Frequency of Back Pain in Knee Osteoarthritis Patients; A Cross Sectional Study

Frequency of Back Pain in Knee Osteoarthritis Patients


  • Nisha Fida University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Sana Batool University institute of physical therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Maham Javaid Aziz Fatimah Medical & Dental College, Faisalabad, Pakistan
  • Ashfaq Ahmad University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan



Back Pain, Osteoarthritis, Frequency, Cross Sectional Study


Osteoarthritis is one of the major prevalent types of arthritis and knee joint is mostly involved site in geriatric patients in which half of the old patients with ages more than 50 years. It was found that these management strategies were effective in the reduction of pain and disturbance of the function induced by chronic low back pain and osteoarthritis. Therefore, the current study seeks to analyze the frequency of backache mainly in the region of low back is associated with the patients having knee osteoarthritis. Objective: To analyze and investigate the relationship amid back pain and knee osteoarthritis (OA) in order to check frequency of backache in knee osteoarthritis patients. Methods: A self-made questionnaires were distributed among the random population of 500 individuals and categorized them according to age, gender, occupation, body mass index, residence, back pain history, severity of pain and pain persistence. SPSS was used to analyze the results. Results: In this cross-sectional study, Back pain was associated significantly with knee osteoarthritis patients such as 310 (62%) individuals claimed to have backache with knee osteoarthritis (OA) as well. Obesity was also related with backache with 219 individuals suffer from backpain from 281 members. 67 patients had severe pain, 77 patients had mild pain and 150 patients experienced moderate pain. Conclusion: Back pain was found more prevalent (62%) from total collected individuals suffering from knee osteoarthritis


Peat G, McCarney R, Croft P. Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Annals of the Rheumatic Diseases. 2001 Feb; 60(2): 91-7. doi: /10.1136/ard.60.2.91.

Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman BN, Aliabadi P, et al. The incidence and natural history of knee osteoarthritis in the elderly, the framingham osteoarthritis study. Arthritis & Rheumatology. 1995 Oct; 38(10): 1500-5. doi: 10.1002/art.1780381017.

Muraki S, Tanaka S, Yoshimura N. Epidemiology of knee osteoarthritis. OA Sports Medicine. 2013 Nov; 1(3): 21. doi: 10.13172/2053-2040-1-3-1116.

Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases. 2003 Dec; 62(12): 1145-55. doi: 10.1136/ard.2003.011742.

Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Annals of Internal Medicine. 2000 Oct; 133(8): 635-46. doi: 10.7326/0003-4819-133-8-200010170-00016.

Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian Journal of Internal Medicine. 2011 Mar; 2(2): 205-212.

Zhang Y and Jordan JM. Epidemiology of osteoarthritis. Clinics in Geriatric Medicine. 2010 Aug; 26(3): 355-69. doi: 10.1016/j.cger.2010.03.001.

Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases. 2014 Jun; 73(6): 968-74. doi: 10.1136/annrheumdis-2013-204428.

Suri P, Morgenroth DC, Kwoh CK, Bean JF, Kalichman L, Hunter DJ. Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative. Arthritis Care & Research. 2010 Dec; 62(12): 1715-23. doi: 10.1002/acr.20324.

May S. Self-management of chronic low back pain and osteoarthritis. Nature Reviews Rheumatology. 2010 Apr; 6(4): 199-209. doi: 10.1038/nrrheum.2010.26.

Ur‐Rehman S, Arshad M, Hussain I, Iqbal Z. Detection and seroprevalence of foot and mouth disease in sheep and goats in Punjab, Pakistan. Transboundary and Emerging Diseases. 2014 Aug; 61(S1): 25-30. doi: 10.1111/tbed.12194.

Wolfe F, Hawley DJ, Peloso PM, Wilson K, Anderson J. Back pain in osteoarthritis of the knee. Arthritis & Rheumatology. 1996 Oct; 9(5): 376-83. doi: 10.1002/1529-0131(199610)9:5<376::aid-anr1790090506>;2-1.

Hawker GA. Osteoarthritis is a serious disease. Clinical and Experimental Rheumatology. 2019 Sep; 37(120): S3-S6.

Karsdal M, Michaelis M, Ladel C, Siebuhr A, Bihlet A, Andersen J, et al. Disease-modifying treatments for osteoarthritis (DMOADs) of the knee and hip: lessons learned from failures and opportunities for the future. Osteoarthritis and Cartilage. 2016 Dec; 24(12): 2013-21. doi: 10.1016/j.joca.2016.07.017.

Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman AJA. Associations of radiological osteoarthritis of the hip and knee with locomotor disability in the Rotterdam Study. Annals of the Rheumatic Diseases. 1998 Apr; 57(4): 203-8. doi: 10.1136/ard.57.4.203.

Manchikanti L. Epidemiology of low back pain. Pain physician. 2000 Apr; 3(2): 167-92. doi: 10.36076/ppj.2000/3/167.

Zhang W, Doherty M, Peat G, Bierma-Zeinstra SM, Arden N, Bresnihan B, et al. EULAR evidence based recommendations for the diagnosis of knee osteoarthritis. Annals of the Rheumatic Diseases. 2010 Mar; 69(3): 483-9. doi: 10.1136/ard.2009.113100.

Lean M, Han T, Seidell J. Impairment of health and quality of life in people with large waist circumference. The Lancet. 1998 Mar; 351(9106): 853-6. doi: 10.1016/s0140-6736(97)10004-6.

Felson DT, Anderson JJ, Naimark A, Walker AM, Meenan RF. Obesity and Knee OsteoarthritisThe Framingham Study. Annals of Internal Medicine. 1988 Jul; 109(1): 18-24. doi: 10.7326/0003-4819-109-1-18.

McAlindon TE, Driban J, Henrotin Y, Hunter D, Jiang G-L, Skou ST, et al. OARSI clinical trials recommendations: design, conduct, and reporting of clinical trials for knee osteoarthritis. Osteoarthritis and Cartilage. 2015 May; 23(5): 747-60. doi: 10.1016/j.joca.2015.03.005.



DOI: 10.54393/tt.v3i02.47
Published: 2022-12-31

How to Cite

Fida, N. ., Batool, S. ., Javaid, M. ., & Ahmad, A. . (2022). Frequency of Back Pain in Knee Osteoarthritis Patients; A Cross Sectional Study: Frequency of Back Pain in Knee Osteoarthritis Patients. THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 3(02), 02–05.



Original Article

Most read articles by the same author(s)