Chirurgische Patienten mit chronischem Schmerz oder chronisch-postoperativem Schmerz

Simanski, C.; Pape-Köhler, Carolina; Kreutz, Kerry W.; Lefering, Rolf; Hoederath, Petra; Hoederath, Sascha; Althaus, Astrid; Bouillon, Bertil; Neugebauer, Edmund

doi:10.1007/s00482-013-1365-3

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…The questionnaire assesses the different sensory qualities of pain and has been translated to several languages. The German version has been validated and is widely used for the assessment of pain in orthopedic patients [18,20]. You could speculate that patients may have difficulty assigning their pain to one of the provided pain terms.…”

Section: Discussionmentioning

confidence: 99%

Typical Pain Patterns in Unhappy Patients After Total Knee Arthroplasty

Mathis

Hauser

Iordache

et al. 2021

The Journal of Arthroplasty

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Background: The primary aim of this study is to assess characteristics of pain in patients with ongoing pain after total knee arthroplasty (TKA). The secondary aim of this study is to identify specific pain patterns and link these to underlying pathologies. Methods: A prospectively collected cohort of 97 painful primary TKA patients was retrospectively evaluated. All patients followed a standardized diagnostic algorithm, which led to a diagnosis that set the indication for revision surgery. Character, location, dynamics, and radiation of pain were systematically assessed and correlated with the underlying pathologies. Results: Most frequent pain characters were pricking/lancinating (45.7%), pinching/crushing, and dull/ heavy (38.6%); 89.5% of all patients localized their knee pain anteriorly; 48.1% reported pain aggravations by descending stairs. Radiating pain was reported in 14% of the patients. Patella-related problems (56.7%) and instability (52.6%) were the most frequent pathologies. Based on correlations between the characteristics 6 specific pain patterns were identified. The most outstanding ones include the following: pattern 1, instability is associated with jumping/shooting, pricking/lancinating and tugging/wrenching pain, and aggravated by chair raising and starting; pattern 6, pain aggravation by descending stairs is associated with anterior and lateral jumping/shooting, tingling/stinging and sharp/lacerating pain character, and TKA positioning and patella baja. Conclusion:The assessment of painful TKA patients involving specific pain patterns help to further differentiate and define the clinical picture and ultimately the cause of a painful TKA. If the causes of the described complaints are known, a decision for a therapy can be made reliably and sustainably at an early stage before the state of pain becomes chronic.

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Section: Discussionmentioning

confidence: 99%

Typical Pain Patterns in Unhappy Patients After Total Knee Arthroplasty

Mathis

Hauser

Iordache

et al. 2021

The Journal of Arthroplasty

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Bestandsaufnahme der Schmerzsituation von Schwerstverletzten zwei Jahre nach Trauma

Kaske

Lefering

Bouillon

et al. 2016

Schmerz

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207/391 (53 %) data sets were available for analysis, presenting a typical trauma collective with injury severity of ISS 19, predominantly male and a mean age of 44 years. 2 years after trauma 59 % still reported that they suffered from severe persisting pain; 53 % of these patients were under pharmacological pain medication. Only 1/5 of the patients with severe persisting pain was treated by a pain specialist. Successful treatment options do exist; improvement of treatment is required.

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External Validation and Update of the RICP—A Multivariate Model to Predict Chronic Postoperative Pain

et al. 2017

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Chirurgische Patienten mit chronischem Schmerz oder chronisch-postoperativem Schmerz

Abstract: Regarding these results critically, there were no group differences concerning psychological and social patient factors in chronic pain patients with or without postsurgical pain.

Cited by 4 publications

References 30 publications

Typical Pain Patterns in Unhappy Patients After Total Knee Arthroplasty

Typical Pain Patterns in Unhappy Patients After Total Knee Arthroplasty

Bestandsaufnahme der Schmerzsituation von Schwerstverletzten zwei Jahre nach Trauma

External Validation and Update of the RICP—A Multivariate Model to Predict Chronic Postoperative Pain

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