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Korean J Pain. 2020 Oct 01;33(4):359-377. doi: 10.3344/kjp.2020.33.4.359.

Nicotine dependence and the International Association for the Study of Pain neuropathic pain grade in patients with chronic low back pain and radicular pain: is there an association?.

The Korean journal of pain

Emanuel Schembri, Victoria Massalha, Karl Spiteri, Liberato Camilleri, Stephen Lungaro-Mifsud

Affiliations

  1. Physiotherapy Outpatients, Karin Grech Hospital, Pieta, Malta.
  2. Master of Science (MSc) Candidate, MSc Clinical Management of Pain (Headache), University of Edinburgh, Edinburgh, UK.
  3. Physiotherapy Services, Ministry for Health, Valletta, Malta.
  4. Department of Physiotherapy, Faculty of Health Sciences, University of Malta, Msida, Malta.
  5. Department of Physiotherapy, St Vincent de Paul Long Term Care Facility, Luqa, Malta.
  6. Department of Statistics and Operations Research, Faculty of Science, University of Malta, Msida, Malta.

PMID: 32989201 PMCID: PMC7532299 DOI: 10.3344/kjp.2020.33.4.359

Abstract

BACKGROUND: This study investigated whether current smoking and a higher nicotine dependency were associated with chronic low back pain (LBP), lumbar related leg pain (sciatica) and/or radicular neuropathic pain.

METHODS: A cross-sectional study was conducted on 150 patients (mean age, 60.1 ± 13.1 yr). Demographic data, the International Association for the Study of Pain (IASP) neuropathic pain grade, STarT Back tool, and the Fagerström test were completed. A control group (n = 50) was recruited.

RESULTS: There was a significant difference between current smokers and nonsmokers in the chronic LBP group in the mean pain score (

CONCLUSIONS: A current smoking status and higher nicotine dependence increase the odds for chronic LBP, sciatica and radicular neuropathic pain.

Keywords: Chronic Pain; Cross-Sectional Studies; Low Back Pain; Neuralgia; Nicotine; Non-Smokers; Radiculopathy; Smoking; Tobacco Use Disorder

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