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Published in: BMC Musculoskeletal Disorders 1/2006

Open Access 01-12-2006 | Research article

The transition of reported pain in different body regions – a one-year follow-up study

Authors: Christina Gummesson, Sven-Olof Isacsson, Agneta H Isacsson, H Ingemar Andersson, John Ektor-Andersen, Per-Olof Östergren, Bertil Hanson, the Malmö Shoulder-Neck Study group

Published in: BMC Musculoskeletal Disorders | Issue 1/2006

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Abstract

Background

The course of pain at a specific region such as the lower back has previously been shown as well as for generalized pain. However we have not found any report on the course of pain from various different specific regions. The aim of this investigation was to study the one-year transition of reported pain in different body locations.

Methods

From a general population 14555 men and women, 46–68 years, responded to an extensive health questionnaire including the standardized Nordic questionnaire. The population represented 27% of the total population within the age group in Malmö, Sweden. At the one year follow-up 12607 responded to the questionnaire, yielding a response rate of 87%. The one year prevalence of long-lasting pain and the pattern of pain reporting from different regions were studied for men and women.

Results

The one-year prevalence of long-lasting neck pain was 14% (95% CI 13–15) among men and 25% (95% CI 24–26) among women at baseline and 15% (95% CI 14–16) for the men and 23% (95% CI 22–24) for the women at follow-up. Of those reporting neck pain "all the time" at baseline, 48% of the men and 54% of the women also reported neck pain "all the time" at the one-year follow-up. At the follow-up neck pain was reported as present "often" by 43% of the men and 47% of the women who reported neck pain "often" at baseline. Similar transition pattern were found for neck, shoulders, elbow/wrist/hand and lower back symptoms, as well as consistent prevalence rates.

