Neck pain and related factors in patients with rheumatoid arthritis

ABSTRACT Objectives In rheumatoid arthritis, neck pain can be caused by inflammatory reactions or cervical lesions, but the prevalence and associated factors have not been well studied. This study aimed to investigate the prevalence of neck pain in patients with rheumatoid arthritis and elucidate th...

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Bibliographic Details
Published in:Modern rheumatology 2023-04, Vol.33 (3), p.503-508
Main Authors: Suzuki, Akinobu, Yamada, Kentaro, Yabu, Akito, Tamai, Koji, Takahashi, Shinji, Inui, Kentaro, Okano, Tadashi, Koike, Tatsuya, Nakamura, Hiroaki
Format: Article
Language:English
Subjects:
Activities of Daily Living
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - pathology
Atlanto-Axial Joint - pathology
Cervical Vertebrae - diagnostic imaging
Humans
Neck Pain - diagnostic imaging
Neck Pain - epidemiology
Neck Pain - etiology
Quality of Life
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Summary:ABSTRACT Objectives In rheumatoid arthritis, neck pain can be caused by inflammatory reactions or cervical lesions, but the prevalence and associated factors have not been well studied. This study aimed to investigate the prevalence of neck pain in patients with rheumatoid arthritis and elucidate the related factors. Methods This study included 146 patients with rheumatoid arthritis. Neck pain, quality of life, and levels of anxiety and depression were evaluated using a questionnaire. Cervical lesions and spinal alignment were evaluated using plain radiograph and magnetic resonance imaging. Factors associated with neck pain were analysed using a logistic regression model. Results Fifty-six per cent of the patients had neck pain, and the quality of life scores were significantly worse in these patients. Multivariate analysis revealed age, C7 sagittal vertical axis, upper cervical lesion, and endplate erosion as factors associated with neck pain in patients with rheumatoid arthritis. Conclusions More than half the patients with rheumatoid arthritis suffer from neck pain, and neck pain affects the quality of life and activities of daily living. Neck pain was associated with upper cervical lesion and endplate erosion suggesting the importance of radiological examination in patients with rheumatoid arthritis and neck pain.
ISSN:1439-7595
1439-7609
DOI:10.1093/mr/roac049