Do people with an ileostomy have a different back pain experience to those with a colostomy A postal survey in Northern Ireland

Iseult Wilson, Daniel Paul Kerr, Sheila Lennon

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Background. The abdominal muscles play a vital role in lumbar stability. The stoma surgery creates a permanent flaw in the abdominal wall and this may increase the risk of low back pain for people with a stoma. Purpose. To determine whether there was a difference in back pain experience between the two stoma groups: ileostomy and colostomy. Method. A postal questionnaire sent to people in Northern Ireland with an ileostomy or colostomy. Results. Over half (56.7%, n¼417) had back pain in the last 6 months and the primary perceived cause was the stoma surgery. There was a statistically significant deterioration in functional activities in those with back pain when ‘today’ was compared with ‘before surgery’. Those with a colostomy had generally poorer outcomes in respect of pain and disability, than those with an ileostomy. Conclusion. Low back pain in people with a stoma is a real and complex issue, especially as there are significant differences between those with an ileostomy when compared with people with a colostomy. Many factors are likely to contribute to a person developing low back pain, not least, the underlying reason for the surgery and the surgical procedure itself.
Original languageEnglish
Pages (from-to)1847-1854
Issue number22
Publication statusPublished (in print/issue) - Feb 2010

Bibliographical note

Reference text: 1. McGill SM, Grenier S, Kavcic N, Cholewicki J. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol 2003;13:353–359.
2. Kavcic N, Grenier S, McGill SM. Determining the stabilizing role of individual torso muscles during rehabilitation exercises. Spine 2004;29:1254–1265.
3. Panjabi MM. The stabilizing system of the spine. II. Neutral zone and instability hypothesis. J Spinal Disord 1992;5:390– 397.
4. Wilson IM, Kerr DP, Lennon S. Low back pain in people with a stoma: a postal survey. Disabil Rehabil 2009;31:1937–1942. Back pain: ileostomy and colostomy 1853
Disabil Rehabil Downloaded from by Swets Information Services on 10/14/10 For personal use only.
5. Wilson IM, Stevenson M, Kerr DP, Lennon S. Validating a questionnaire: low back pain in people with a stoma. 2010 (Unpublished work, submitted for peer
6. Hillman M, Wright A, Rajaratnam G, Tennant A, Chamberlain MA. Prevalence of low back pain in the community: implications for service provision in Bradford, UK. J Epidemiol Community Health 1996;50:347–352.
7. Denison E, Asenlof P, Sandborgh M, Lindberg P. Musculoskeletal pain in primary health care: subgroups based on pain intensity, disability, self-efficacy, and fear-avoidance variables. J Pain 2007;8:67–74.
8. Picavet HSJ, Schouten JSAG. Musculoskeletal pain in the netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain 2003;102:167–178.
9. Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther 1999;4:74–86.
10. Ferreira PH, Ferreira ML, Hodges PW. Changes in recruitment of the abdominal muscles in people with low back pain. Spine 2004;29:2560–2566.
11. Aspiroz F, Dapoigny M, Pace F, Mu¨ ller-Lissner S, Coremans G, Whorwell P, Stockbru¨ gger R, Smout A. Nongastrointestinal disorders in the oritbale bowel syndrome. Digestion 2000; 62:66–72.
12. Lewit K, Olsanska S. Clinical importance of active scars: abnormal scars as a cause of myofascial pain. J Manipulative Physiol Ther 2004;27:399–402.
13. Kobesova A, Morris CE, Lewit K, Safarova M. Twenty-yearold pathogenic ‘‘Active’’ postsurgical scar: a case study of a patient with persistent right lower quadrant pain. J Manipulative Physiol Ther 2007;30:234–238.
14. Valouchova´ P, Lewit K. Surface electromyography of abdominal and back muscles in patients with active scars. J Bodywork Movement Ther 2009;13:262-267.
15. Ogboli MIMRCP, Ilchyshyn AFRCP, Walker RSFRCA, Snead DMRCP. Glomus tumor as a cause of chronic low back pain: case report. Spine 2003;28:E146–E147.
16. Ross MD, Bayer E. Cancer as a cause of low back pain in a patient seen in a direct access physical therapy setting. J Orthop Sports Phys Ther 2005;35:651–658.
17. Davis MA, Bove GM. A case of pheochromocytoma presenting as low back pain. J Manipulative Physiol Ther 2007;30: 598–601.
18. Weiss DJ, Conliffe T, Tata N. Low back pain caused by a duodenal ulcer. Arch Phys Med Rehabil 1998;79:1137–1139.
19. Troyer MR. Differential diagnosis of endometriosis in a young adult woman with nonspecific low back pain. Phys Ther 2007;87:801–810. 1854


  • Low back pain
  • ileostomy
  • colostomy
  • stoma


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