Conclusion

The one-year transition pattern of reported pain was similar in different body regions and among men and women. Furthermore the prevalence rates of long-lasting pain in the population were consistent at baseline and the follow-up. The findings of similar transition patterns support the interpretation of long-lasting pain as a generalized phenomenon rather than attributed to specific exposure. This may have implications for future pain research.
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Literature
1.
go back to reference van der Windt D, Croft P, Penninx B: Neck and upper limb pain: more pain is associated with psychological distress and consultation rate in primary care. J Rheumatol. 2002, 29: 564-569.PubMed van der Windt D, Croft P, Penninx B: Neck and upper limb pain: more pain is associated with psychological distress and consultation rate in primary care. J Rheumatol. 2002, 29: 564-569.PubMed
2.
go back to reference Andersson HI, Ejlertsson G, Leden I, Rosenberg C: Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993, 9: 174-182.CrossRefPubMed Andersson HI, Ejlertsson G, Leden I, Rosenberg C: Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993, 9: 174-182.CrossRefPubMed
3.
go back to reference Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 28: 1369-1377.PubMed Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 28: 1369-1377.PubMed
4.
go back to reference Gummesson C, Atroshi I, Ekdahl C, Johnsson R, Ornstein E: Chronic upper extremity pain and co-occurring symptoms in a general population. Arthritis Rheum. 2003, 49: 697-702. 10.1002/art.11386.CrossRefPubMed Gummesson C, Atroshi I, Ekdahl C, Johnsson R, Ornstein E: Chronic upper extremity pain and co-occurring symptoms in a general population. Arthritis Rheum. 2003, 49: 697-702. 10.1002/art.11386.CrossRefPubMed
5.
go back to reference Picavet HS, Schouten JS: Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003, 102: 167-178. 10.1016/s0304-3959(02)00372-x.CrossRefPubMed Picavet HS, Schouten JS: Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003, 102: 167-178. 10.1016/s0304-3959(02)00372-x.CrossRefPubMed
6.
go back to reference Rustoen T, Wahl AK, Hanestad BR, Lerdal A, Paul S, Miaskowski C: Prevalence and characteristics of chronic pain in the general Norwegian population. Eur J Pain. 2004, 8: 555-565. 10.1016/j.ejpain.2004.02.002.CrossRefPubMed Rustoen T, Wahl AK, Hanestad BR, Lerdal A, Paul S, Miaskowski C: Prevalence and characteristics of chronic pain in the general Norwegian population. Eur J Pain. 2004, 8: 555-565. 10.1016/j.ejpain.2004.02.002.CrossRefPubMed
7.
go back to reference Croft P, Rigby AS, Boswell R, Schollum J, Silman A: The prevalence of chronic widespread pain in the general population. J Rheumatol. 1993, 20: 710-713.PubMed Croft P, Rigby AS, Boswell R, Schollum J, Silman A: The prevalence of chronic widespread pain in the general population. J Rheumatol. 1993, 20: 710-713.PubMed
8.
go back to reference Hunt IM, Silman AJ, Benjamin S, McBeth J, Macfarlane GJ: The prevalence and associated features of chronic widespread pain in the community using the 'Manchester' definition of chronic widespread pain. Rheumatology (Oxford). 1999, 38: 275-279. 10.1093/rheumatology/38.3.275.CrossRef Hunt IM, Silman AJ, Benjamin S, McBeth J, Macfarlane GJ: The prevalence and associated features of chronic widespread pain in the community using the 'Manchester' definition of chronic widespread pain. Rheumatology (Oxford). 1999, 38: 275-279. 10.1093/rheumatology/38.3.275.CrossRef
9.
go back to reference Bergman S, Herrstrom P, Jacobsson LT, Petersson IF: Chronic widespread pain: a three year followup of pain distribution and risk factors. J Rheumatol. 2002, 29: 818-825.PubMed Bergman S, Herrstrom P, Jacobsson LT, Petersson IF: Chronic widespread pain: a three year followup of pain distribution and risk factors. J Rheumatol. 2002, 29: 818-825.PubMed
10.
go back to reference Andersson HI: The course of non-malignant chronic pain: a 12-year follow-up of a cohort from the general population. Eur J Pain. 2004, 8: 47-53. 10.1016/S1090-3801(03)00064-8.CrossRefPubMed Andersson HI: The course of non-malignant chronic pain: a 12-year follow-up of a cohort from the general population. Eur J Pain. 2004, 8: 47-53. 10.1016/S1090-3801(03)00064-8.CrossRefPubMed
11.
go back to reference Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, Silman AJ: Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001, 93: 317-325. 10.1016/S0304-3959(01)00334-7.CrossRefPubMed Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, Silman AJ: Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001, 93: 317-325. 10.1016/S0304-3959(01)00334-7.CrossRefPubMed
12.
