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Reliability of PainDETECT for Evaluating Low Back Pain Caused by Cluneal Nerve Entrapment.
Takada, Chiho; Kim, Kyongsong; Kokubo, Rinko; Ideguchi, Minoru; Mihara, Riku; Koketsu, Kenta; Murai, Yasuo.
Afiliación
  • Takada C; Medical Student, Nippon Medical School.
  • Kim K; Department of Neurological Surgery, Nippon Medical School Chiba Hokusoh Hospital.
  • Kokubo R; Department of Neurological Surgery, Nippon Medical School Chiba Hokusoh Hospital.
  • Ideguchi M; Department of Neurological Surgery, Nippon Medical School Chiba Hokusoh Hospital.
  • Mihara R; Department of Neurological Surgery, Nippon Medical School Chiba Hokusoh Hospital.
  • Koketsu K; Department of Neurological Surgery, Nippon Medical School Chiba Hokusoh Hospital.
  • Murai Y; Department of Neurological Surgery, Nippon Medical School.
J Nippon Med Sch ; 91(3): 328-332, 2024.
Article en En | MEDLINE | ID: mdl-38972746
ABSTRACT

BACKGROUND:

Superior/middle cluneal nerve entrapment (CN-E) is an elicitor of low back pain (LBP). The painDETECT questionnaire is used to characterize CN-E symptoms.

METHODS:

Nineteen consecutive patients with LBP caused by CN-E (superior CN-E = 7; middle CN-E = 12) participated in a Japanese language painDETECT questionnaire survey before surgery. A score of 12 or lower was recorded as 'neuropathic component unlikely', a score of 19 or higher as 'neuropathic pain likely', and scores between 13 and 18 as 'neuropathic pain possible'. LBP severity was recorded on a numerical rating scale, the Roland-Morris Disability Questionnaire, and the EuroQol-5 dimension-5 level.

RESULTS:

The mean painDETECT score was 11.8 and did not significantly differ between the superior CN-E and middle CN-E groups. We classified low back pain as unlikely to have a neuropathic component in 13 patients, as likely to have a neuropathic component in 2 patients, and as possibly neuropathic in 4 patients. There was no significant difference in the pain level of patients with scores of ≤12 and ≥13 on painDETECT. All patients reported trigger pain; the positive rate was high for electric shock pain, radiating pain, and pain attacks and low for a burning or tingling sensation, pain elicited by a light touch, and pain caused by cold or hot stimulation.

CONCLUSION:

The painDETECT questionnaire may not reliably identify LBP caused by superior/middle CN-E as neuropathic pain. A diagnosis of LBP due to CN-E must be made carefully because symptoms resemble nociceptive pain.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Dolor de la Región Lumbar / Síndromes de Compresión Nerviosa Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Nippon Med Sch Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Japón
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dimensión del Dolor / Dolor de la Región Lumbar / Síndromes de Compresión Nerviosa Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Nippon Med Sch Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Japón