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01-12-2021 | Musculoskeletal Pain | Research article

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Authors: Cecilie K. Øverås, Melker S. Johansson, Tarcisio F. de Campos, Manuela L. Ferreira, Bård Natvig, Paul J. Mork, Jan Hartvigsen

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Abstract

Background

Co-occurring musculoskeletal pain is common among people with persistent low back pain (LBP) and associated with more negative consequences than LBP alone. The distribution and prevalence of musculoskeletal pain co-occurring with persistent LBP has not been systematically described, which hence was the aim of this review.

Methods

Literature searches were performed in MEDLINE, Embase, CINAHL and Scopus. We considered observational studies from clinical settings or based on cohorts of the general or working populations involving adults 18 years or older with persistent LBP (≥4 wks) and co-occurring musculoskeletal pain for eligibility. Study selection, data extraction and risk of bias assessment were carried out by independent reviewers. Results are presented according to study population, distribution and location(s) of co-occurring pain.

Results

Nineteen studies out of 5744 unique records met the inclusion criteria. Studies were from high-income countries in Europe, USA and Japan. A total of 34,492 people with persistent LBP were included in our evidence synthesis. Methods for assessing and categorizing co-occurring pain varied considerably between studies, but based on the available data from observational studies, we identified three main categories of co-occurring pain – these were axial pain (18 to 58%), extremity pain (6 to 50%), and multi-site musculoskeletal pain (10 to 89%). Persistent LBP with co-occurring pain was reported more often by females than males, and co-occurring pain was reported more often in patients with more disability.

Conclusions

People with persistent LBP often report co-occurring neck pain, extremity pain or multi-site pain. Assessment of co-occurring pain alongside persistent LBP vary considerable between studies and there is a need for harmonisation of measurement methods to advance our understanding of how pain in different body regions occur alongside persistent LBP.

Systematic review registration

PROSPERO CRD42017068807.

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Title: Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review
Authors: Cecilie K. Øverås
Melker S. Johansson
Tarcisio F. de Campos
Manuela L. Ferreira
Bård Natvig
Paul J. Mork
Jan Hartvigsen
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Musculoskeletal Pain
Back Pain
Back Pain
Back Pain
Published in: BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-020-03893-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review

Abstract

Background

Methods

Results

Conclusions

Systematic review registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Systematic review registration

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