31820dfbf5
  22. Vickers AJ, Vertosick EA, Lewith G, et al. Acupuncture Trialists’ Collaboration. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. J Pain. 2018;19(5):455-474.  https://doi.org/10.1016/j.jpain.2017.11.005
  23. MacPherson H, Maschino AC, Lewith G, et al. Characteristics of acupuncture treatment associated with outcome: an individual patient meta-analysis of 17,922 patients with chronic pain in randomised controlled trials. PloS One. 2013;8(10):e77438. https://doi.org/10.1371/journal.pone.0077438
  24. Sherman KJ, Cherkin DC, Ichikawa L, et al. Characteristics of patients with chronic back pain who benefit from acupuncture. BMC Musculoskelet Disord. 2009;10:114.  https://doi.org/10.1186/1471-2474-10-114
  25. Cohen E, Lee YC. A Mechanism-Based Approach to the Management of Osteoarthritis Pain. Curr Osteoporos Rep. 2015;13(6):399-406.  https://doi.org/10.1007/s11914-015-0291-y
  26. Bjordal JM, Ljunggren AE, Klovning A, et al. Nonsteroidal anti-inflammatory drugs, including cyclooxygenase-2 inhibitors, for osteoarthritis knee pain: a meta-analysis of randomized placebo-controlled trials. BMJ. 2004;329:1317. https://doi.org/10.1136/bmj.38273.626655.63
  27. Chou R, McDonagh M, Nakamoto E, et al. Analgesics for osteoarthritis: an update of a 2006 comparative effectiveness review. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Oct. Report No.: 11(12)-EHC076-EF. 
  28. Baigent S, Bhala N, Amberson J, et al. Vascular and upper gastrointestinal effects of nonsteroidal anti-inflammatory drugs: a meta-analysis of individual participant data from randomized trials. Lancet. 2013;382:769-779.  https://doi.org/10.1016/S0140-6736(13)60900-9
  29. Barulin AE, Kurushina OV. Back pain: gender characteristics and approaches to therapy. Medicinskij Sovet. 2018;6:23-27. (In Russ.).
  30. Cooper NA, Scavo KM, Strickland KJ, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016;25(4):1258-1265. https://doi.org/10.1007/s00586-015-4027-6
  31. Nadler SF, Malanga GA, Feinberg JH, et al. Relationship between hip muscle imbalance and occurrence of low back pain in collegiate athletes: a prospective study. Am J Phys Med Rehabil. 2001;80(8):572-577.  https://doi.org/10.1097/00002060-200108000-00005
  32. Marshall PW, Patel H, Callaghan JP. Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing. Hum Mov Sci. 2011;30(1):63-73.  https://doi.org/10.1016/j.humov.2010.08.017
  33. Peterson S, Denninger T. Physical Therapy Management of Patients With Chronic Low Back Pain and Hip Abductor Weakness. J Geriatr Phys Ther. 2019;42(3):196-206.  https://doi.org/10.1519/JPT.0000000000000148
  34. Kotenko KV, Korchazhkina NB, Mikhailova AA, et al. Assessing the effectiveness of using an underwater treadmill in complex rehabilitation in patients with lumbar dorsalgia to improve local microcirculation. Saratovskij Nauchno-medicinskij Zhurnal. 2014;10(4):889-891. (In Russ.).
  35. Bulakh OA, Filatova EV, Polkovnikova EV, Privalova NM. Gender characteristics of rehabilitation of patients with back pain of vertebrogenic origin. Fizioterapija, Bal’neologija i Reabilitacija. 2017;3:128-132. (In Russ.).
