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 journalArticle

1 Citation (Scopus)

Abstract

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
JournalDISABILITY AND REHABILITATION
Volume32
Issue number22
DOIs
Publication statusPublished - Feb 2010

Keywords

  • Low back pain
  • ileostomy
  • colostomy
  • stoma

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