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Neuropathic pain in patients with osteoarthritis of hip joint

  • Original Article
  • Published:
European Orthopaedics and Traumatology

Abstract

Objectives

The aim of the present study was to evaluate the relationship between neuropathic pain and pain deriving from osteoarthritis of the hip joint, using painDETECT, a self-report questionnaire.

Methods

Patients with osteoarthritis of the hip joint referred to the Department of Orthopaedic Surgery at Chiba University Hospital were eligible for participation in the study. All the patients completed painDETECT and visual analogue scales and underwent radiological examination. We classified the patients into three groups: likely neuropathic pain, possible neuropathic pain and unlikely neuropathic pain by painDETECT score. And we evaluated the relationships between painDETECT score and radiological findings, visual analogue scales score and age.

Results

One hundred thirty-five patients participated in this study. In all, 8 (5.9%) were classified as likely neuropathic pain, 17 (12.6%) as possible neuropathic pain, and 110 (81.5%) as unlikely neuropathic pain. Visual analogue scales scores were significantly higher in likely neuropathic pain and possible neuropathic pain patients than in unlikely neuropathic pain patients. painDETECT score did not significantly correlate with radiological findings or age but did positively correlate with visual analogue scales score (rs = 0.53, p < 0.001).

Discussion

Our study results suggest that in a certain percentage of patients, the mechanism of pain in osteoarthritis of the hip joint is predominantly neuropathic in origin.

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References

  1. Daousi C, MacFarlane IA, Woodward A et al (2004) Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes. Diabet Med 21:976–982

    Article  PubMed  CAS  Google Scholar 

  2. Jung BF, Johnson RW, Griffin DR et al (2004) Risk factors for postherpetic neuralgia in patients with herpes zoster. Neurology 62:1545–1551

    PubMed  Google Scholar 

  3. Siddall PJ, McClelland JM, Rutkowski SB et al (2003) A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain 103:249–257

    Article  PubMed  Google Scholar 

  4. Werhagen L, Budh CN, Hultling C et al (2004) Neuropathic pain after traumatic spinal cord injury—relations to gender, spinal level, completeness, and age at the time of injury. Spinal Cord 42:665–673

    Article  PubMed  CAS  Google Scholar 

  5. Andersen G, Vestergaard K, Ingeman-Nielsen M et al (1995) Incidence of central post-stroke pain. Pain 61:187–193

    Article  PubMed  CAS  Google Scholar 

  6. Osterberg A, Boivie J, Thuomas KA (2005) Central pain in multiple sclerosis-prevalence and clinical characteristics. Eur J Pain 9:531–542

    Article  PubMed  CAS  Google Scholar 

  7. Hewitt DJ, McDonald M, Portenoy RK et al (1997) Pain syndromes and etiologies in ambulatory AIDS patients. Pain 70:117–123

    Article  PubMed  CAS  Google Scholar 

  8. Caraceni A, Portenoy RK (1999) An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. Pain 82:263–274

    Article  PubMed  CAS  Google Scholar 

  9. McQuay HJ (2002) Neuropathic pain: evidence matters. Eur J Pain 6(suppl A):11–18

    Article  PubMed  Google Scholar 

  10. Berger A, Dukes EM, Oster G (2004) Clinical characteristics and economic costs of patients with painful neuropathic disorders. J Pain 5:143–149

    Article  PubMed  Google Scholar 

  11. Dieppe PA, Lohmander LS (2005) Pathogenesis and management of pain in osteoarthritis. Lancet 365:965–973

    Article  PubMed  CAS  Google Scholar 

  12. Lawrence RC, Felson DT, Helmick CG et al (2008) National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum 58:26–35

    Article  PubMed  Google Scholar 

  13. Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81:646–656

    PubMed  Google Scholar 

  14. Fernihough J, Gentry C, Bevan S et al (2005) Regulation of calcitonin gene-related peptide and TRPV1 in a rat model of osteoarthritis. Neurosci Lett 388:75–80

    Article  PubMed  CAS  Google Scholar 

  15. Ivanavicius SP, Ball AD, Heapy CG et al (2007) Structural pathology in a rodent model of osteoarthritis is associated with neuropathic pain: increased expression of ATF-3 and pharmacological characterisation. Pain 128:272–282

    Article  PubMed  CAS  Google Scholar 

  16. Hochman JR, French MR, Bermingham SL et al (2010) The nerve of osteoarthritis pain. Arthritis Care Res (Hoboken) 62:1019–1023

    Article  Google Scholar 

  17. Freynhagen R, Baron R, Gockel U et al (2006) painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin 22:1911–1920

    Article  PubMed  Google Scholar 

  18. Kellgren JH, Lawrence JS (1957) Radiologic assessment of osteo-arthrosis. Ann Rheum Dis 16:494–502

    Article  PubMed  CAS  Google Scholar 

  19. Jensen MP, Karoly P (1992) Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R (eds) Handbook of pain assessment. Guilford Press, New York, pp 135–151

