Neuropathic Pain in Spinal Cord Injuries

Authors : Nilüfer AYGÜN BİLECİK

Pages : 140-146

View : 35 | Download : 12

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :Aim: Spinal cord injury insert ignore into journalissuearticles values(SCI); is a destructive condition causing additional physical, psychological, and social function disorders. Neuropathic pain insert ignore into journalissuearticles values(NP); following SCI is a common and challenging problem to treat. The addition of the NP following SCI increases the impairment of the sleep patterns, moods, and daily life activities of the patients. Treatment of NP following SCI is often difficult and often requires a long time to respond to treatment. The study aimed to investigate the neuropathic pain condition in patients with SCI. Methods: The study included 52 patients with spinal cord injuries. Including the demographics and clinical characteristics, The Visual Analog Scale insert ignore into journalissuearticles values(VAS); was used to define the intensity of the pain, and a self-report version of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale insert ignore into journalissuearticles values(S-LANSS); was used to assess the neuropathic symptoms and signs. The cases under the age of 18, and over 65 with conditions that might have neuropathic origins, ones with dermatological diseases in the symptomatic regions, and other clinical issues that may cause immobility besides SCI, were not included in the study. Results:The mean age was 42,25±18,12 years. The median scores of VAS and S-LANSS were 6 insert ignore into journalissuearticles values(0-10); and 11 insert ignore into journalissuearticles values(0-24);, respectively. The majority were male, ASIA A, and paraplegic insert ignore into journalissuearticles values(63.5%, 67.3%, and 67.3%, respectively);. The rates of patients on pregabalin and gabapentin were 30.8% and 19.2%, respectively. The VAS scores of patients with a higher probability of neuropathic pain insert ignore into journalissuearticles values(S-LANSS≥12); were significantly increased insert ignore into journalissuearticles values(7 insert ignore into journalissuearticles values(4-10); vs 3,5 insert ignore into journalissuearticles values(0-9);, p<0.001);. There were no significant differences in terms of age and gender. Conclusions: Among SCI patients, the frequency of NP detected by using S-LANSS were increased. Therefore, patients with SCI might require a more careful examination regarding neuropathic pain and thus receive appropriate treatments in routine clinical practice.
Keywords : Spinal Kord Yaralanması, Nöropatik Ağrı, S LANSS

ORIGINAL ARTICLE URL