Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review

Background: Low back pain (LBP) is an emerging disease. This review aims to investigate the role of gender-related factors in the diagnosis, clinical, and surgical management of LBP. Methods: From January 2002 to March 2023, EMBASE, SCOPUS, OVID-MEDLINE, Google Scholar, PubMed, and Web of Science we...

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Published in:Clinics and practice 2023-10, Vol.13 (6), p.1360-1368
Main Authors: Bizzoca, Davide, Solarino, Giuseppe, Pulcrano, Alessandro, Brunetti, Giovanni, Moretti, Anna Maria, Moretti, Lorenzo, Piazzolla, Andrea, Moretti, Biagio
Format: Article
Language:English
Subjects:
Age
Back pain
Biomechanics
degenerative disc disease
Disease
Endometriosis
Females
Gender differences
low-back pain
lumbar intervertebral disc herniation
Menstruation
Pregnancy
Sociocultural factors
spinal stenosis
spine degenerative diseases
spondylolisthesis
Stress
Womens health
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Summary:Background: Low back pain (LBP) is an emerging disease. This review aims to investigate the role of gender-related factors in the diagnosis, clinical, and surgical management of LBP. Methods: From January 2002 to March 2023, EMBASE, SCOPUS, OVID-MEDLINE, Google Scholar, PubMed, and Web of Science were searched to identify relevant papers for further analysis. Results: Fifteen papers were included in this review. Sex- and gender-related differences were analyzed regarding the following points: (1) LBP epidemiology; (2) LBP physiopathology; (3) conservative management of LBP; (4) major vertebral surgery for LBP. The conservative treatment of LBP highlights that women claim services later in terms of poorer health status than men. In the postoperative phase, female patients show worse LBP, quality of life, and disability, but equal or greater interval change, compared with male patients complaining of lumbar degenerative disease. Conclusions: LBP epidemiology and clinical outcomes, following conservative and surgical management of patients complaining of back pain, might depend on both sex- and gender-related factors. It is mandatory to assess gender-related indicators in patients referred to LBP and address them to improve their clinical outcomes and quality of life.
ISSN:2039-7283
2039-7275
2039-7283
DOI:10.3390/clinpract13060122