|Cigarette smoking has deleterious effects on the musculo-skeletal system. The loss of bone mineral content and increased incidence of fractures are the best known negative consequences. The pathogenesis is complex, due to direct toxic effects on
osteoblasts/osteoclasts activity of nicotine, and indirect actions on sex and adrenocortical hormones, vitamin D, intestinal calcium absorption, vessels and oxygen supply. Smoking may favour the onset or aggravate the progression of rheumatoid arthritis and back pain. Negative influences have been observed on muscle and on tendons. Moreover, smoking habit is associated to a number of short term post-operative complications and higher resource consumption.
Smoking cessation is highly advisable with positive effects on the bone metabolism on the long term. More positive and immediate results can be obtained in patients submitted to orthopedic surgery: the healing process is improved, the frequency of complications is reduced, and the length of hospital stay is shortened.
Cigarette smoking and musculoskeletal disorders
Abate M., Vanni D., Pantalone A., Salini V.
Review Article, 63 - 69
Keywords: arthritis, muscle, nicotine, osteoporosis, smoking, tendon,
Table of Content: Vol. 3 (No. 2) 2013 April/June
Maffulli N., Oliva F., Frizziero AEditorial, 58 - 59
Saxena A., Louis M. St., Fournier M.Original Article, 60 - 62
Abate M., Vanni D., Pantalone A., Salini V.Review Article, 63 - 69
Gial Via A., De Cupis M., Spoliti M., Oliva F.Review Article, 70 - 79
Merolla G., Cerciello S., Paladini P., Porcellini G.Review Article, 80 - 90
Gregory B., Nyland J.Review Article, 91 - 100
Osti L., Soldati F., Del Buono A., Massari L.Review Article, 101 - 105
High power laser therapy treatment compared to simple segmental physical rehabilitation in whiplash injuries (1° and 2° grade of the Quebec Task Force classification) involving muscles and ligamentsConforti M., Facchinetti G.PReview Article, 106 - 111
Brancaccio P., Somma F., Provenzano F., Rastrelli L.Original Article, 112 - 115