Low back pain and urinary incontinence a hypothetical relationship

low back pain and urinary incontinence a hypothetical relationship

Background: Back problems and urinary incontinence (UI) have been Low back pain and urinary incontinence: a hypothetical relationship. Spine (Phila Pa ). May 15;19(10) Low back pain and urinary incontinence. A hypothetical relationship. Eisenstein SM(1), Engelbrecht DJ. Hypothesis. ▫ There is high prevalence of urinary incontinence symptoms in women with low back pain . Hypothetical Relationship. Spine 19()

These findings reinforce the importance of screening for these frequently coincident conditions. Urinary incontinence UI and back pain have significant costs to the individual and society.

low back pain and urinary incontinence a hypothetical relationship

Urinary incontinence was 1 of only 3 chronic conditions found to have a severe impact on health-related quality of life in both men and women, across all age groups.

The purpose of this exploratory research was to estimate the relationship between UI and back problems among Canadian adults.

Low back pain and urinary incontinence. A hypothetical relationship. - Semantic Scholar

The scope of the study expands on previous research by examining the relationship in both men and women while using a sample adequate to provide a representative view of the general Canadian population. Method Sample Person-level data were extracted from the and versions of Statistics Canada's Canadian Consumer Health Survey CCHSa cross-sectional survey of a representative sample of the Canadian population that collected information on health status, health care use, and health determinants.

To make reliable estimates for each region while avoiding sampling too many dwellings in smaller areas, a maximum of 1 in 20 households was surveyed. The survey uses a complex, 2-phase stratified sampling plan to ensure sufficient representation from all regions of the country.

low back pain and urinary incontinence a hypothetical relationship

For the — surveys, the overall response rate was For this project, respondents 25 years of age and older were included, as younger individuals were not surveyed regarding back problems and UI.

Demographic and health condition variables were selected based on their documented relationship to UI and availability in the survey.

Ethical approval for data collection was obtained by Statistics Canada Government of Canada. Data were extracted from the database and analyzed by a statistician through the British Columbia Inter-university and University of Saskatchewan Research Data Centres.

These variables included age, body mass index BMIand smoking history. These groups facilitate data interpretation. Body mass index was calculated based on self-reported heights and weights in those aged 25 to 64 years, excluding pregnant women.

The BMI values also were grouped for the analyses: Smoking history was categorized as current smoker, former smoker, or never smoked. Respondents with missing data were excluded from the analyses and missing responses were considered to be missing at random.

Patients with spinal or urinary infection, tumour spinal or otherscauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study. Age and weight of all patients were determined.

All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery.

low back pain and urinary incontinence a hypothetical relationship

Student t-test and Mann-Whitney-U tests were used for statistical significance. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.

Urinary incontinence, low back pain, radiculopathy, urge incontinence, stress incontinence Introduction Urinary incontinence UI is a common dysfunction, affecting especially women of all ages. The terminology of Low Back Pain and Radiculopathy may be misused interchangeably with each other.

The terminology needs to be enlightened. Low Back Pain LBP ; seems complicated and many individual, psychosocial and workplace associated factors may play a part [ 1 - 3 ]. LBP refers to a more wide description of pain patients feel on the dorsal aspect of the vertebral bodies which may be due to nerve involvement or simply dorsal muscle contractions.

The Association between Urinary Incontinence and Low Back Pain and Radiculopathy in Women

A recently published systematic review of prospective cohort studies found that distress, depressive mood and somatization are associated with an increased risk of chronic LBP [ 1 - 35 ]. Radiculopathy RP ; covers a more specific clinical picture describing a problem in which one or more nerves are affected and do not work properly, thus showing signs such as ischiatic pain or claudication.

low back pain and urinary incontinence a hypothetical relationship

The most common symptom of radicular pain is sciatica pain that radiates along the sciatic nerve; down the back of the thigh and calf into the foot. The nature of the patients pains its quality, intensity, location and profile over time is an important guide in the evaluation.

Low back pain and urinary incontinence. A hypothetical relationship.

A careful but directed physical examination is necessary for the clinical evaluation of patients with lumbar spine disease. Evaluation of the patient involves; inspection of the back and legs, palpation and observation. A careful neurological evaluation, examination of strength, deep tendon reflexes, sensation and muscular function is necessary. The most commonly involved nerve roots are L3, L4, L5 and S1.

Low back pain and urinary incontinence. A hypothetical relationship.

Lesions of each produce distinct symptoms and other conditions can mimic the radiculopathies. The specific investigation is necessary for an accurate diagnosis. Likewise, incontinence also covers a wide range of underlying pathology, all of which results in involuntary loss of urine. To appreciate the association between incontinence and LBP as well as RP, the types of incontinence that are relevant should also be established.

Risk factors for incontinence include multiparity and infection of the lower urinary tract, older age, obesity, previous surgery for incontinence and neurologic disorders [ 26 - 9 ].

The Secret Reason You Constantly Have to Pee

A useful framework for considering continence problems is to view them as being associated with either the urethra or the bladder. In the urethra, there can be a decrease in outlet resistance associated with urethral hypermobility, as occurs in stress urinary incontinence or a functional failure at the bladder neck-proximal urethra, which underlies intrinsic sphincter deficiency.

Bladder problems most often resulting in incontinence include detrusor overactivity or poor bladder compliance [ 110 - 13 ]. Spinal cord injury and any neurologic lesion are potential causes of severe incontinence.