Low pressure pain thresholds are associated with, but does not predispose for, low back pain

O’Neill, Søren; Kjær, Per; Graven‐Nielsen, Thomas; Manniche, Claus; Arendt-Nielsen, Lars

doi:10.1007/s00586-011-1796-4

Cited by 73 publications

(58 citation statements)

References 27 publications

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“…Yet, no association has been found between recently developed low-back pain and PPTs [3]. Thus, it appears that deep-tissue hypersensitivity exists in individuals with long-lasting but not short-term low back pain [3].…”

Section: Introductionmentioning

confidence: 99%

“…It has been shown that pain thresholds in a non-painful body area could be affected in pain states [2][3][4][5]. More specifically, it has been found that pressure pain thresholds (PPTs) are lower in the tibialis anterior muscle in patients with chronic low back pain compared to controls [2].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, research has reported an association between long-lasting low back pain and localized as well as generalized lower PPTs [3,4]. Yet, no association has been found between recently developed low-back pain and PPTs [3].…”

Section: Introductionmentioning

confidence: 99%

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Increased deep pain sensitivity in persistent musculoskeletal pain but not in other musculoskeletal pain states

Gunnarsson

Grahn

Agerström

2016

Scandinavian Journal of Pain

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AbstractBackgroundPressure pain thresholds (PPTs) in a non-painful body area are known to be affected in some chronic pain states. The aim of this study is to investigate PPTs in a pain-free body part in relation to pain persistence and intensity in patients with musculoskeletal pain.MethodsPatients with musculoskeletal pain were divided into three different pain groups: acute pain (pain duration < 3 months, n = 38), regularly recurrent pain (regularly recurrent pain duration > 3 months, n = 56), persistent pain (persistent pain duration >3 months, n = 52) and a healthy control group (n = 51). PPT measures were conducted over the tibialis anterior muscle on the right leg in all groups.ResultsThe persistent pain group showed significantly lower PPTs over the tibialis anterior muscle compared to controls. No significant differences were found between the acute and regularly recurrent pain groups compared to healthy controls. Significant correlations, albeit small, were found between pain intensity and PPTs.ConclusionsIncreased deep pain sensitivity was found in patients with persistent musculoskeletal pain, but not in regularly recurrent pain or in acute pain. Yet, a limitation of the study is that it did not have sufficient power to detect small levels of increased deep pain sensitivity among the latter groups when compared to healthy controls.ImplicationsKnowledge about increased general hypersensitivity in persistent musculoskeletal pain could be important in clinical treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Increased deep pain sensitivity in persistent musculoskeletal pain but not in other musculoskeletal pain states

Gunnarsson

Grahn

Agerström

2016

Scandinavian Journal of Pain

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“…It is uncertain, for example, whether sensory and perceptual changes are present before pain, occur after pain onset, or develop as pain persists (Hübscher et al 2014;O'Neill et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Movement restriction does not modulate sensory and perceptual effects of exercise-induced arm pain

Hübscher

Stanton

et al. 2014

Eur J Appl Physiol

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“…low back pain (LBP) [1][2][3][4][5]. However standardized assessment of pain sensitivity and central modulation of pain sensitivity is probably used only rarely in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of a simple and clinically applicable pain stimulus: sustained mechanical pressure with a spring-clamp

et al. 2014

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Background: Generalized hyperalgesia, a widespread increased sensitivity to painful stimuli, has been demonstrated in a range of chronic pain conditions including low-back pain. The evidence suggests, that generalized hyperalgesia may be an important factor in the development of chronicity, but it is not commonly assessed in clinical practice. Whereas a range of tools and procedures for the quantitative sensory testing of pain sensitivity is available for laboratory pain research, most experimental pain stimuli are not well suited for clinical practice. In the current study, a simple and inexpensive mechanical spring-clamp was tested as a potential experimental pain stimulus. Methods: Ten seconds of mechanical pressure was applied to the thumb of 242 study participants: Healthy volunteers and low-back-pain patients (hospital and primary care). Pain intensity was measured by visual analogue scale before and after conditioned pain modulation by cold-pressor test (CPT). Correlation to pressure pain threshold (PPT) of the infraspinatus muscle and cold-pressor test pain intensity, time to pain onset and time to non-tolerance, was examined. Test/re-test reliability of clamp pain was also assessed and the stimulus-response relationship was examined with a set of 6 different clamps.

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Low pressure pain thresholds are associated with, but does not predispose for, low back pain

Cited by 73 publications

References 27 publications

Increased deep pain sensitivity in persistent musculoskeletal pain but not in other musculoskeletal pain states

Increased deep pain sensitivity in persistent musculoskeletal pain but not in other musculoskeletal pain states

Movement restriction does not modulate sensory and perceptual effects of exercise-induced arm pain

Reliability and validity of a simple and clinically applicable pain stimulus: sustained mechanical pressure with a spring-clamp

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