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. https://doi.org/10.1016/j.msksp.2016.12.006
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)https://doi.org/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
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