go back to reference Ektor-Andersen J, Isacsson SO, Lindgren A, Orbaek P: The experience of pain from the shoulder-neck area related to the total body pain, self-experienced health and mental distress. The Malmo Shoulder-Neck Study group. Pain. 1999, 82: 289-295. 10.1016/S0304-3959(99)00053-6.CrossRefPubMed Ektor-Andersen J, Isacsson SO, Lindgren A, Orbaek P: The experience of pain from the shoulder-neck area related to the total body pain, self-experienced health and mental distress. The Malmo Shoulder-Neck Study group. Pain. 1999, 82: 289-295. 10.1016/S0304-3959(99)00053-6.CrossRefPubMed
13.
go back to reference Andersson HI, Ejlertsson G, Leden I, Rosenberg C: Characteristics of subjects with chronic pain, in relation to local and widespread pain report. A prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population. Scand J Rheumatol. 1996, 25: 146-154.CrossRefPubMed Andersson HI, Ejlertsson G, Leden I, Rosenberg C: Characteristics of subjects with chronic pain, in relation to local and widespread pain report. A prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population. Scand J Rheumatol. 1996, 25: 146-154.CrossRefPubMed
14.
go back to reference Hestbaek L, Leboeuf-Yde C, Engberg M, Lauritzen T, Bruun NH, Manniche C: The course of low back pain in a general population. Results from a 5-year prospective study. J Manipulative Physiol Ther. 2003, 26: 213-219. 10.1016/S0161-4754(03)00006-X.CrossRefPubMed Hestbaek L, Leboeuf-Yde C, Engberg M, Lauritzen T, Bruun NH, Manniche C: The course of low back pain in a general population. Results from a 5-year prospective study. J Manipulative Physiol Ther. 2003, 26: 213-219. 10.1016/S0161-4754(03)00006-X.CrossRefPubMed
15.
go back to reference McBeth J, Macfarlane GJ, Hunt IM, Silman AJ: Risk factors for persistent chronic widespread pain: a community-based study. Rheumatology (Oxford). 2001, 40: 95-101. 10.1093/rheumatology/40.1.95.CrossRef McBeth J, Macfarlane GJ, Hunt IM, Silman AJ: Risk factors for persistent chronic widespread pain: a community-based study. Rheumatology (Oxford). 2001, 40: 95-101. 10.1093/rheumatology/40.1.95.CrossRef
16.
go back to reference Papageorgiou AC, Silman AJ, Macfarlane GJ: Chronic widespread pain in the population: a seven year follow up study. Ann Rheum Dis. 2002, 61: 1071-1074. 10.1136/ard.61.12.1071.CrossRefPubMedPubMedCentral Papageorgiou AC, Silman AJ, Macfarlane GJ: Chronic widespread pain in the population: a seven year follow up study. Ann Rheum Dis. 2002, 61: 1071-1074. 10.1136/ard.61.12.1071.CrossRefPubMedPubMedCentral
17.
go back to reference Östergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, Winkel J, Isacsson SO: Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmo shoulder and neck study cohort. J Epidemiol Community Health. 2005, 59: 721-728. 10.1136/jech.2005.034801.CrossRefPubMedPubMedCentral Östergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, Winkel J, Isacsson SO: Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmo shoulder and neck study cohort. J Epidemiol Community Health. 2005, 59: 721-728. 10.1136/jech.2005.034801.CrossRefPubMedPubMedCentral
18.
go back to reference Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRefPubMed Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRefPubMed
19.
go back to reference Lindstrom M, Hanson BS, Brunner E, Wirfalt E, Elmstahl S, Mattisson I, Ostergren PO: Socioeconomic differences in fat intake in a middle-aged population: report from the Malmo Diet and Cancer Study. Int J Epidemiol. 2000, 29: 438-448. 10.1093/ije/29.3.438.CrossRefPubMed Lindstrom M, Hanson BS, Brunner E, Wirfalt E, Elmstahl S, Mattisson I, Ostergren PO: Socioeconomic differences in fat intake in a middle-aged population: report from the Malmo Diet and Cancer Study. Int J Epidemiol. 2000, 29: 438-448. 10.1093/ije/29.3.438.CrossRefPubMed
20.
go back to reference Cote P, Cassidy JD, Carroll LJ, Kristman V: The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain. 2004, 112: 267-273. 10.1016/j.pain.2004.09.004.CrossRefPubMed Cote P, Cassidy JD, Carroll LJ, Kristman V: The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain. 2004, 112: 267-273. 10.1016/j.pain.2004.09.004.CrossRefPubMed
21.
go back to reference Webb R, Brammah T, Lunt M, Urwin M, Allison T, Symmons D: Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine. 2003, 28: 1195-1202. 10.1097/00007632-200306010-00021.PubMed Webb R, Brammah T, Lunt M, Urwin M, Allison T, Symmons D: Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine. 2003, 28: 1195-1202. 10.1097/00007632-200306010-00021.PubMed
22.
go back to reference Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 57: 649-655.CrossRefPubMedPubMedCentral Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 57: 649-655.CrossRefPubMedPubMedCentral
