Neuropathic Back Pain : Are There Any Practical Diagnostic Criteria?
Journal of Korean Neurosurgical Society
;
: 65-68, 2007.
Article
in English
| WPRIM
| ID: wpr-214497
ABSTRACT
OBJECTIVE:
A new point of view on the chronic back pain proposed which is, named neuropathic back pain(NBP). Some proposed a certain pain scale as an useful diagnostic tool. Before scientific verification, some doctors prescribed a new anticonvulsant for the NBP. We investigated diagnostic tools for NBP by a review of the literature.METHODS:
A comprehensive computer search of the English literature concerning neuropathic low back pain was performed using the key words such as neuropathic back pain and diagnosis in the PubMed.RESULTS:
In 1998, the term NBP was first used in a patient with lung cancer. In the English literature, there were two diagnostic methods for the NBP, Neuropathic pain scale(NPS) and a pharmacological test. NPS is a pain questionnaire, which depends on the patients'subjective reports on the given questions, such as 'how hot is your pain feel'. By the pharmacological test, NBP was defined as 50% or more decrease of pain on intravenous lidocaine and on local anesthetic epidurally. It also depends on the patients'subjective response to the therapy.CONCLUSION:
There were still no reliable objective diagnostic criteria for the NBP. It seems to be better to reserve the new anticonvulsants for the NBP till scientific approval.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain Measurement
/
Surveys and Questionnaires
/
Low Back Pain
/
Back Pain
/
Diagnosis
/
Lidocaine
/
Lung Neoplasms
/
Anticonvulsants
/
Neuralgia
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2007
Type:
Article
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