Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2018; 85(3):216-218 | DOI: 10.55095/achot2018/035

Causal Relation of Psychical Stress to Acute Back PainOriginal papers

L. HAJNOVIC^1,*, S. KNÖLLER², L. SCHÜTZ¹

¹ Klinikum Chemnitz, Klinik für Orthopädie, Hand- und Unfallchirurgie, Germany

² Helios Klinikum Breisach, Germany

PURPOSE OF THE STUDY:
There s a known relation between the chronical back-pain-syndrome and psychical problems. We suppose a direct causality between acute stress and onset of the backpain syndrome.

MATERIAL AND METHODS:
A prospective cohort-study (IV/2014 - VIII/2014) of patients who came to our emergency department with acute back-pain-syndrome, with no relevant previous history - such as operations or chronic pain. We questioned together 39 patients (19 female and 20 male). The patients filled in two charts: FW7, and also a modified HADS-D. In the later one the patients were questioned in two extra points regarding contingent excessive emotional or existential problems in their brief history. The Pain-Severity-Score was assessed as well.

RESULTS:
Combined together, relevant score-results and / or anamnesis of excessive emotional or existential problem was found in 79.5% (SD 0.4%) of the whole cohort.

CONCLUSIONS:
This could have implications for guidelines, introducing the psychotherapy-first into the concepts.

Keywords: stress; well-being; depression; back-pain-syndrome

Published: June 1, 2018  Show citation