Low back pain and osteoarthritis pain: a perspective of estrogen

Author:

Pang Huiwen,Chen Shihui,Klyne David M.ORCID,Harrich David,Ding Wenyuan,Yang SidongORCID,Han Felicity Y.ORCID

Abstract

AbstractLow back pain (LBP) is the world’s leading cause of disability and is increasing in prevalence more rapidly than any other pain condition. Intervertebral disc (IVD) degeneration and facet joint osteoarthritis (FJOA) are two common causes of LBP, and both occur more frequently in elderly women than in other populations. Moreover, osteoarthritis (OA) and OA pain, regardless of the joint, are experienced by up to twice as many women as men, and this difference is amplified during menopause. Changes in estrogen may be an important contributor to these pain states. Receptors for estrogen have been found within IVD tissue and nearby joints, highlighting the potential roles of estrogen within and surrounding the IVDs and joints. In addition, estrogen supplementation has been shown to be effective at ameliorating IVD degeneration and OA progression, indicating its potential use as a therapeutic agent for people with LBP and OA pain. This review comprehensively examines the relationship between estrogen and these pain conditions by summarizing recent preclinical and clinical findings. The potential molecular mechanisms by which estrogen may relieve LBP associated with IVD degeneration and FJOA and OA pain are discussed.

Funder

Australian Centre for HIV and Hepatitis Virology Research

China Scholarship Council

Department of Health | National Health and Medical Research Council

National Natural Science Foundation of China

Natural Science Foundation of Hebei Province

Assistant Secretary of Defense for Health Affairs endorsed by the US Department of Defense

Publisher

Springer Science and Business Media LLC

Subject

Physiology,Histology,Endocrinology, Diabetes and Metabolism

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