Multidimensional features of pain in patients with chronic neck pain

Abstract

Introduction: Chronic neck pain is associated with significant health costs and loss of productivity at work. Objective: to assess pain and disability in individuals with chronic neck pain. Methods: 31 volunteers with chronic neck pain, mean age 29, 65 years, were assessed using the McGill Pain Questionnaire in Brazilian version (Br-MPQ) and Neck Disability Index (NDI). The Br-MPQ analysis was performed based on the numerical values associated with the words selected to describe the experience of pain (Pain Rating Index -PRI), and present pain intensity (PPI). NDI was used to evaluate the influence of neck pain in performance of everyday tasks. Finally, we investigated the association between PPI and NDI. Results: PRI revealed that the most significant dimension was the sensory pain (70%), and the number of chosen words was 10 (2,62) out of 20 words. Mean PPI value was 1,23 (0,76) in five points; 40% of participants described pain intensity as moderate. NDI score was 9,77 (3,34), indicating mild disability. There was a positive association between disability and pain intensity (r = 0,36; p =0,046). Pain intensity and duration of pain were not associated. Conclusions: Findings of this study identified important information related to neck pain experienced by patients when suffering

Effect of prolonged experimental neck pain on exercise-induced hypoalgesia

“…However, when considering some of the words most chosen by the participants to describe their experienced pain in the current study, such as “annoying,” “tiring,” or “nagging,” these represent evaluative and affective aspects of pain, 33 which are believed to be increasingly present in persistent pain compared with more acute conditions. 38 This is supported by previous studies where words describing affective aspects were commonly reported by those with persistent neck pain 12,27 compared with healthy populations experiencing a short-lasting experimental neck pain. 11,19…”

Dry Needling Plus Conventional Physiotherapy for Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial

“…The exclusion criteria included the subjects' unwillingness to continue participating in the study, using drugs that affect the central nervous system, such as sedatives, and defects in the visual field or abnormalities in the vestibular system. If we found subjects with possible contraindications of DN such as bruising, pneumothorax, infection, internal tissue damage, and bleeding, we would exclude them, too [2][3][4][5].…”

“…hronic neck pain is significantly common in the community-approximately twothirds of people experience neck pain at some point in their lives [1,2]. Neck disorders, in addition to pain and discomfort in the neck area, may refer pain to other areas, especially the head and upper limbs, and disturbs the patient's activity of daily living [3,4]. Muscles in the neck area and myofascial pain have a significant effect on the occurrence of pain and disorders in this area [5].…”

Exercise-induced hypoalgesia in chronic neck pain: A narrative review

“…Only a few clinical conditions (such as a history of trauma or degenerative neck pathologies during the working age) have been identified as potentially causative findings, so the evidence has highlighted its multifactorial nature. 4 , 5 Neck pain is related to several non-modifiable (e.g., age and female gender) and modifiable risk factors. The latter include psychological factors (e.g., stress, anxiety, depression) and cognitive factors (e.g., catastrophizing, low self-efficacy, and low resilience).…”

“…The latter include psychological factors (e.g., stress, anxiety, depression) and cognitive factors (e.g., catastrophizing, low self-efficacy, and low resilience). 5 , 6 , 7 , 8 , 9 In addition, the intervention of social factors (such as low social, family, and work support), 10 , 11 behavioral factors (such as passive or avoidant coping strategies), 12 , 13 , 14 occupational factors (such as workload, time, and body positions at work) 9 , 15 and biological factors (such as neuromusculoskeletal problems, autoimmune diseases, sleep disorders, genetic susceptibility, and history of previous neck or low back pain) 16 have also been identified. Because neck pain tends to become chronic, identifying these factors becomes more important for prevention and early diagnosis.…”