Neuropathic Back Pain : Are There Any Practical Diagnostic Criteria?
Journal of Korean Neurosurgical Society
;
: 65-68, 2007.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Dimensión del Dolor
/
Encuestas y Cuestionarios
/
Dolor de la Región Lumbar
/
Dolor de Espalda
/
Diagnóstico
/
Lidocaína
/
Neoplasias Pulmonares
/
Anticonvulsivantes
/
Neuralgia
Tipo de estudio:
Estudio diagnóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2007
Tipo del documento:
Artículo
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