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
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
Jung BF, Johnson RW, Griffin DR et al (2004) Risk factors for postherpetic neuralgia in patients with herpes zoster. Neurology 62:1545–1551
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
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
Andersen G, Vestergaard K, Ingeman-Nielsen M et al (1995) Incidence of central post-stroke pain. Pain 61:187–193
Osterberg A, Boivie J, Thuomas KA (2005) Central pain in multiple sclerosis-prevalence and clinical characteristics. Eur J Pain 9:531–542
Hewitt DJ, McDonald M, Portenoy RK et al (1997) Pain syndromes and etiologies in ambulatory AIDS patients. Pain 70:117–123
Caraceni A, Portenoy RK (1999) An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. Pain 82:263–274
McQuay HJ (2002) Neuropathic pain: evidence matters. Eur J Pain 6(suppl A):11–18
Berger A, Dukes EM, Oster G (2004) Clinical characteristics and economic costs of patients with painful neuropathic disorders. J Pain 5:143–149
Dieppe PA, Lohmander LS (2005) Pathogenesis and management of pain in osteoarthritis. Lancet 365:965–973
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
Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81:646–656
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
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
Hochman JR, French MR, Bermingham SL et al (2010) The nerve of osteoarthritis pain. Arthritis Care Res (Hoboken) 62:1019–1023
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
Kellgren JH, Lawrence JS (1957) Radiologic assessment of osteo-arthrosis. Ann Rheum Dis 16:494–502
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
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
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
Reimann I, Christensen SB (1977) A historogical demonstration of nerves in subchondral bone. Acta Orthop Scand 48:345–352
Dee R (1969) Structure and function of hip joint innervation. Ann R Coll Surg Engl 45:357–374
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
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
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
Rabinowicz T, Jacqueline F (1990) Pathology of the capsular and synovial hip nerves in chronic hip diseases. Pathol Res Pract 186:283–292
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
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
Bennett M (2001) The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs. Pain 92:147–157
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
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
Krause SJ, Backonja MM (2003) Development of a neuropathic pain questionnaire. Clin J Pain 19:306–314
Portenoy R (2006) Development and testing of a neuropathic pain screening questionnaire: ID Pain. Curr Med Res Opin 22:1555–1565
Bennett MI, Attal N, Backonja MM et al (2007) Using screening tools to identify neuropathic pain. Pain 127:199–203
Merskey H, Bogduk N (1994) Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. IASP press, Seattle, p 222
Backonja MM (2003) Defining neuropathic pain. Anesth Analg 97:785–790
Bennett GJ (2003) Neuropathic pain: a crisis of definition? Anesth Analg 97:619–620
Max MB (2002) Clarifying the definition of neuropathic pain. Pain 96:406–407
Hansson P (2002) Neuropathic pain: clinical characteristics and diagnostic workup. Eur J Pain 6(suppl A):47–50
Rasmussen PV, Sindrup SH, Jensen TS et al (2004) Symptoms and signs in patients with suspected neuropathic pain. Pain 110:461–469
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
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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