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 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, n417) 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
    Number of pages8
    JournalDisability and Rehabilitation
    Volume32
    Issue number22
    DOIs
    Publication statusPublished - 2010

    Keywords

    • colostomy
    • ileostomy
    • Low back pain
    • stoma

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