EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN

Introduction: Little is known about the relationship between pain and hypertension (HT). This study aimed to analyze the effect of HT on pain sensitivity in patients with chronic musculoskeletal pain complaints. Methods: This analytical, cross-sectional study included 45 patients aged 29–75 years...

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Main Authors: Tuba Tülay Koca, Duygun Aykan, Ejder Berk, Burhan Fatih Koçyiğit, Burhan Güçmen
Format: Article
Language:English
Published: South Kazakhstan Medical Academy 2023-02-01
Series:Central Asian Journal of Medical Hypotheses and Ethics
Subjects:
Online Access:https://cajmhe.com/index.php/journal/article/view/215
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author Tuba Tülay Koca
Duygun Aykan
Ejder Berk
Burhan Fatih Koçyiğit
Burhan Güçmen
author_facet Tuba Tülay Koca
Duygun Aykan
Ejder Berk
Burhan Fatih Koçyiğit
Burhan Güçmen
author_sort Tuba Tülay Koca
collection DOAJ
description Introduction: Little is known about the relationship between pain and hypertension (HT). This study aimed to analyze the effect of HT on pain sensitivity in patients with chronic musculoskeletal pain complaints. Methods: This analytical, cross-sectional study included 45 patients aged 29–75 years with HT. The control group comprised 44 normo/hypotensive patients aged 19–66 (P = 0.107). Education status, age, gender, height, weight, smoking, presence of diabetes mellitus, physical activity level, blood pressure measurement, anti-HT drug use, vital parameters, including heart rate, respiratory rate, and body temperature, were recorded for all participants. Results: The pain score was significantly higher in the HT group, with a mean of 72.1 ± 30.2 points (P = 0.008). Also, the HT group’s systolic blood pressure and pain score were significantly positively correlated (rho = 0.245, P = 0.02). The pulse rate was found to be significantly related to the pain score and pain threshold (P < 0.001); it was negatively correlated with algometer values (rho = –0.286, P = 0.015). Systolic pressure (P = 0.033) and BMI ( P < 0.001) were significantly different among the groups according to physical activity level. The Spearman correlation analysis showed a positive correlation of diastolic blood pressure with the body mass index (rho = 0.224, P = 0.036) and pain score (rho = 0.456, P < 0.001).  Conclusion: The present study showed that the pain complaint increases as the blood pressure and weight increase. Also, the pain threshold decreases as the heart rate increases. The pain threshold was lower in women than in men, independent of tension.
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spelling doaj.art-da1f86d38d9049d39780af31fd4091d02023-02-16T08:20:49ZengSouth Kazakhstan Medical AcademyCentral Asian Journal of Medical Hypotheses and Ethics2708-98002023-02-013423224010.47316/cajmhe.2022.3.4.02215EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAINTuba Tülay Koca0Duygun Aykan1Ejder Berk2Burhan Fatih Koçyiğit3Burhan Güçmen4Sütçü İmam University, Department of Physical Medicine and Rehabilitation, Kahramanmaraş, TurkeySütçü İmam University, Department of Clinical Pharmacology, Kahramanmaraş, TurkeySütçü İmam University, Department of Physical Medicine and Rehabilitation, Kahramanmaraş, TurkeySütçü İmam University, Department of Physical Medicine and Rehabilitation, Kahramanmaraş, TurkeySütçü İmam University, Department of Physical Medicine and Rehabilitation, Kahramanmaraş, TurkeyIntroduction: Little is known about the relationship between pain and hypertension (HT). This study aimed to analyze the effect of HT on pain sensitivity in patients with chronic musculoskeletal pain complaints. Methods: This analytical, cross-sectional study included 45 patients aged 29–75 years with HT. The control group comprised 44 normo/hypotensive patients aged 19–66 (P = 0.107). Education status, age, gender, height, weight, smoking, presence of diabetes mellitus, physical activity level, blood pressure measurement, anti-HT drug use, vital parameters, including heart rate, respiratory rate, and body temperature, were recorded for all participants. Results: The pain score was significantly higher in the HT group, with a mean of 72.1 ± 30.2 points (P = 0.008). Also, the HT group’s systolic blood pressure and pain score were significantly positively correlated (rho = 0.245, P = 0.02). The pulse rate was found to be significantly related to the pain score and pain threshold (P < 0.001); it was negatively correlated with algometer values (rho = –0.286, P = 0.015). Systolic pressure (P = 0.033) and BMI ( P < 0.001) were significantly different among the groups according to physical activity level. The Spearman correlation analysis showed a positive correlation of diastolic blood pressure with the body mass index (rho = 0.224, P = 0.036) and pain score (rho = 0.456, P < 0.001).  Conclusion: The present study showed that the pain complaint increases as the blood pressure and weight increase. Also, the pain threshold decreases as the heart rate increases. The pain threshold was lower in women than in men, independent of tension.https://cajmhe.com/index.php/journal/article/view/215hypertensiongenderchronic painpain assessment
spellingShingle Tuba Tülay Koca
Duygun Aykan
Ejder Berk
Burhan Fatih Koçyiğit
Burhan Güçmen
EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
Central Asian Journal of Medical Hypotheses and Ethics
hypertension
gender
chronic pain
pain assessment
title EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
title_full EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
title_fullStr EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
title_full_unstemmed EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
title_short EFFECT OF HYPERTENSION ON PAIN THRESHOLD IN PATIENTS WITH CHRONIC PAIN
title_sort effect of hypertension on pain threshold in patients with chronic pain
topic hypertension
gender
chronic pain
pain assessment
url https://cajmhe.com/index.php/journal/article/view/215
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AT duygunaykan effectofhypertensiononpainthresholdinpatientswithchronicpain
AT ejderberk effectofhypertensiononpainthresholdinpatientswithchronicpain
AT burhanfatihkocyigit effectofhypertensiononpainthresholdinpatientswithchronicpain
AT burhangucmen effectofhypertensiononpainthresholdinpatientswithchronicpain