Pain in the lumbar, thoracic or cervical regions: do age and gender matter? A population-based study of 34,902 Danish twins 20–71 years of age

BackgroundIt is unclear to what extent spinal pain varies between genders and in relation to age. It was the purpose of this study to describe the self-reported prevalence of 1) pain ever and pain in the past year in each of the three spinal regions, 2) the duration of such pain over the past year, 3) pain radiating from these areas, and 4) pain in one, two or three areas. In addition, 5) to investigate if spinal pain reporting is affected by gender and 6) to see if it increases gradually with increasing age.MethodA cross-sectional survey was conducted in 2002 on 34,902 twin individuals, aged 20 to 71 years, representative of the general Danish population. Identical questions on pain were asked for the lumbar, thoracic and cervical regions.ResultsLow back pain was most common, followed by neck pain with thoracic pain being least common. Pain for at least 30 days in the past year was reported by 12%, 10%, and 4%, respectively. The one-yr prevalence estimates of radiating pain were 22% (leg), 16% (arm), and 5% (chest). Pain in one area only last year was reported by 20%, followed by two (13%) and three areas (8%).Women were always more likely to report pain and they were also more likely to have had pain for longer periods. Lumbar and cervical pain peaked somewhat around the middle years but the curves were flatter for thoracic pain. Similar patterns were noted for radiating pain. Older people did not have pain in a larger number of areas but their pain lasted longer.ConclusionPain reported for and from the lumbar and cervical spines was found to be relatively common whereas pain in the thoracic spine and pain radiating into the chest was much less common. Women were, generally, more likely to report pain than men. The prevalence estimates changed surprisingly little over age and were certainly not more common in the oldest groups, although the pain was reported as more long-lasting in the older group.

[1]  C. Leboeuf‐Yde,et al.  The Prevalence of Low Back Pain in the Literature A Structured Review of 26 Nordic Studies From 1954 to 1993 , 1995, Spine.

[2]  K. Kyvik,et al.  At What Age Does Low Back Pain Become a Common Problem?: A Study of 29,424 Individuals Aged 12‐41 Years , 1998, Spine.

[3]  K. Christensen,et al.  Back and neck pain in seniors—prevalence and impact , 2006, European Spine Journal.

[4]  A. Croft.  Neck pain in the general population. , 1995, Spine.

[5]  A. Green,et al.  Concordance rates of insulin dependent diabetes mellitus: a population based study of young Danish twins , 1995, BMJ.

[6]  C. Hildingsson,et al.  The prevalence of neck pain , 2002, Acta orthopaedica Scandinavica.

[7]  K. Christensen,et al.  Back and Neck Pain Exhibit Many Common Features in Old Age: A Population-Based Study of 4,486 Danish Twins 70–102 Years of Age , 2004, Spine.

[8]  R. Helme,et al.  The epidemiology of pain in elderly people. , 2001, Clinics in geriatric medicine.

[9]  D Westerling,et al.  Pain from the Neck-Shoulder Region and Sick Leave , 1980, Scandinavian journal of social medicine.

[10]  S. Knardahl,et al.  Job characteristics as predictors of neck pain. A 4-year prospective study. , 1999, Journal of occupational and environmental medicine.

[11]  D. Isacson,et al.  Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain--a gender perspective. , 2003, European journal of pain.

[12]  A. Yashin,et al.  Mortality among twins after age 6: fetal origins hypothesis versus twin method , 1995, BMJ.

[13]  B. Natvig,et al.  [Musculoskeletal complaints in a population. Occurrence and localization]. , 1994, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[14]  S. Linton,et al.  Do epidemiological results replicate? The prevalence and health‐economic consequences of neck and back pain in the general population , 2000, European journal of pain.

[15]  J. Vaupel,et al.  The Danish Twin Registry: 127 Birth Cohorts of Twins , 2002, Twin Research.

[16]  I. Söderback,et al.  The actual state of the effects, treatment and incidence of disabling pain in a gender perspective-- a Swedish study. , 2000, Disability and rehabilitation.

[17]  K. Kyvik,et al.  The prevalence of neck pain in the world population: a systematic critical review of the literature , 2006, European Spine Journal.

[18]  P. Poulsen,et al.  Heritability of Type II (non-insulin-dependent) diabetes mellitus and abnormal glucose tolerance – a population-based twin study , 1999, Diabetologia.

[19]  G. Ejlertsson,et al.  Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. , 1993, The Clinical journal of pain.