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Low back pain may be caused by disturbed pain regulation: A cross-sectional study in low back pain patients using tender point examination by Ole Kudsk Jensen; Claus Vinther Nielsen; Kristian Stengaard-Pedersen is a Medicine article available to read on EtoBox.

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## Abstract __Background:__ Widespread pain has negative influence on outcome in low back pain (LBP) patients. Tender point (TP) examination is a standardized examination method to estimate diffuse tenderness. __Aims:__ To assess diffuse tenderness by means of a standardized TP examination and to analyse for associations between the number of TPs and spinal structural changes as well as psycho‐social factors. __Methods:__ Patients sick‐listed 3–16 weeks due to LBP with or without sciatica completed a questionnaire and went through a clinical low back examination and TP examination. Of 326 patients 111 had verified nerve root affection and 215 had non‐specific LBP with or without radiating pain. Disc height reductions were estimated on lateral X‐rays. __Results:__ Multivariate logistic regression analysis showed that more than 8 TPs were strongly negatively associated with disc degeneration (Odds Ratio (OR) 0.58 (0.40–84), 95% Confidence Interval (CI): 0.39–0.84, __p__ = 0.004) and verified nerve root affection (OR 0.15 (0.04–0.54), __p__ = 0.004) and were positively associated with number of years since first episode of LBP (OR 1.05, CI: 1.01–1.09, __p__ = 0.009). Furthermore, more

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Author
Ole Kudsk Jensen; Claus Vinther Nielsen; Kristian Stengaard-Pedersen
Publisher
Elsevier Science; Wiley (John Wiley & Sons); Wiley-Blackwell; Wiley; FASEB (ISSN 1090-3801)
Published
2010
Language
EN
Field
Medicine (Health Sciences)

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