    Google Scholar 

  20. Price DD, Harkins SW (1992) Psychophysical approaches to pain measurement and assessment. In: Turk DC, Melzack R (eds) Handbook of pain assessment. Guilford Press, New York, pp 111–134

    Google Scholar 

  21. Mäntyselkä P, Kumpusalo E, Ahonen R et al (2001) Pain as a reason to visit the doctor: a study in Finnish primary health care. Pain 89:175–180

    Article  PubMed  Google Scholar 

  22. Reimann I, Christensen SB (1977) A historogical demonstration of nerves in subchondral bone. Acta Orthop Scand 48:345–352

    Article  PubMed  CAS  Google Scholar 

  23. Dee R (1969) Structure and function of hip joint innervation. Ann R Coll Surg Engl 45:357–374

    PubMed  CAS  Google Scholar 

  24. Saxler G, Löer F, Skumavc M et al (2007) Localization of SP- and CGRP-immunopositive nerve fibers in the hip joint of patients with painful osteoarthritis and of patients with painless failed total hip arthroplasties. Eur J Pain 11:67–74

    Article  PubMed  Google Scholar 

  25. Birnbaum K, Prescher A, Hessler S et al (1997) The sensory innervation of the hip joint–an anatomical study. Surg Radiol Anat 19:371–375

    Article  PubMed  CAS  Google Scholar 

  26. Shirai C, Ohtori S, Kishida S et al (2009) The pattern of distribution of PGP 9.5 and TNF-alpha immunoreactive sensory nerve fibers in the labrum and synovium of the human hip joint. Neurosci Lett 450:18–22

    Google Scholar 

  27. Rabinowicz T, Jacqueline F (1990) Pathology of the capsular and synovial hip nerves in chronic hip diseases. Pathol Res Pract 186:283–292

    PubMed  CAS  Google Scholar 

  28. Torrance N, Smith BH, Bennett MI et al (2006) The epidemiology of chronic pain of predominantly neuropathic origin: results from a general population survey. J Pain 7:281–289

    Article  PubMed  Google Scholar 

  29. Bennett MI, Smith BH, Torrance N et al (2005) The S-LANSS score for identifying pain of predominantly neuropathic origin: validation for use in clinic and postal research. J Pain 6:149–158

    Article  PubMed  Google Scholar 

  30. Bennett M (2001) The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain 92:147–157

    Article  PubMed  CAS  Google Scholar 

  31. Bouhassira D, Lanteri-Minet M, Attal N et al (2008) Prevalence of chronic pain with neuropathic characteristics in the general population. Pain 136:380–387

    Article  PubMed  Google Scholar 

  32. Bouhassira D, Attal N, Alchaar H et al (2005) Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 114:29–36

    Article  PubMed  Google Scholar 

  33. Krause SJ, Backonja MM (2003) Development of a neuropathic pain questionnaire. Clin J Pain 19:306–314

    Article  PubMed  Google Scholar 

  34. Portenoy R (2006) Development and testing of a neuropathic pain screening questionnaire: ID Pain. Curr Med Res Opin 22:1555–1565

    Article  PubMed  Google Scholar 

  35. Bennett MI, Attal N, Backonja MM et al (2007) Using screening tools to identify neuropathic pain. Pain 127:199–203

    Article  PubMed  Google Scholar 

  36. Merskey H, Bogduk N (1994) Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. IASP press, Seattle, p 222

    Google Scholar 

  37. Backonja MM (2003) Defining neuropathic pain. Anesth Analg 97:785–790

    Article  PubMed  Google Scholar 

  38. Bennett GJ (2003) Neuropathic pain: a crisis of definition? Anesth Analg 97:619–620

    Article  PubMed  Google Scholar 

  39. Max MB (2002) Clarifying the definition of neuropathic pain. Pain 96:406–407

    Article  PubMed  Google Scholar 

  40. Hansson P (2002) Neuropathic pain: clinical characteristics and diagnostic workup. Eur J Pain 6(suppl A):47–50

    Article  PubMed  Google Scholar 

  41. Rasmussen PV, Sindrup SH, Jensen TS et al (2004) Symptoms and signs in patients with suspected neuropathic pain. Pain 110:461–469

    Article  PubMed  Google Scholar 

  42. Treede RD, Jensen TS, Campbell JN et al (2008) Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology 70:1630–1635

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Tomonori Shigemura.

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Shigemura, T., Ohtori, S., Kishida, S. et al. Neuropathic pain in patients with osteoarthritis of hip joint. Eur Orthop Traumatol 2, 73–77 (2011). https://doi.org/10.1007/s12570-011-0070-x

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  • DOI: https://doi.org/10.1007/s12570-011-0070-x

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