23.
go back to reference Thomas E, Peat G, Harris L, Wilkie R, Croft PR: The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain. 2004, 110: 361-368. 10.1016/j.pain.2004.04.017.CrossRefPubMed Thomas E, Peat G, Harris L, Wilkie R, Croft PR: The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain. 2004, 110: 361-368. 10.1016/j.pain.2004.04.017.CrossRefPubMed
24.
go back to reference Eriksen J, Ekholm O, Sjogren P, Rasmussen NK: Development of and recovery from long-term pain. A 6-year follow-up study of a cross-section of the adult Danish population. Pain. 2004, 108: 154-162. 10.1016/j.pain.2003.12.018.CrossRefPubMed Eriksen J, Ekholm O, Sjogren P, Rasmussen NK: Development of and recovery from long-term pain. A 6-year follow-up study of a cross-section of the adult Danish population. Pain. 2004, 108: 154-162. 10.1016/j.pain.2003.12.018.CrossRefPubMed
25.
go back to reference Kadam UT, Thomas E, Croft PR: Is chronic widespread pain a predictor of all-cause morbidity? A 3 year prospective population based study in family practice. J Rheumatol. 2005, 32: 1341-1348.PubMed Kadam UT, Thomas E, Croft PR: Is chronic widespread pain a predictor of all-cause morbidity? A 3 year prospective population based study in family practice. J Rheumatol. 2005, 32: 1341-1348.PubMed
26.
go back to reference Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, Fallentin N, Thomsen JF: Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003, 60: 649-654. 10.1136/oem.60.9.649.CrossRefPubMedPubMedCentral Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, Fallentin N, Thomsen JF: Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003, 60: 649-654. 10.1136/oem.60.9.649.CrossRefPubMedPubMedCentral
27.
go back to reference Devereux JJ, Vlachonikolis IG, Buckle PW: Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occup Environ Med. 2002, 59: 269-277. 10.1136/oem.59.4.269.CrossRefPubMedPubMedCentral Devereux JJ, Vlachonikolis IG, Buckle PW: Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occup Environ Med. 2002, 59: 269-277. 10.1136/oem.59.4.269.CrossRefPubMedPubMedCentral
28.
go back to reference Guez M, Hildingsson C, Nilsson M, Toolanen G: The prevalence of neck pain: a population-based study from northern Sweden. Acta Orthop Scand. 2002, 73: 455-459. 10.1080/00016470216329.CrossRefPubMed Guez M, Hildingsson C, Nilsson M, Toolanen G: The prevalence of neck pain: a population-based study from northern Sweden. Acta Orthop Scand. 2002, 73: 455-459. 10.1080/00016470216329.CrossRefPubMed
29.
go back to reference Graven-Nielsen T, Arendt-Nielsen L: Peripheral and central sensitization in musculoskeletal pain disorders: an experimental approach. Curr Rheumatol Rep. 2002, 4: 313-321.CrossRefPubMed Graven-Nielsen T, Arendt-Nielsen L: Peripheral and central sensitization in musculoskeletal pain disorders: an experimental approach. Curr Rheumatol Rep. 2002, 4: 313-321.CrossRefPubMed
30.
go back to reference Eriksen HR, Ursin H: Subjective health complaints, sensitization, and sustained cognitive activation (stress). J Psychosom Res. 2004, 56: 445-448. 10.1016/S0022-3999(03)00629-9.CrossRefPubMed Eriksen HR, Ursin H: Subjective health complaints, sensitization, and sustained cognitive activation (stress). J Psychosom Res. 2004, 56: 445-448. 10.1016/S0022-3999(03)00629-9.CrossRefPubMed
31.
go back to reference Winkelstein BA: Mechanisms of central sensitization, neuroimmunology & injury biomechanics in persistent pain: implications for musculoskeletal disorders. J Electromyogr Kinesiol. 2004, 14: 87-93. 10.1016/j.jelekin.2003.09.017.CrossRefPubMed Winkelstein BA: Mechanisms of central sensitization, neuroimmunology & injury biomechanics in persistent pain: implications for musculoskeletal disorders. J Electromyogr Kinesiol. 2004, 14: 87-93. 10.1016/j.jelekin.2003.09.017.CrossRefPubMed
33.
go back to reference Arendt-Nielsen L, Graven-Nielsen T: Central sensitization in fibromyalgia and other musculoskeletal disorders. Curr Pain Headache Rep. 2003, 7: 355-361.CrossRefPubMed Arendt-Nielsen L, Graven-Nielsen T: Central sensitization in fibromyalgia and other musculoskeletal disorders. Curr Pain Headache Rep. 2003, 7: 355-361.CrossRefPubMed
Metadata
Title
The transition of reported pain in different body regions – a one-year follow-up study
Authors
Christina Gummesson
Sven-Olof Isacsson
Agneta H Isacsson
H Ingemar Andersson
John Ektor-Andersen
Per-Olof Östergren
Bertil Hanson
the Malmö Shoulder-Neck Study group
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2006
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-7-17

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