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Neuropathic Pain Component in Patients with Cervical Radicular Pain: A Single-Center Retrospective Study
Jiyeon Kwon1, Daeseok Oh1, Byeongcheol Lee1
1Department of Anesthesia and Pain Medicine, Inje University Haeundae Paik Hospital, 875, Haeundae-ro, Haeundae-gu, Busan 612-896, Korea.
A study found that 28.1% of patients with cervical radicular pain exhibited neuropathic pain components. Higher neck disability scores correlated significantly with neuropathic pain indicators, suggesting a link between functional decline and neuropathic pain characteristics.
Area of Science:
- Neurology
- Pain Medicine
- Clinical Research
Background:
- Limited evidence exists on the prevalence of neuropathic pain in cervical radicular pain patients.
- Cervical radicular pain can significantly impact patient function and quality of life.
Purpose of the Study:
- To determine the prevalence of neuropathic pain components in patients diagnosed with cervical radicular pain.
- To investigate the association between neuropathic pain characteristics and clinical factors, including functional impairment.
Main Methods:
- Retrospective analysis of 103 patients (≥ 20 years) with cervical radicular pain.
- Utilized Douleur Neuropathique 4 questions (DN4) and painDETECT questionnaires for neuropathic pain screening.
- Assessed demographic data, surgical history, pain intensity, symptom duration, and Neck Disability Index (NDI).
Main Results:
- Neuropathic pain components were identified in 29.1% (n=29) of the study cohort.
- Patients with neuropathic pain components showed significantly higher Neck Disability Index scores (p < 0.001).
- Both DN4 and painDETECT scores demonstrated a positive correlation with the Neck Disability Index.
Conclusions:
- The prevalence of neuropathic pain components in cervical radicular pain patients appears to be relatively low.
- A significant correlation exists between functional deterioration (NDI) and neuropathic pain screening scores in this population.
- Findings highlight the importance of assessing neuropathic pain characteristics in managing cervical radicular pain and associated disability.
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