Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination

Journal article


Spahr, N, Hodkinson, D, Jolly, K, Williams, S, Howard, M and Thacker, M (2016). Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination. Musculoskeletal Science and Practice. 27, pp. 40-48.
AuthorsSpahr, N, Hodkinson, D, Jolly, K, Williams, S, Howard, M and Thacker, M
Abstract

Diagnosis of chronic low back pain (CLBP) is traditionally predicated on identifying underlying pathological or anatomical causes, with treatment outcomes modest at best. Alternately, it is suggested that identification of underlying pain mechanisms with treatments targeted towards specific pain phenotypes may yield more success. Differentiation between nociceptive and neuropathic components of CLBP is problematic; evidence suggests that clinicians fail to identify a significant neuropathic component in many CLBP patients. The painDETECT questionnaire (PDQ) was specifically developed to identify occult but significant neuropathic components in individuals thought to have predominantly nociceptive pain.

Year2016
JournalMusculoskeletal Science and Practice
Journal citation27, pp. 40-48
PublisherElsevier
ISSN2468-7812
Digital Object Identifier (DOI)doi:10.1016/j.msksp.2016.12.006
Publication dates
Print19 Dec 2016
Publication process dates
Deposited25 Jun 2019
Accepted03 Nov 2016
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/8710z

Download files

Publisher's version
Distinguising between nociceptive.pdf
License: CC BY-NC-ND 4.0
File access level: Open

  • 23
    total views
  • 41
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Staring Down the Barrel of a Gun: A Potential Pain Pandemic Following COVID-19 Infection.
Thacker, M and Mansfield, M (2020). Staring Down the Barrel of a Gun: A Potential Pain Pandemic Following COVID-19 Infection. Pain and Rehabilitation.
Cervical spine radiculopathy epidemiology
Mansfield, M, Smith, T, Spahr, N and Thacker, M (2020). Cervical spine radiculopathy epidemiology. International Association of the Study of Pain (IASP) 2020 World Congress on Pain. Amsterdam, Netherlands 04 - 08 Aug 2020
Somatosensory Profiling in Cervical Spine and Radicular Pain
Mansfield, M and Thacker, M (2019). Somatosensory Profiling in Cervical Spine and Radicular Pain. Physio First Conference 2019. Nottingham, UK 05 - 06 Apr 2019
Parameters that remain consistent independent of pausing before gait-initiation during normal rise-to-walk behaviour delineated by sit-to-walk and sit-to-stand-and-walk.
Jones, GD, James, DC, Thacker, M and Green, DA (2018). Parameters that remain consistent independent of pausing before gait-initiation during normal rise-to-walk behaviour delineated by sit-to-walk and sit-to-stand-and-walk. PLoS ONE. 13 (10).
Factors associated with physical activity participation in adults with chronic cervical spine pain: a systematic review.
Mansfield, M, Thacker, M, Spahr, N and Smith, T (2017). Factors associated with physical activity participation in adults with chronic cervical spine pain: a systematic review. Physiotherapy. 104 (1), pp. 54-60.
Physical Activity Participation and The Association With Work Related Upper Quadrant Disorders (WRUQDs). A Systematic Review
Mansfield, M, Thacker, M and Smith, TO (2017). Physical Activity Participation and The Association With Work Related Upper Quadrant Disorders (WRUQDs). A Systematic Review. Musculoskeletal Care. 16 (1), pp. 178-187.
Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review
Mansfield, M, Thacker, M and Sandford, F (2017). Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review. Hand. 13 (5).
Factors influencing physical activity participation in adults with chronic cervical spine pain
Mansfield, M, Thacker, M, Spahr, N and Smith, TO (2017). Factors influencing physical activity participation in adults with chronic cervical spine pain. Physiotherapy U.K. 2017. Birmingham, UK 10 - 11 Nov 2017
Sit-to-walk and sit-to-stand-and-walk task dynamics are maintained during rising at an elevated seat-height independent of lead-limb in healthy individuals
Jones, GD, James, DC, Thacker, M, Jones, EJ and Green, DA (2016). Sit-to-walk and sit-to-stand-and-walk task dynamics are maintained during rising at an elevated seat-height independent of lead-limb in healthy individuals. Gait and Posture. 48 (July), pp. 226 - 229.
Sit-to-stand-and-walk from 120% knee height: A novel approach to assess dynamic postural control independent of lead-limb
Jones, GD, James, DC, Thacker, M and Green, DA (2016). Sit-to-stand-and-walk from 120% knee height: A novel approach to assess dynamic postural control independent of lead-limb. Journal of Visualized Experiments. 2016 (114).