Can venous and arterial leg ulcers be differentiated by the characteristics of the pain they produce?

Closs, S. José; Nelson, E Andrea; Briggs, Michelle

doi:10.1111/j.1365-2702.2007.02034.x

Cited by 32 publications

(22 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some studies reported pain intensity in a way that made it improper to include the data in the meta-analysis. Most of these excluded studies reported pain intensity corresponding to mild to moderate, 40,63 which is similar to results found in the studies included in the meta-analysis. Note that one excluded study 41 report a high prevalence (40%) of intense pain.…”

Section: Other Pain Characteristicssupporting

confidence: 76%

Pain in persons with chronic venous leg ulcers: A systematic review and meta‐analysis

Leren

Johansen

Eide

et al. 2020

International Wound Journal

View full text Add to dashboard Cite

Pain is a serious problem for patients with leg ulcers. Research mainly focuses on dressing‐related pain; however, chronic background pain may be just as devastating. Our main objective was to describe the prevalence and characteristics of wound‐related background pain in persons with chronic venous leg ulcers. We performed a systematic review to synthesise data from quantitative studies. Studies were eligible if they reported original baseline‐ or cross‐sectional data on background pain in chronic venous leg ulcers. The initial search identified 2454 publications. We included 36 descriptive and effect studies. The pooled prevalence of wound‐related background pain (from 10 studies) was 80% (95% CI 65‐92%). The mean pain intensity score (from 27 studies) was 4 (0‐10 numeric rating scale) (95% CI 3.4‐4.5). Other pain characteristics could not be synthesised. We identified few sufficiently high‐quality studies on prevalence and intensity of wound‐related background pain in patients with chronic venous leg ulcers. Four of five persons experience mild to moderate pain. Because of poor quality of pain assessment and report, we believe that the available research does not provide a sufficiently nuanced understanding of background pain in this patient group.

show abstract

Section: Other Pain Characteristicssupporting

confidence: 76%

Pain in persons with chronic venous leg ulcers: A systematic review and meta‐analysis

Leren

Johansen

Eide

et al. 2020

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…In a previous study, "throbbing", "burning", "itchy", "stinging", and "tender" were extracted as specific sensory pain descriptions for VLU, and our result is consistent with that study. 31 This suggested that SF-MPQ was valid for expressing the pain of VLU in the present study.…”

mentioning

confidence: 67%

Objective evaluation for venous leg ulcer-related nociceptive pain using thermography

Goto¹,

Naito²,

Tamai³

et al. 2014

CWCMR

View full text Add to dashboard Cite

Correspondence: hiromi sanada 7-3-1 hongo, Bunkyo-ku, Tokyo 113-0033, Japan Tel +81 3 5841 3419 Fax +81 3 5841 3419 email hsanada-tky@umin.ac.jp Purpose: We aimed to identify distinguishing characteristics in thermographic images of venous leg ulcer (VLU), for objective evaluation of VLU-related nociceptive pain. Patients and methods: Secondary analysis was performed, using existing data obtained from April to November 2010, for patients with VLU. Thermographic images of wounds and their surrounding area were classified according to the periwound temperature pattern as "normal temperature" or "high temperature". These results were compared with the self-reported pain intensity assessed by the short-form McGill Pain Questionnaire. Cohen's kappa coefficients were used to evaluate the interrater reliability for temperature assessment, and Wilcoxon rank sum test was used to compare pain intensities between the two groups. Results: Among 39 thermographic examinations in eight patients, 22 were classified into the high-temperature group and 17 into the normal-temperature group. Kappa coefficients for the temperature classification were 0.90 between the wound, ostomy, and continence nurse and a wound care specialist, and 0.90 between the wound, ostomy, and continence nurse and a graduate student. The pain rating index (Z=−2.981, P=0.003), sensory pain (Z=−3.083, P=0.002), affective pain (Z=−2.764, P=0.006), and present pain intensity (Z=−2.639, P=0.006) ratings were significantly higher in the high-temperature group than in the normal-temperature group, but the visual analog scale (Z=−0.632, P=0.527) was not significantly different between the two groups. Conclusion: Thermographic pattern may reflect VLU-related nociceptive pain due to inflammation and has the possibility of being an easy and rapid tool for objective pain evaluation.

show abstract

“…Other studies of patients with leg wounds reported that individuals used terms to describe their bodily pain similar to terms used to describe venous ulcers, such as throbbing, burning, sharp, sore, aching, stabbing, and itchy. [44][45][46] Persons with wounds also achieved a higher percentage of pain relief than those without leg ulcers. Treatment of the leg ulcer pain may also have helped to alleviate other bodily pain.…”

Section: ■ Discussionmentioning

confidence: 96%

Comparison of Bodily Pain

Pieper

Vallerand

Nordstrom

et al. 2009

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

Can venous and arterial leg ulcers be differentiated by the characteristics of the pain they produce?

Abstract: Patients' descriptions of pain have the potential to supplement other methods of differentiating between types of leg ulcer and provide an early-warning indicator for transition from venous to arterial ulceration.

Cited by 32 publications

References 39 publications

Pain in persons with chronic venous leg ulcers: A systematic review and meta‐analysis

Pain in persons with chronic venous leg ulcers: A systematic review and meta‐analysis

Objective evaluation for venous leg ulcer-related nociceptive pain using thermography

Comparison of Bodily Pain

Contact Info

Product

Resources

About