  36. Delitto A, George SZ, Van Dillen LR, et al. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1-A57.  https://doi.org/10.2519/jospt.2012.42.4.A1
  37. van Dillen LR, Lanier VM, Steger-May K, et al. Effect of Motor Skill Training in Functional Activities vs Strength and Flexibility Exercise on Function in People With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Neurol. 2021;1;78(4):385-395.  https://doi.org/10.1001/jamaneurol.2020.4821
  38. Thomas JS, Clark BC, Russ DW, et al. RELIEF Study Investigators. Effect of spinal manipulative and mobilization therapies in young adults with mild to moderate chronic low back pain: a randomized clinical trial. JAMA Netw Open. 2020;3(8):e2012589. https://doi.org/10.1001/jamanetworkopen.2020.12589
  39. Rubinstein SM, de Zoete A, van Middelkoop M, et al. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ. 2019;364:l689. https://doi.org/10.1136/bmj.l689
  40. Nguyen C, Boutron I, Zegarra-Parodi R, et al. Effect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Intern Med. 2021;1;181(5):620-630.  https://doi.org/10.1001/jamainternmed.2021.0005
  41. Franke H, Franke JD, Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2014;15:286.  https://doi.org/10.1186/1471-2474-15-286
  42. Ostelo RW, Deyo RA, Stratford P, et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine. 2016;11:328.  https://doi.org/10.1097/BRS.0b013e31815e3a10
  43. Kirgizova O, Fedorov D. Experience in the treatment of vertebrogenic pain syndrome in pregnant women. Vrach. 2018;1:52-54. (In Russ.).
  44. Scriabin EG. Anomalies of the lumbosacral spine in pregnant women: clinical features, diagnosis, treatment. Travmatologija i Ortopedija Rossii. 2007;2:38-42. (In Russ.).
  45. Almousa S, Lamprianidou E, Kitsoulis G. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother Res Int. 2018;23(1):34-38.  https://doi.org/10.1002/pri.1699
  46. Hensel KL, Buchanan S, Brown SK, et al. Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects: the PROMOTE study. Am J Obstet Gynecol. 2015;212(1):108.e1-9.  https://doi.org/10.1016/j.ajog.2014.07.043
  47. Stanislawska I, Mincewicz M, Cabak A, et al. Epidemiological Aspects of Low Back Pain. Adv Exp Med Biol. 2019;1176:47-52.  https://doi.org/10.1007/5584_2019_383
  48. van Middelkoop M, Rubinstein SM, Kuijpers T, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20:19-39.  https://doi.org/10.1007/s00586-010-1518-3
  49. Bizzoca D, Solarino G, Pulcrano A, et al. Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review. Clin Pract. 2023;30;13(6):1360-1368. https://doi.org/10.3390/clinpract13060122
  50. Moore SM, Kramer FM. Women’s and men’s preferences for cardiac rehabilitation program features. J Cardiopulm Rehabil. 1999;16:163-168.  https://doi.org/10.1097/00008483-199605000-00003
  51. Alaranta H, Rytökoski U, Rissanen A, et al. Intensive physical and psychosocial training program for patients with chronic low back pain; a controlled clinical trial. Spine. 1999;19:1339-1349. https://doi.org/10.1097/00007632-199406000-00007
  52. Gehrchen MP, Dahl B, Katonis P, et al. No difference in clinical outcome after posterolateral lumbar fusion between patients with isthmic spondylolisthesis and those with degenerative disc disease using pedicle screw instrumentation: A comparative study of 112 patients with 4 years of follow-up. Eur Spine J. 2002;11:423-427.  https://doi.org/10.1007/s00586-002-0401-2
  53. Ekman P, Möller H, Hedlund R. Predictive factors for the outcome of fusion in adult isthmic spondylolisthesis. Spine. 2009;34:1204-1210. https://doi.org/10.1097/BRS.0b013e3181a19e66
  54. Triebel J, Snellman G, Sandén B, et al. Women do not fare worse than men after lumbar fusion surgery: Two-year follow-up results from 4780 prospectively collected patients in the Swedish National Spine Register with lumbar degenerative disc disease and chronic low back pain. Spine J. 2017;17:656-662.  https://doi.org/10.1016/j.spinee.2016.11.001
  55. Salamanna F, Contartese D, Tschon M, et al. Sex and gender determinants following spinal fusion surgery: A systematic review of clinical data. Front Surg. 2022;9:983931. https://doi.org/10.3389/fsurg.2022.983931
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