The relationship between pain, disability, quality of life and cognitive-behavioural factors in chronic back pain

Abstract

• Low back pain is a major public health problem with high direct and indirect back-pain-related costs. • Chronic low back pain is a disabling disease which restricts quality of life. • Psychological factors may have a larger impact on disability and quality of life than pain itself. • The recurrent course of low back pain highlights the importance of multidisciplinary pain management even during acute exacerbations of pain.

Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use

“…It was possible that the acute event leading to hospitalization exacerbated one's baseline chronic pain, necessitating the use of opioids for pain control at discharge. [77][78][79][80][81] Prior research shows that chronic opioid therapy is associated with hospital readmissions. 82 In our patients, increased 'number of hospital readmissions' was correlated with 'opioid receipt' at discharge.…”

Low Back Pain and Everyday Functioning of Students

“…Bó le krę go słu pa lę dźwio we go po wodu ją ogra ni cze nia w ży ciu za wo do wym, spo łecz nym i ro dzin nym, a co za tym idzie ja kość ży cia osób cier pią cych na nie ule ga znacz ne mu ob ni że niu. Ból jest przy czy ną cier pie nia, nie jed no krot nie zmu sza do zmniej sze nia lub za prze sta nia po dej mo wa nia ak tywno ści ru cho wej, ale rów nież wpły wa na ob ni że nie samo oce ny czy też po czu cia wła snej war to ści [10][11][12]. Prze wle kły ból krę go słu pa mo że po wo do wać za burze nia snu, zmniej sze nie ape ty tu, a ta kże po wa żne fizjo lo gicz ne kon se kwen cje [13][14][15].…”

“…Low back pain leads to limitations in the patient's professional, social and family life, which in turn has an adverse effect on the sufferer's quality of life. The pain causes suffering and frequently leads to the individual limiting or giving up physical activity, while also adversely affecting their self-esteem [10][11][12]. Chronic back pain may cause sleep disorders, loss of appetite or have se rious physiological consequences [13][14][15].…”

Combination use of anti-inflammatory drugs and myorelaxants in the treatment of patients with ankylosing spondylitis in outpatient settings

“…Ограничение подвижности по-ясничного отдела позвоночника является одним из основ-ных проявлений АС. Нарушение подвижности позвоночни-ка обусловливает нарушение функции и может ухудшать ка-чество жизни пациентов [26]. Данное ограничение может быть связано как с необратимыми изменениями в позво-ночнике (анкилозирование), так и с болевым синдромом и спазмом.…”