Table 1.
Comparison of search trends between January 1, 2018, and December 31, 2020, for pain-related terms before and after the first officially confirmed COVID-19 case in in Europe, the United States, Brazil, Pakistan, India, and Indonesia (China was excluded from the data set owing to insufficient data).
| Pain type | Europe (P value) |
United States (P value) |
Brazil (P value) |
Pakistan (P value) |
India (P value) |
Indonesia (P value) |
Overall (P value) |
| Back pain | <.001a | .09 b | <.001a | .04a | <.001a | <.001a | <.001a |
| Abdominal pain | <.001a | <.001c | <.001a | .05a | <.001a | <.001a | <.001a |
| Breast pain | <.001a | .07 b | <.001a | .10 b | <.001a | <.001a | <.001a |
| Chest pain | <.001a | <.001a | <.001a | <.001a | <.001a | <.001a | <.001a |
| Dysmenorrhea | .15 b | .35 b | .09 b | .13 b | <.001a | .009c | .12 b |
| Dyspareunia | .12 b | <.001c | .31 b | .22 b | .20 b | .86b | .28 b |
| Ear pain | .01a | .84> b | .06 b | .01a | <.001a | .003a | <.001a |
| Epigastric pain | .45 b | .61 b | <.001a | .31 b | .11 b | N/Ad | <.001a |
| Groin pain | .64 b | <.001c | <.010a | .84 b | <.001a | .03c | .73 b |
| Eye pain | <.001a | .47 b | <.001a | .02a | .05a | .03c | <.001a |
| Headache | <.001a | <.001a | <.001a | .03a | <.001a | <.001a | <.001a |
| Knee pain | .43 b | <.001c | .42 b | .23 b | .04a | <.001a | .09 b |
| Low back pain | .01a | <.001c | <.001a | .06 b | .23 b | <.001c | .77 b |
| Odynophagia | <.001a | .45 b | <.001a | .05 b | .22 b | .40 b | .01a |
| Neck pain | <.001a | .44 b | .03a | .08 b | <.001a | <.001a | <.001a |
| Pelvic pain | .01a | <.001c | <.001a | .03a | <.001a | <.001a | <.001a |
| Shoulder pain | .01a | .40 b | <.001a | <.001a | <.001a | <.001a | <.001a |
| Sore throat | <.001a | .05a | <.001a | <.001a | <.001a | .23 b | <.001a |
| Testicular pain | .42 b | .16 b | .10 b | .45 b | <.001a | <.001a | <.001a |
| Toothache | <.001a | .31 b | <.001a | <.001a | <.001a | <.001a | <.001a |
| Wrist pain | .08 b | .94 b | .11 b | .77 b | <.001a | .04a | <.001a |
aRelevance of the pain-related search parameter increased significantly after the first confirmed COVID-19 case was reported.
bNo significant changes.
cRelevance of pain-related search parameter decreased significantly after the first confirmed COVID-19 case was reported.
dN/A: not applicable; no data available/inadequate number of cases.