Assessment of Neuropathic Pain

Cruccu, G.; Attal, Nadine; Garcia-Larrea, Luis; Haanpää, Maija; Jørum, Ellen; Serra, Jordi; Jensen, Troels Staehelin

doi:10.1002/9781444328394.ch8

Cited by 4 publications

(2 citation statements)

References 83 publications

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“…A recent systematic review of epidemiological studies on neuropathic pain suggests that the prevalence likely lies between 6.9% and 10% [ 14 ]. Neuropathic pain is a clinical entity [ 1 ], the diagnosis of which is based primarily on history and physical examination [ 15 – 19 ] and the exclusion of other possible diagnoses or types of pain. The impracticality of conducting clinical examinations in large population studies and the lack of a “gold standard,” in addition to the variety of screening tools and the way in which they are administered, contribute to the heterogeneity of estimates of neuropathic pain in the general population [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

An Epidemiological Study of Neuropathic Pain Symptoms in Canadian Adults

VanDenKerkhof

Mann

Torrance

et al. 2016

Pain Research and Management

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The reported prevalence of neuropathic pain ranges from 6.9% to 10%; however the only Canadian study reported 17.9%. The objective of this study was to describe the epidemiology of neuropathic pain in Canada. A cross-sectional survey was conducted in a random sample of Canadian adults. The response rate was 21.1% (1504/7134). Likely or possible neuropathic pain was defined using a neuropathic pain-related diagnosis and a positive outcome on the Self-Report Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANSS) or the Douleur Neuropathique 4 (DN4) Questions. The prevalence of likely neuropathic pain was 1.9% (S-LANSS) and 3.4% (DN4) and that of possible neuropathic pain was 5.8% (S-LANSS) and 8.1% (DN4). Neuropathic pain was highest in economically disadvantaged males. There is a significant burden of neuropathic pain in Canada. The low response rate and a slightly older and less educated sample than the Canadian population may have led to an overestimate of neuropathic pain. Population prevalence varies by screening tool used, indicating more work is needed to develop reliable measures. Population level screening targeted towards high risk groups should improve the sensitivity and specificity of screening, while clinical examination of those with positive screening results will further refine the estimate of prevalence.

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Section: Introductionmentioning

confidence: 99%

An Epidemiological Study of Neuropathic Pain Symptoms in Canadian Adults

VanDenKerkhof

Mann

Torrance

et al. 2016

Pain Research and Management

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“…“Repetitive strain syndrome” was significantly associated with activities with elevated arms, repetitive and extreme movements [ 1 ]. In a French population, more than 50% of workers participating in an epidemiologic surveillance system presented non-specific symptoms during the preceding 12 months, and only 13% had a defined upper limb musculoskeletal condition, in particular rotator cuff syndrome, carpal tunnel syndrome and epicondylitis [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Brachial plexopathy: a case–control study of the relation to physical exposures at work

Jepsen

2015

J Occup Med Toxicol

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BackgroundWork-related upper limb disorders constitute a diagnostic challenge. However, patterns of neurological abnormalities that reflect brachial plexus dysfunction are frequent in limbs with pain, weakness and/or numbness/tingling. There is limited evidence about the association between occupational physical exposures and brachial plexopathy.Methods80 patients with brachial plexopathy according to defined criteria and 65 controls of similar age and sex without upper limb complaints were recruited by general practitioners. Patients and controls completed a questionnaire on physical and psychosocial work-exposures and provided psychophysical ratings of their perceived exposures. The exposures of cases and controls were compared by a Wilcoxon rank sum test. Odds ratios and dose–response relationships were studied by logistic regression.ResultsWhether assessed as the extent during the workday or days/week, most physical exposures, in particular upper limb posture and repetition, were significant risk indicators with clear dose–response relationships. These findings were supported by psychophysical responses that also identified perceived work pace and the use of force as risk indicators. The identified psychosocial relations were limited to measures reflecting physical exposures.ConclusionsWhile the identified risk indicators have previously been associated to upper limb symptoms as well as to diagnosed disorders other than brachial plexopathy, this study indicates an association between physical and work-exposures and brachial plexopathy. Longitudinal studies should be conducted in order to exclude bias from information and selection, both of which may occur with the applied case–control design.

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Chapter 26 Clinical examination

Scadding

2006

Handbook of Clinical Neurology

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Assessment of Neuropathic Pain

Cited by 4 publications

References 83 publications

An Epidemiological Study of Neuropathic Pain Symptoms in Canadian Adults

An Epidemiological Study of Neuropathic Pain Symptoms in Canadian Adults

Brachial plexopathy: a case–control study of the relation to physical exposures at work

Chapter 26 Clinical examination

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