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PainDetect questionnaire

Lakshmi Vas, Renuka Pai
Context: Existing interventions for postmastectomy pain syndrome (PMPS) address the neural component while overlooking a possible myofascial component. Aim: The aim of the study is to investigate the myofascial contribution to PMPS, by examining the effectiveness of myofascial trigger point release by ultrasound-guided dry needling (USGDN). Patients and Methods: This retrospective review assessed the efficacy of USGDN in addressing myofascial pain in twenty consecutive patients with treatment-refractory PMPS...
January 2019: Indian Journal of Palliative Care
Katie de Luca, Arnold Wong, Andreas Eklund, Matthew Fernandez, Julie Ellen Byles, Lynne Parkinson, Manuela Loureiro Ferreira, Jan Hartvigsen
Background: Musculoskeletal pain frequently occurs in more than one body region, with up to 80% of adults reporting more than one joint pain site in the last 12 months. Older people and females are known to be more susceptible to multiple joint pain sites, however the association of multisite joint pain with physical and psychosocial functions in this population are unknown. Methods: Cross-sectional data from 579 women were analyzed. Women were asked "Which of your joints have been troublesome on most days of the past month?" Pain qualities were measured using the McGill Pain Questionnaire (Short Form) and PainDETECT, and health was assessed using the SF-36 and sociodemographic variables...
2019: Chiropractic & Manual Therapies
James Richard Alexander Smith, John Abraham Mathews, Lindsay Osborne, Zoe Bakewell, James Leigh Williams
AIMS: Despite kneeling being an important and valued function of the knee, a proportion of patients are unable to kneel following arthroplasty. We explore the reasons for this, and assess whether neuropathic pain is a contributing factor. METHODS: In this observational study, data was collected prospectively for 134 knees. At one year follow-up, patients completed a semi-structured questionnaire, the Oxford Knee Score (OKS), and the painDETECT score. Ability to kneel was assessed by question 7 of the OKS...
February 13, 2019: Knee
Jaakko Maatta, Antti Martikainen, Maarit Pakarinen, Tiina-Mari Ikaheimo, Mette Nissen, Mikael von Und Zu Fraunberg, Heimo Viinamaki, Jukka Huttunen
BACKGROUND: Spinal cord stimulation (SCS) relieves pain by delivering doses of electric current to the dorsal column of the spinal cord and has been found to be most effective in the treatment of neuropathic pain. Psychological distress is a significant risk factor for the development of chronic pain and has been found to affect the outcome of SCS. Childhood trauma is a risk factor for chronic pain, but has not previously been studied in SCS patients. OBJECTIVES: The objective of this prospective registry-based study was to investigate the prevalence of 5 domains of childhood trauma (emotional neglect, emotional abuse, physical neglect, physical abuse, and sexual abuse) and their relationship with the outcome of spinal cord stimulation on patients suffering from treatment-resistant chronic pain...
January 2019: Pain Physician
Anushka Soni, Irene Tracey
Thank you very much for the opportunity to reply to the letter from Havsik et al. We are grateful to them for sharing their opinions on the PainDETECT questionnaire and welcome the opportunity to further highlight the advantages and disadvantages of the different tools available for investigating pain characteristics and mechanisms in patients with musculoskeletal disease. This article is protected by copyright. All rights reserved.
January 21, 2019: Arthritis & Rheumatology
Ian Kudel, Markay Hopps, Joseph C Cappelleri, Alesia Sadosky, Kristen King-Concialdi, Ryan Liebert, Bruce Parsons, Patrick Hlavacek, Andrea H Alexander, Marco D DiBonaventura, John D Markman, John T Farrar, Brett R Stacey
Background: The aim of this study was to identify the clinical characteristics, treatment usage, and health outcomes of US adults diagnosed with neuropathic pain (NeP) by experienced physicians. Methods: Adults with scores exceeding the threshold for probable NeP (painDETECT ≥19) and diagnosed with NeP by a qualified physician completed a questionnaire that included comorbid conditions, pain symptoms and experiences, medication use, health status (3-level EuroQol 5 Dimensions (EQ-5D-3L]: health utilities index and visual analog scale), pain severity and interference with functioning (Brief Pain Inventory), and work and activity impairment (Work Productivity and Activity Impairment questionnaire)...
2019: Journal of Pain Research
Teresa Martins Rocha, Sofia Pimenta, Alexandra Bernardo, Miguel Bernardes, Margarida Barbosa, Raquel Lucas, Jan Vollert, Lúcia Costa, Christoph Maier
INTRODUCTION: Features suggestive of neuropathic pain (NP) have been described in RA in addition to nociceptive pain. We aimed to determine the clinical predictors of NP in RA patients and study its association with radiographic structural damage. METHODS: Cross-sectional study was performed with RA patients followed at our Rheumatology department. Patients with diagnosed neuropathy of other origin, non-RA related risk factors for NP (e.g. diabetes mellitus) or fibromyalgia according to expert opinion were excluded...
