Chronic Pain and Spinal Cord Injury

Js, Richards

doi:10.1097/00002508-199206000-00009

Cited by 29 publications

(19 citation statements)

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“…6,7,14 The prevalence of pain in the present study (61%) is comparable with the ®ndings of Woolsey (67%), 15 Rose (69%) 16 and Lamid (60%), 7 but higher than the prevalence reported by Wagner (45%) 17 or Britell (42%). 10 These discrepancies can be explained by the de®nitions of pain, as our studies also included patients who had mild pain.…”

Section: Discussionsupporting

confidence: 79%

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Pain following spinal cord injury

Demirel¹,

Yllmaz²,

Gençosmanoğlu³

et al. 1998

Spinal Cord

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Some patients with spinal cord injury (SCI) complain of severe pain. The purpose of this study was to investigate the prevalence and classi®cation of SCI-related pain, in terms of severity, location, aggravating and alleviating factors. 47 SCI individuals were studied between 15 and 67 years of age. Sixty-one percent of subjects experienced pain of moderate to severe intensity. 32 subjects complained of pain in the lower limbs, ®ve patients had pain in the visceral region, eight in the pelvic and perineal areas. The pain duration was for a median of 5 weeks. The patients with pain were older (median 41 years) than those without pain (median 23 years). Pain was reported to be more intense in the evening and at night. The incidence of pain was higher in patients with thoracolumbar and incomplete spinal cord lesions. Inactivity, stress, weather change, overactivity were identi®ed as aggravating factors. Sleep and rest were demonstrated as alleviating factors.

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Section: Discussionsupporting

confidence: 79%

“…A number of categories and descriptions of SCI pain have been reported. 6,7,9,10 The purpose of this study was to investigate the prevalence and classi®cation of SCI related pain, in terms of severity, location, aggravating and alleviating factors.…”

Section: Introductionmentioning

confidence: 99%

Pain following spinal cord injury

Demirel¹,

Yllmaz²,

Gençosmanoğlu³

et al. 1998

Spinal Cord

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“…Many classification schemes for SCI pain have been proposed over the years, but none has been universally accepted (5). For the purpose of this study, the classification scheme proposed by Siddall and associates (2), which considers location, description, and origin of pain, was used.…”

Section: Introductionmentioning

confidence: 99%

Visceral Pain And Life Quality In Persons With Spinal Cordinjury: A Brief Report

Kogos

Richards²,

Baños³

et al. 2005

The Journal of Spinal Cord Medicine

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Background/Objective: Few studies have examined the prevalence of visceral pain in persons with spinal cord injury (SCI), and virtually no studies have looked at the relationship between visceral pain and selfreported quality of life. We examined the frequency of reported visceral pain at 5, 10, and 15 years after injury to determine whether the presence of visceral pain is related to quality of life, and to determine to what extent visceral pain should be of concern to clinicians treating patients with SCI. Methods:Visceral pain and quality of life in persons with SCI were compared from a combined Craig Hospital and National Model SCI Systems database at 5 (N ¼ 33), 10 (N ¼ 132), and 15 (N ¼ 96) years after injury. Results:The rates of visceral pain increased at each measurement (10% at year 5, 22% at year 10, and 32% at year 15); although these numbers reflect cross-sectional data, they do show a clear statistical change. Only a limited true longitudinal sample was available, but at 10 years after injury, individuals who had reported visceral pain at any time reported a significantly lower quality of life than those never experiencing visceral pain, F 1,188 ¼ 3.95, P , 0.05. Conclusions:Although visceral pain may not be as prevalent as the more researched neuropathic and musculoskeletal subtypes of pain, it may account for a higher percentage of people with SCI who report pain than previously recognized. More quantitative and longitudinal research is needed to examine the relationship of visceral pain with overall quality of life and to pursue interventions.J Spinal Cord Med. 2005;28:333-337

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“…[13][14][15] Therefore, both sets of factors should be considered in the design of an integrated strategy to manage pain.…”

Section: Introductionmentioning

confidence: 99%

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

2003

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Study design: Postal survey. Objectives: Because of the high prevalence and inadequate control of pain following spinal cord injury (SCI), it is important to have information about the factors associated with the use of specific pain therapies. We conducted this study to evaluate the ability of pain characteristics and psychosocial factors to predict the use of treatments. Setting: The Miami Project to Cure Paralysis (Miami, FL, USA). Methods: People with SCI (n ¼ 120) were mailed a packet containing a questionnaire with questions regarding demographic factors, pain characteristics, and pain treatments along with a copy of the Multidimensional Pain Inventory. Results: A total of 59% of the respondents had been prescribed treatment or self-initiated efforts to treat pain over the previous 18-month period. The most common treatments used by this sample were massage (26.6%), opioids (22.5%) and nonsteroidal anti-inflammatory drugs (NSAIDs) (20%). The most effective treatments overall were 'physical therapies' with 50% receiving these treatments indicating that their pain was 'considerably reduced' or that they were 'pain free.' Opioids and anticonvulsants were perceived to be the most effective pharmacological agents prescribed (33.3 and 23.8% reporting their pain was considerably better or eliminated, respectively). People using prescription medication reported significantly greater pain severity, more widespread pain, more descriptive adjectives, more evoked pain, greater difficulty in dealing with pain, and more interference and decreased activity levels due to pain, compared to people not using prescription medication. A combination of greater difficulty in dealing with pain, intense pain, presence of evoked pain, and higher level of perceived support from significant others was predictive of taking prescription medication. Conclusion: People taking prescription medication reported significantly more intense pain with neuropathic characteristics that significantly affected daily life and routine activities. A substantial percentage of individuals with pain related to SCI did not obtain significant pain relief from prescription medications. None of the factors assessed predicted the use of nonprescription treatments. The results of this study confirm the inadequacy of available modalities to manage chronic pain related to SCI.

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Chronic Pain and Spinal Cord Injury

Cited by 29 publications

References 0 publications

Pain following spinal cord injury

Pain following spinal cord injury

Visceral Pain And Life Quality In Persons With Spinal Cordinjury: A Brief Report

Types and effectiveness of treatments used by people with chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics

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