An Unusual Cause of Low Back Pain: Uterine Conditions
American Journal of Clinical and Experimental Medicine
Volume 3, Issue 6, November 2015, Pages: 335-337
Received: Nov. 12, 2015;
Accepted: Nov. 25, 2015;
Published: Dec. 7, 2015
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Yunus Durmaz, Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Mehmet Akif Inan Training and Research Hospital, Sanlıurfa, Turkey
Ilker Ilhanli, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Giresun, Giresun, Turkey
Kıvanc Cengiz, Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Sivas Numune Hospital, Sivas, Turkey
Murat Gul, Department of Statistics, Faculty of Science, University of Giresun, Giresun, Turkey
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The etiology of low back pain is often thought to include musculoskeletal disorders, such as lomber disc herniation or strain.Less commonly, low back pain is thought to refer from viscera.Sources of pain referred to the low back in females include uterine conditions.We aimed to investigate the female population of a rheumatology clinic to define the rate of uterine conditions that a rheumatologist can meet, and explore the possible association between uterine conditions and low back pain. Clinical data and imaging findings of 320 female patients who admitted to rheumatology clinic with the complaint of low back painwere retrospectively reviewed. Uterine myoma was detected in 20 patients (6,25%), and uterus retroversion was detected in only 3 patients (0,93%). Any reason of low back pain, except uterine myoma could be found in 4 of 20 patients.Patients did not meet the criterias for any of the inflammatory or mechanical causes of low back pain including fibromyalgia syndrome, and their sedimentation and CRP rates were normal, too.Low back pain which was explained by uterine anomaly rate was 2,18%.All 7 patients with uterine anomaly were complaining of low back pain with mechanical characteristics. Uterine myoma and uterus retroversion should be kept in mind by the physicians who meet with female patients at premenopausal ages suffering from low back pain after excluding the common causes of this condition.
Uterine Myoma, Uterus Retroversion, Low Back Pain
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An Unusual Cause of Low Back Pain: Uterine Conditions, American Journal of Clinical and Experimental Medicine.
Vol. 3, No. 6,
2015, pp. 335-337.
Copyright © 2015 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Andersson GB. Epidemiological features of chronic low-back pain. Lancet 1999; 354: 581-585.
Gatterman MI. Chiropractic management of spine related disorders. Philadephia: Williams & Wilkins; 1990.
Collins RD. Algorithmic diagnosis of symptoms and signs. Philadelphia: Lippincott Williams & Wilkins; 2003.
Watkins CT, Tao C, Yochum TR. Renal cell carcinoma in a 44-year-old man: an etiology for low back pain. J Manipulative Physiol Ther 2009; 32(7):597-600.
Fielding JWL, Black J, Ashton F. Diagnosis and management of 528 abdominal aortic aneurysms. BMJ 1981; 283(6287):355-9.
Baxi SC. Low back pain resulting from Paget disease of bone in a patient with known prostate cancer: case report and review of the literature. Endocrinologist 2005; 15(6):384-90.
Johnson Jr TL. Abdominal and back pain in a 65-year-old patient with metastatic prostate cancer. Journal of Chiropractic Medicine 2010; 9(1):11-6.
Onu DO, Fiorentiono LM, Bunting MW. Cotyledonoid dissecting leiomyoma as a possiblecause of chronic lower back pain. BMJ Case Rep 2013. doi: 10.1136/bcr-2013-201350.
Knight RJ, Birkinshaw R. An unusual cause of lower back pain: uterus didelphys and unilateral cervical atresia. Int J Clin Pract Suppl 2005; (147):125-7.
Bodack MP, Cole JC, Nagler W. Sciatic neuropathy secondary to a uterine fibroid: a case report. Am J Phys Med Rehabil 1999; 78(2):157-9.
Deathe AB. Hematometra as a cause of lumbar radiculopathy. A case report. Spine (Phila Pa 1976) 1993; 18(13):1920-1.
Al-Jefout M, Dezarnaulds G, Cooper M, Tokushige N, Luscombe GM, Markham R, et al. Diagnosis of endometriosis by detection of nerve fibres in an endometrial biopsy: a double blind study. Hum Reprod 2009; 24(12):3019-24.
Yeniel O, Cirpan T, Ulukus M, Ozbal A, Gundem G, Ozsener S, et al. Adenomyosis: prevalence, risk factors, symptoms and clinical findings. Clin Exp Obstet Gynecol 2007; 34(3): 163-7.
Stones RW. Myomas. In: Stones RW(ed). Expert reviews on current research. Health Press: 2003: 42-50.
ButtramVC, Reiter RC. Uterin leiomyomata: etiology, symtomatology and management. Fertil Steril 1981; 36: 433-45.
Porpora MG, Gomel V. The role of laparoscopy in the management of reproductive age. Fertil Sterile 1997; 68: 765-79.
Fauconnier A, Dubuisson JB, Foulot H, Deyrolles C, Sarrot F, Laveyssière MN, Jansé-Marec J, Bréart G.Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in an unselected population of women. Eur J Obstet Gynecol Reprod Biol 2006; 127(2): 252-6.
Jensen AM, Bewketu B, Sanford D. Intermittent low back pain referred from a uterine adenomyosis: a case report. Journal of Chiropractic Medicine 2011; 10: 64-9.
Arendt-Nielsen L, Svensson P. Referred muscle pain: basic and clinical findings. Clin J Pain 2001; 17(1): 11-9.
Cervero F, Laird JMA. Visceral pain. Lancet 1999; 353(9170): 2145-8.
Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain 2009; 147(1-3): 17-9.