October 2018: Acta Reumatológica Portuguesa
Jennifer S Gewandter, Maria E Frazer, Xueya Cai, Valerie F Chiodo, Shirley A Rast, Michelle Dugan, Hudson A Carter, Redi Rahmani, Jonathan J Stone, John D Markman
Persistent pain after lumbar surgery (failed back surgery syndrome (FBSS)) remains a leading indication for chronic analgesia. However, no analgesics have proven efficacious for this condition. Although trials have evaluated gabapentinoids for chronic low back pain, none of these trials focused solely on FBSS. This randomized, double-blind cross-over trial evaluated the efficacy of gabapentin (1800mg/day) for FBSS. Eligible patients had a diagnosis of FBBS, an average daily pain score of at least 4 out of 10, a neuropathic pain component (indicated by the PainDetect), and reported at least half of their pain radiating in their lower extremity...
January 7, 2019: Pain
Turhan Kahraman, Asiye Tuba Özdoğar, Özge Ertekin, Serkan Özakbaş
BACKGROUND: Although there is accumulating evidence on neuropathic pain in persons with multiple sclerosis (pwMS), little is known about musculoskeletal pain. The aim was to examine the frequency, type, distribution of pain and related factors in pwMS. METHODS: This cross-sectional study included 223 pwMS. The Nordic Musculoskeletal Questionnaire and painDETECT Questionnaire were used to assess pain. Depression, fatigue, sleepiness, and health-related quality of life were assessed...
January 3, 2019: Multiple Sclerosis and related Disorders
Kazumasa Maeda, Motoki Sonohata, Masaru Kitajima, Shunsuke Kawano, Masaaki Mawatari
Purpose: Pain caused by osteoarthritis is primarily nociceptive pain; however, it is considered that a component of this pain is due to neuropathic pain (NP). We investigated the effects of total hip arthroplasty (THA) in patients with NP diagnosed by the PainDETECT questionnaire. Materials and Methods: One hundred sixty-three hips (161 patients) were evaluated. All patients were asked to complete the PainDETECT questionnaire based on their experience with NP, and clinical scores were evaluated using the Japanese Orthopaedic Association (JOA) Hip Score before and after THA...
December 2018: Hip & Pelvis
Predrag Ostojic, Sladjana Knezevic-Apostolski, Nada Djurovic, Biljana Stojic, Katarina Jankovic, Daniela Bartolovic
OBJECTIVE: To analyze neurological and electroneurography (ENG) findings in patients with systemic sclerosis (SSc) and symptoms of neuropathic pain in upper and lower extremities. PATIENTS AND METHODS: Using the PainDetect questionnaire, 42 consecutive patients with SSc (38 women and 4 men) were screened for the presence of neuropathic pain in upper and/or lower extremities. Patients with previously diagnosed diabetes or other metabolic diseases, malignancy, other autoimmune disorders, or any neurological or psychiatric disease, were not included...
November 21, 2018: Acta Neurologica Belgica
Daniyal J Jafree, Joanna M Zakrzewska, Saumya Bhatia, Carolina Venda Nova
BACKGROUND: Better tools are required for the earlier identification and management of orofacial pain with different aetiologies. The painDETECT questionnaire is a patient-completed screening tool with utility for identification of neuropathic pain in a range of contexts. 254 patients, referred from primary care for management of orofacial pain and attending a secondary care centre, were prospectively recruited, and completed the painDETECT prior to consultation. The aim of this study was to determine the accuracy of the painDETECT to detect neuropathic components of orofacial pain, when compared to a reference standard of clinical diagnosis by experienced physicians, in a cohort of hospital-based patients...
November 6, 2018: Journal of Headache and Pain
Theresa Wodehouse, Kavita Poply, Shankar Ramaswamy, Saowarat Snidvongs, Julius Bourke, Hasan Tahir, Kristin Ullrich, Vivek Mehta
Background: Fibromyalgia is a chronic musculoskeletal pain condition that is often associated with sleep disturbances and fatigue. The pathophysiology of fibromyalgia is not understood, but indirect evidence suggests a central dysfunction of the nociceptive modulating system. The aim of this study was to evaluate whether quantitative sensory testing detects a change in pain thresholds in fibromyalgia patient receiving pregabalin treatment. Methods: A total of 25 patients were recruited for the study and received routine pregabalin, but only 14 patients completed the treatment...
November 2018: British Journal of Pain
Anushka Soni, Vishvarani Wanigasekera, Melvin Mezue, Cyrus Cooper, Muhammad K Javaid, Andrew J Price, Irene Tracey
OBJECTIVES: The neural mechanisms of pain in knee OA are not fully understood: some patients have neuropathic-like pain, associated with central sensitisation. We aimed to identify central sensitisation using neuroimaging and PainDETECT, and relate it to post-arthroplasty outcome. METHODS: Patients awaiting arthroplasty underwent quantitative sensory testing, psychological assessment and functional neuroimaging (fMRI). fMRI was conducted during punctate (n=24) and cold pain stimulation (n=20) to the affected knee...
