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„Nowe” czynniki predykcyjne nieswoistych bólów kręgosłupa

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Citko A. , Owsieniuk I.

nr 03

33-38

Spinal pain is one of the most common ailments of the spine and constitutes one of the most com¬mon reasons why patients report to a family physician. Approx. 90% of the cases concern so-called non-specific spinal pain which is caused by a mechanical factor. The importance of various predictive factors, for instance, being overweight or obese, a sedentary lifestyle or being genetically predisposed is still being discussed. Atten¬tion is also drawn to risk factors related to work requiring carrying heavy objects, remaining in an unnatural, forced body position as well as turning frequently. English-speaking sources report the possibility of “new” pre¬dictive factors of non-specific spinal pain. Non-specific spinal pain is suggested to be related to hyperlipidemia, arterial hypertension, diabetes, urogenital system diseases, gastroenterological diseases and allergies. Both lipidemia - as one of the atherosclerosis-development factors - and diabetes may be strictly related to early disc degeneration. Lipid-lowering agents and hypotension medicines may contribute to the occurrence of non-specific spinal pain. Patients with diagnosed facet joints osteoarthrosis are presumed to significantly more frequently suffer from gastroenterologic comorbidities, such as: gastritis, colonic diverticulosis, hiatal hernia. Non-specific spinal pain may be associated with benign prostatic hyperplasia, urinary incontinence or nephrolithiasis. The re¬lation between allergies and non-specific spinal pain is confirmed in the hypothesis of Joseph Miller, an allergist. Therefore, a doctor needs to approach patients suffering from non-specific spinal pain holistically, taking into consideration not only work-related factors but also the specific elements of their lifestyle and comorbidities not related to the spine. Patients’ awareness should be raised regarding the possible relationship between non-spe¬cific spinal pain and cardiovascular diseases.