Comparison of 2 methods of neuropathic pain assessment in carpal tunnel syndrome and hand functions

Ceceli, Esma; Gümrük, S.; Okumuş, Müyesser; Kocaoğlu, Seher; Göksu, Hamit; Karagöz, Aynur

doi:10.17712/nsj.2018.1.20170345

Cited by 16 publications

(5 citation statements)

References 29 publications

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“…The comparison of these assessment tools for defining the presence of the neuropathic component of pain has been performed in other studies. In particular, the greater sensitivity of LANSS has already been found in a study investigating pain type in individuals with carpal tunnel syndrome ( Ceceli et al., 2018 ), while this finding has not been confirmed in patients with knee osteoarthritis ( Moreton et al., 2015 ). In our opinion, the higher percentage of neuropathic pain detected by LANSS in our study might be related to the physical examination section included in this tool, performed by a physician able to investigate for example allodynia and hyperalgesia by skin stimulation.…”

Section: Discussionmentioning

confidence: 95%

Characterization of neuropathic component of back pain in patients with osteoporotic vertebral fractures

Moretti

Liguori

Paoletta

et al. 2022

NRE

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BACKGROUND: Osteoporotic vertebral fractures (OVFs) are often followed by chronic back pain which may have a nociceptive, neuropathic, or mixed component. However, literature on this topic is lacking. OBJECTIVE: The objective of this cross-sectional study is to characterize the neuropathic component of chronic back pain in patients with OVFs. METHODS: Spine fractures were detected by morphometric examination. Pain severity and its impact on daily living activities (ADL) were evaluated through the Brief Pain Inventory (BPI). Neuropathic pain was investigated through the Italian Versions of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale (LANSS) and the painDETECT questionnaire (PD-Q). RESULTS: We included 72 patients, mainly women (88.8% ), with mean age of 69.2 years. The 70.8% of patients had multiple OVFs, of which 47% located at the thoracic spine, 43.1% at the thoracic and at lumbar spine, and 9.8% at the lumbar spine. The BPI showed moderate back pain in 23.6% of cases and severe in 8.3% of cases, with high interference with ADL in 38.9% of patients. The PD-Q revealed the presence of neuropathic pain in 5.5% of cases, while the S-LANSS in 23.6% of cases. CONCLUSIONS: In our study, the prevalence of neuropathic component of chronic back pain ranged from 5.5% to 23.6%, according to PD-Q and LANSS respectively, in patients with OVFs. Further studies should investigate if the characterization of chronic back pain might contribute to appropriateness of interventions for this population.

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Section: Discussionmentioning

confidence: 95%

Characterization of neuropathic component of back pain in patients with osteoporotic vertebral fractures

Moretti

Liguori

Paoletta

et al. 2022

NRE

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“…The painDETECT questionnaire, used as a secondary outcome measure in this study, has previously been validated as a method of identifying the neuropathic component of pain in conditions such as low back pain and carpal tunnel syndrome. 35,36 It has also been used to differentiate patients with central sensitization of their pain in knee osteoarthritis. 37 There was no significant difference between the control and intervention groups in terms of painDETECT score at baseline, and initial painDETECT score did not predict improvement at 6 months in terms of reduction in VAS.…”

Section: Discussionmentioning

confidence: 99%

A Feasibility Study Comparing Platelet-Rich Plasma Injection With Saline for the Treatment of Plantar Fasciitis Using a Prospective, Randomized Trial Design

Johnson-Lynn

Cooney

Ferguson

et al. 2018

Foot & Ankle Specialist

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“…The VAS was preferred since it is easily applicable, has good testretest reliability, and is a universally accepted global scale that can adequately reflect neuropathic pain in CTS. [ 14 ]…”

Section: Methodsmentioning

confidence: 99%

Efficiency of therapeutic underwater ultrasound therapy in mild-to-moderate carpal tunnel syndrome: A randomized sham-controlled study

Bagcaci¹

2023

Turk J Phys Med Rehab

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Objectives: This study aimed to evaluate the efficiency of therapeutic pulsed ultrasound (US) applied underwater in mild-to-moderate carpal tunnel syndrome (CTS). Patients and methods: This randomized, placebo-controlled study included 75 patients (114 hands; 7 males, 68 females; mean age: 46.7±9.9 years; range, 24 to 64 years) diagnosed with CTS through clinical evaluation and electroneuromyography (ENMG) results between March 2012 and January 2013. Patients were randomized into three groups. Group 1 received underwater pulsed US, Group 2 received sham US, and Group 3 was the control group. All groups were given night splints. Patients were evaluated at baseline, at the end of treatment (two weeks), and 12 weeks after the treatment using clinical examination tests (Tinel, Phalen, and hand elevation test), hand grip strength, Visual Analog Scale (VAS) for pain, Pain Quality Assessment Scale (PQAS), and ENMG. Results: In all groups, a significant improvement was detected in the clinical assessment parameters, including the pain VAS, PQAS scores, physical examination outcomes, and hand grip strength. The decrease in VAS score and PQAS was found to be superior in the pulsed US group at both two weeks after the treatment and at the 12th week after the treatment compared to the sham US and control groups (p<0.001). Improvement in ENMG parameters, such as median motor latency, median sensorial velocity, and median sensory latency, was observed only in the underwater pulsed US group (p<0.001). Conclusion: Therapeutic underwater pulsed US is an effective, safe, and easy-to-apply treatment option in the conservative treatment of mild-to-moderate CTS.

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Comparison of 2 methods of neuropathic pain assessment in carpal tunnel syndrome and hand functions

Cited by 16 publications

References 29 publications

Characterization of neuropathic component of back pain in patients with osteoporotic vertebral fractures

Characterization of neuropathic component of back pain in patients with osteoporotic vertebral fractures

A Feasibility Study Comparing Platelet-Rich Plasma Injection With Saline for the Treatment of Plantar Fasciitis Using a Prospective, Randomized Trial Design

Efficiency of therapeutic underwater ultrasound therapy in mild-to-moderate carpal tunnel syndrome: A randomized sham-controlled study

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