Meeting abstract

Neuropathic pain in patients with lumboishialgia

Dusan ČELAN ; Department of Physical and Rehabilitation Medicine, University of Maribor, Slovenija
Tadeja HERNJA RUMPF ; Department of Physical and Rehabilitation Medicine, University of Maribor, Slovenija

Abstract

Background and aims: Neuropathic pain (NPP) is present in almost one third
of patients with chronic low back pain. Patients with low back pain (LBP) accompanied
by radiating leg pain were included in the presented study in order
to assess the presence and intensity of NPP, the knowledge of patient about
neuropathic nature of leg pain and the frequency of adequate pharmacological
treatment. Methods: 15 subjects, both male and female patients attended at
epidemiological study. The presence of NPP has been tested with the DN4 and
Pain DETECT and the intensity with VAS.
Results: In 15 participants, NPP has been detected in 13 (86.7%) using the
DN4 questionnaire (score ≥ 4). The pain DETECT results confirmed positive
NPP in 7 (46,7%) subjects (score ≥ 19).
Patients with NPP have been asked about knowledge of back and leg pain
properties and differences between them. Among the 7 subjects with NPP only
2 of them (28.6%) have known the nature of NPP and distinquish it from nociceptive
low back pain. Just these 2 of subjects also received appropriate antiNPP
medication: Conclusions: NPP in subjects with chronic low back and leg
pain has been confirmed in at least 50%. In general these patients have very
low knowledge of specific NPP and they don’t distinguish it from general LBP
troubles. Appropriate treatment has been introduced to less than one-third of
patients with NPP. More attention should be paid to the diagnosis, information
and treatment of the NPP in these patients.

Keywords

neuropathic pain; lumboishialgia

Hrčak ID:

150782

URI

https://hrcak.srce.hr/150782

Publication date:

25.11.2015.

Article data in other languages: slovenian

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