October 8, 2018: Arthritis & Rheumatology
Ulderico Freo, Maurizio Furnari, Carlo Ori
Background: Pain is a common and undertreated non-motor symptom in patients with Parkinson's disease (PD). Opioids have been seldom used in PD because they could worsen cognitive and motor functions. Objective: We aimed to assess efficacy and tolerability of tapentadol in PD patients. Methods: We retrospectively reviewed 21 PD patients treated with tapentadol extended release (ER) for chronic pain. Patients were evaluated before treatment and at 3 and 6 months during treatment for pain intensity (current, 24-hour average, and minimum and worst) with a 0-10 Numerical Rating Scale and the painDETECT questionnaire; for motor symptom severity with the Unified PD Rating Scale part III and the Hoehn and Yahr scale; for cognitive functions with Mini-Mental Status Examination, Corsi's Block-Tapping test, Digit Span test, Digit-Symbol Substitution test, FAS test, Rey's Auditory Verbal Learning test, Trail-Making test A and B and the 9-Hole Peg test; for anxiety and depression with the Hospital Anxiety and Depression Scale; and for the quality of life with the Short Form-12...
2018: Journal of Pain Research
Gwen Sascha Fernandes, Ana Marie Valdes, David Andrew Walsh, Weiya Zhang, Michael Doherty
BACKGROUND: Neuropathic-like knee pain (NKP) is often reported in individuals with knee pain (KP), but the contribution of specific central and peripheral risk factors to NKP has not been studied previously. The aims of the present study were to determine the prevalence of NKP in a community-derived sample with KP and to identify risk factors associated with NKP. METHODS: A cross-sectional study was undertaken (n = 9506) in the East Midlands community among responders (aged 40+ years) to a postal questionnaire...
September 27, 2018: Arthritis Research & Therapy
Majda Golob, Ivan Marković, Neno Zovko, Davorin Šakić, Ana Gudelj-Gračanin, Jadranka Morović-Vergles
The aim of the study was to determine the prevalence of neuropathic pain in knee osteoarthritis patients using painDETECT questionnaire, and to evaluate correlations between pain intensity, gender, age and types of treatment, and the presence of neuropathic pain. The study included 122 patients. All participants completed a questionnaire on sociodemographic data, duration of symp-toms, types of treatment and preventable risk factors (body mass index and waist circumference). The presence of neuropathic pain was assessed by painDETECT, according to which subjects were classified into three groups (neuropathic pain likely, possible, or unlikely)...
March 2018: Acta Clinica Croatica
Susanna Asseyer, Felix Schmidt, Claudia Chien, Michael Scheel, Klemens Ruprecht, Judith Bellmann-Strobl, Alexander U Brandt, Friedemann Paul
Background: Pain is a frequent symptom in aquaporin-4-immunoglobulin-G-positive neuromyelitis optica spectrum disorders (AQP4-IgG-pos. NMOSD). Data on pain in myelin-oligodendrocyte-glycoprotein-immunoglobulin-G autoimmunity with a clinical NMOSD phenotype (MOG-IgG-pos. NMOSD) are scarce. Objective: The objective of this paper is to investigate pain in MOG-IgG-pos. NMOSD, AQP4-IgG-pos. NMOSD and NMOSD without AQP4/MOG-IgG detection (AQP4/MOG-IgG-neg. NMOSD). Methods: Forty-nine MOG-IgG-pos...
July 2018: Multiple Sclerosis Journal—Experimental, Translational and Clinical
Gizem Cengiz, Kemal Erol, Kevser Gok, Salih Ozgocmen
OBJECTIVE: To compare characteristics of pain in terms of neuropathic pain and to assess association between neuropathic component and quality of life (QoL) in patients with systemic sclerosis (SSc) and rheumatoid arthritis (RA). SUBJECTS AND METHODS: Fifty-four patients (47 females, 7 males) with systemic sclerosis and 53 patients (46 females,7 males) with RA were assessed for outcome measures including disease activity, physical functions, mental condition and health related QoL measures (SF-36; Hospital Anxiety and Depression Scale) and pain...
September 5, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Patric Bialas, Benjamin Gronwald, Kati Roloff, Svenja Kreutzer, Sven Gottschling, Katja Welsch, Thomas Volk
OBJECTIVE: The adequate treatment of chronic pain also calls for measuring its quality not only its intensity. For this reason, this pilot study investigated the non-verbal description of pain quality based on tones, distinguishing between nociceptive and neuropathic pain. METHODS: A nociceptive and a neuropathic pain stimulus were applied to 80 chronic pain patients and 80 healthy subjects. Using a tone generator, all participants matched both pain stimuli to an appropriate tone (in Hz)...
August 11, 2018: Patient Education and Counseling
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