Musculoskeletal pain in Primary Care Physiotherapy: Associations with demographic and general health characteristics

Abstract Background Many patients reporting musculoskeletal pain present to Primary Care Physiotherapy with costly comorbid overlapping complaints that remain medically unexplained. These subjective health complaints (SHC) incorporate coexisting multi-site musculoskeletal pain and varied non-musculo...

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Bibliographic Details
Published in:Musculoskeletal science & practice 2018-06, Vol.35, p.61-66
Main Authors: Kennedy, Patrick C, Purtill, Helen, O'Sullivan, Kieran
Format: Article
Language:English
Subjects:
Adult
Aged
Chronic Pain - diagnosis
Chronic Pain - epidemiology
Chronic Pain - rehabilitation
Cross-Sectional Studies
Disability
Disability Evaluation
Female
Health Care Surveys
Health Status Indicators
Humans
Incidence
Male
Middle Aged
Musculoskeletal pain
Musculoskeletal Pain - diagnosis
Musculoskeletal Pain - epidemiology
Musculoskeletal Pain - psychology
Musculoskeletal Pain - rehabilitation
Pain Management - methods
Physical Medicine and Rehabilitation
Physical Therapy Modalities
Primary Health Care - methods
Prognosis
Risk Assessment
Subjective health complaints
Treatment Outcome
United States
Young Adult
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Summary:Abstract Background Many patients reporting musculoskeletal pain present to Primary Care Physiotherapy with costly comorbid overlapping complaints that remain medically unexplained. These subjective health complaints (SHC) incorporate coexisting multi-site musculoskeletal pain and varied non-musculoskeletal complaints (e.g. anxiety, tiredness). The role of these non-musculoskeletal complaints is acknowledged in spinal musculoskeletal disorders, but less so for peripheral musculoskeletal disorders. Objective This cross-sectional study explored the relationships between self-reported musculoskeletal pain sites, non-musculoskeletal complaints and disability among people reporting spinal or peripheral musculoskeletal pain. Methods Fifty individuals with spinal musculoskeletal pain and fifty with peripheral musculoskeletal pain provided data on disability, number of musculoskeletal pain sites and non-musculoskeletal complaints. Relationships between these variables were examined for each group using Pearson's correlation coefficient and linear regression analysis. Results Participants with spinal musculoskeletal pain recorded significantly more pain sites and non-musculoskeletal complaints than participants with peripheral musculoskeletal pain. However, there was no significant difference in disability between the groups. Non-musculoskeletal complaints were significantly associated with disability (correlation = 0.41, p 
ISSN:2468-7812
2468-7812
DOI:10.1016/j.msksp.2018.03.001