Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain

Background: Chronic low back pain (CLBP) is one of the major health problems and CLBP patients suffer from reduced quality of life and loss or limitation of employment.Objectives: This study was aimed at comparing pinch pressure pain sensibility of the skin of total low back area in patients with no...

Full description

Bibliographic Details
Main Authors: Afshin Karimzadeh, Mehrdad Taheri, Masume Bayat, Andrew Beale, Hossein Ahmadi
Format: Article
Language:English
Published: Sadra Danesh Negar 2022-01-01
Series:Novelty in Clinical Medicine
Subjects:
Online Access:https://www.nclinmed.com/article_143713_9bc58bdde7422c6ea904f40ce9de9f82.pdf
_version_ 1827159227887517696
author Afshin Karimzadeh
Mehrdad Taheri
Masume Bayat
Andrew Beale
Hossein Ahmadi
author_facet Afshin Karimzadeh
Mehrdad Taheri
Masume Bayat
Andrew Beale
Hossein Ahmadi
author_sort Afshin Karimzadeh
collection DOAJ
description Background: Chronic low back pain (CLBP) is one of the major health problems and CLBP patients suffer from reduced quality of life and loss or limitation of employment.Objectives: This study was aimed at comparing pinch pressure pain sensibility of the skin of total low back area in patients with nonspecific low back pain.Methods: This observational, case-control study was conducted on patients who had suffered from chronic low back pain (LBP) with an intensity score of more than 25 (using the visual analog scale, VAS; 0–100 mm) for at least constant three months between October 2012 and June 2013. By mechanical pinching the skin of the lower back area, skin hyperalgesia was assessed in 193 patients. Following a double-blind design, skin hyperalgesia was also assessed for the skin of the control group (108 people).Results: Signs of hyperalgesia in the upper lateral quadrant of the gluteal area, around the posterior part of the iliac crest, were found in both groups but the degree of hyperalgesia in chronic nonspecific LBP patients (with & without symptoms) was significantly higher (P<0.001).Conclusion: The results demonstrated that pressure-induced localized gluteal skinfold tenderness (hyperalgesia) is found in most patients with chronic low-back pain.
first_indexed 2024-03-08T06:35:40Z
format Article
id doaj.art-bdefbf0b48df4cb2ab6b6e908d9d8fe7
institution Directory Open Access Journal
issn 2783-4492
language English
last_indexed 2025-03-20T23:53:47Z
publishDate 2022-01-01
publisher Sadra Danesh Negar
record_format Article
series Novelty in Clinical Medicine
spelling doaj.art-bdefbf0b48df4cb2ab6b6e908d9d8fe72024-08-03T12:01:14ZengSadra Danesh NegarNovelty in Clinical Medicine2783-44922022-01-0111323710.22034/ncm.2022.143713143713Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back PainAfshin Karimzadeh0Mehrdad Taheri1Masume Bayat2Andrew Beale3Hossein Ahmadi4Assistant professor of Physical Medicine & Rehabilitation, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranAssistant professor of Anesthesiology and Pain Fellowship, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranAssistant professor of Physical Medicine & Rehabilitation, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranPh.D. of Circadian Biology, London, United KingdomFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranBackground: Chronic low back pain (CLBP) is one of the major health problems and CLBP patients suffer from reduced quality of life and loss or limitation of employment.Objectives: This study was aimed at comparing pinch pressure pain sensibility of the skin of total low back area in patients with nonspecific low back pain.Methods: This observational, case-control study was conducted on patients who had suffered from chronic low back pain (LBP) with an intensity score of more than 25 (using the visual analog scale, VAS; 0–100 mm) for at least constant three months between October 2012 and June 2013. By mechanical pinching the skin of the lower back area, skin hyperalgesia was assessed in 193 patients. Following a double-blind design, skin hyperalgesia was also assessed for the skin of the control group (108 people).Results: Signs of hyperalgesia in the upper lateral quadrant of the gluteal area, around the posterior part of the iliac crest, were found in both groups but the degree of hyperalgesia in chronic nonspecific LBP patients (with & without symptoms) was significantly higher (P<0.001).Conclusion: The results demonstrated that pressure-induced localized gluteal skinfold tenderness (hyperalgesia) is found in most patients with chronic low-back pain.https://www.nclinmed.com/article_143713_9bc58bdde7422c6ea904f40ce9de9f82.pdfchronic low back painhyperalgesiapressure algometryskin sensibilityreferred pain
spellingShingle Afshin Karimzadeh
Mehrdad Taheri
Masume Bayat
Andrew Beale
Hossein Ahmadi
Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
Novelty in Clinical Medicine
chronic low back pain
hyperalgesia
pressure algometry
skin sensibility
referred pain
title Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
title_full Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
title_fullStr Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
title_full_unstemmed Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
title_short Localized Gluteal Skin Pinch Pressure Hyperalgesia in Patients with Chronic Low-Back Pain
title_sort localized gluteal skin pinch pressure hyperalgesia in patients with chronic low back pain
topic chronic low back pain
hyperalgesia
pressure algometry
skin sensibility
referred pain
url https://www.nclinmed.com/article_143713_9bc58bdde7422c6ea904f40ce9de9f82.pdf
work_keys_str_mv AT afshinkarimzadeh localizedglutealskinpinchpressurehyperalgesiainpatientswithchroniclowbackpain
AT mehrdadtaheri localizedglutealskinpinchpressurehyperalgesiainpatientswithchroniclowbackpain
AT masumebayat localizedglutealskinpinchpressurehyperalgesiainpatientswithchroniclowbackpain
AT andrewbeale localizedglutealskinpinchpressurehyperalgesiainpatientswithchroniclowbackpain
AT hosseinahmadi localizedglutealskinpinchpressurehyperalgesiainpatientswithchroniclowbackpain