An investigation of the use of a numeric pain rating scale with ice application to the neck to determine cold hyperalgesia

Maxwell, Samuel; Sterling, Michele

doi:10.1016/j.math.2012.07.004

Cited by 29 publications

(20 citation statements)

References 20 publications

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“…Recent studies demonstrate that pain ratings on application of ice correlate well with quantitative measures of cold pain thresholds and may be a valuable clinical tool [40,41]. A second option is the Central Sensitization Inventory (CSI) [42], which assesses symptoms common to central sensitization [43].…”

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confidence: 99%

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

et al. 2016

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Background: In addition to fatigue, pain is the most frequent persistent symptom in cancer survivors. Clear guidelines for both the diagnosis and treatment of pain in cancer survivors are lacking. Classification of pain is important as it may facilitate more specific targeting of treatment. In this paper we present an overview of nociceptive, neuropathic and central sensitization pain following cancer treatment, as well as the rationale, criteria and process for stratifying pain classification. Material and methods: Recently, a clinical method for classifying any pain as either predominant central sensitization pain, neuropathic or nociceptive pain was developed, based on a large body of research evidence and international expert opinion. We, a team of 15 authors from 13 different centers, four countries and two continents have applied this classification algorithm to the cancer survivor population. Results: The classification of pain following cancer treatment entails two steps: (1) examining the presence of neuropathic pain; and (2) using an algorithm for differentiating predominant nociceptive and central sensitization pain.Step 1 builds on the established criteria for neuropathic pain diagnosis, whileStep 2 applies a recently developed clinical method for classifying any pain as either predominant central sensitization pain, neuropathic or nociceptive pain to the cancer survivor population. Conclusion: The classification criteria allow identifying central sensitization pain following cancer treatment. The recognition of central sensitization pain in practice is an important development in the integration of pain neuroscience into the clinic, and one that is relevant for people undergoing and following cancer treatment.

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confidence: 99%

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

et al. 2016

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“…The duration of 5 s was selected to minimize the effects of temporal summation due to repeated applications (Rebbeck et al, ). This test has been shown to correlate with quantitative measures of cold pain sensitivity (Maxwell & Sterling, ; Rebbeck et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Laboratory protocols may not be accessible to clinicians. Thus, clinical tests that correlate with QST have recently been assessed, with data emerging that the reported pain intensity in response to the application of ice correlates with cold pain sensitivity measured using QST (Maxwell & Sterling, ; Rebbeck et al, ). Weaker, although still significant, associations were also identified between pain ratings following manually applied pressure and quantitative measures of pressure pain threshold (PPT) (Rebbeck et al, ).…”

Section: Introductionmentioning

confidence: 99%

Are measures of pain sensitivity associated with pain and disability at 12‐month follow up in chronic neck pain?

Moloney

Beales

Azoory

et al. 2018

Musculoskeletal Care

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“…If quantitative sensory testing equipment is not available, clinicians may use palpation to identify widespread mechanical hyperalgesia and heat/cold pain thresholds may be tested with hot water tubes or ice blocks respectively. The latter has been shown to be useful in patients with whiplash-associated disorders, in whom a value over 5 on a numerical pain rating scale after 10 seconds of ice application had a high likelihood to identify cold hyperalgesia [66]. Whether this cut-off applies to other body sites and other diagnoses remains to be evaluated.…”

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confidence: 99%

Pathophysiology of the Carpal Tunnel Syndrome

Schmid¹

2015

physioscience

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Carpal tunnel syndrome (CTS) is the most common peripheral nerve disorder. Despite its frequency, the exact pathophysiology remains elusive. It is, however, commonly accepted that CTS affects the large nerve fibres, induces non-inflammatory changes and is driven by mechanisms that remain localised to the lesion site. Clinical diagnosis therefore largely relies on local tests for the large fibre domain such as standard electrodiagnostics, vibrometry or von Frey hair testing within the median nerve territory. In this review, the current beliefs and resulting clinical guidelines are challenged by summarising novel evidence which suggests the presence of hitherto unrecognised pathophysiological mechanisms. A focus is thereby placed on the contribution of small fibre degeneration, the presence of intraneural inflammation and remote mechanisms to the pathophysiology of CTS.?Since these mechanisms seem to be pertinent to CTS, potential approaches to integrate them in the diagnostic work-up of patients with suspected CTS are suggested. Future work is, however, required to establish their diagnostic validity as well as impact on management and prognosis of patients with CTS.

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An investigation of the use of a numeric pain rating scale with ice application to the neck to determine cold hyperalgesia

Cited by 29 publications

References 20 publications

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

Are measures of pain sensitivity associated with pain and disability at 12‐month follow up in chronic neck pain?

Pathophysiology of the Carpal Tunnel Syndrome

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