Prevalence of Cold Sensitivity in Patients with Hand Pathology

Novak, Christine B.; McCabe, Steven J.

doi:10.1007/s11552-014-9694-y

Cited by 10 publications

(5 citation statements)

References 29 publications

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“…Cold sensitivity was associated with less improvement following surgery 9 . These results correspond well to our results, and the frequencies are similar to those seen after hand trauma 10,11 . In a normal population, cold sensitivity, defined as > 50 in CISS or by > 4 on a 10-point VAS (visual analogue scale), has been reported in 5-14% 10,12 , the higher prevalence being found in the northern parts of Sweden, where the climate is generally colder than in the south of the country.…”

Section: Discussionsupporting

confidence: 92%

Occurrence of cold sensitivity in carpal tunnel syndrome and its effects on surgical outcome following open carpal tunnel release

Zimmerman

Nyman

Dahlin

2020

Sci Rep

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Cold sensitivity is common following nerve injuries in the upper extremity, but is less well studied in carpal tunnel syndrome (CTS). We investigated cold sensitivity in CTS and its effects on surgical outcome. A search of the Swedish National Registry for Hand Surgery (HAKIR) for open carpal tunnel releases (OCTR) from 2010-2016 identified 10,746 cases. Symptom severity questionnaires (HQ-8; HAKIR questionnaire 8, eight Likert-scale items scored 0-100, one item on cold sensitivity) and QuickDASH scores before and after surgery were collected. Patient mean age was 56 ± SD 16 years, and 7,150/10,746 (67%) were women. Patients with severe cold sensitivity (defined as cold intolerance symptom severity score > 70; n = 951), scored significantly higher on QuickDASH at all time points compared to those with mild cold sensitivity (cold intolerance symptom severity scores ≤ 30, n = 1,532); preoperatively 64 [50-75] vs. 40 [25-55], at three months 32 [14-52] vs. 18 [9-32] and at 12 months 25 [7-50] vs. 9 [2-23]; all p < 0.0001. Severe cold sensitivity predicted higher postoperative QuickDASH scores at three [12.9 points (95% CI 10.2-15.6; p < 0.0001)] and at 12 months [14.8 points (11.3-18.4; p < 0.0001)] compared to mild cold sensitivity, and adjustment for a concomitant condition in the hand/arm, including ulnar nerve compression, did not influence the results. Cold sensitivity improves after OCTR. A higher preoperative degree of cold sensitivity is associated with more preoperative and postoperative disability and symptoms than a lower degree of cold sensitivity, but with the same improvement in QuickDASH score. Cold sensitivity is a disabling symptom that often presents after hand injuries, particularly those involving peripheral nerves in the upper extremity. It is also common, but often overlooked, in nerve compression syndromes. Cold sensitivity is defined as an abnormal response to cold, with symptoms such as numbness, pain, stiffness, weakness, and sometimes changes in colour 1. Cold sensitivity has also been associated with poorer sensory function following nerve compression 2 , and with reduced quality of life 3. In cases of nerve compression syndromes in the upper extremity, earlier studies have described cold sensitivity as occurring more commonly in patients with diabetes and in women 4. Cold sensitivity largely resolves following open carpal tunnel release (OCTR), but may persist longer in patients with diabetes than in those without 5. The population numbers in previous studies on cold sensitivity in nerve compression syndromes were limited. The impact of cold sensitivity on surgical outcome has not yet been completely clarified 5,6. Hence, our aim was to investigate the occurrence of cold sensitivity in carpal tunnel syndrome (CTS) both pre-and post-operatively, and its effects on the surgical outcome of OCTR.

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Section: Discussionsupporting

confidence: 92%

Occurrence of cold sensitivity in carpal tunnel syndrome and its effects on surgical outcome following open carpal tunnel release

Zimmerman

Nyman

Dahlin

2020

Sci Rep

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“…Previous studies have reported a prevalence of 38–83% in patients with post-traumatic cold sensitivity, although many studies have been limited by small and selected patient samples (Carlsson et al., 2010b; Craigen et al., 1999; Graham and Schofield, 2008; Novak et al., 2012; Ruijs et al., 2007). To measure the prevalence of cold sensitivity in patients with upper extremity disorders, Novak and McCabe (2015) assessed 197 patients that were referred with various disorders of the hand and found that 34% of the patients reported cold-induced symptoms. Although significantly more patients with traumatic injuries were affected, 27% of those without injuries had cold-induced symptoms.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of cold sensitivity in upper extremity nerve compression syndromes

Wendt

Novak

Anastakis

2017

J Hand Surg Eur Vol

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“…Severe symptoms of cold sensitivity and pain have been reported following upper extremity trauma and negatively affect outcome and health-related quality of life (QoL). 3,[5][6][7][8]10,[14][15][16] The assessment of cold sensitivity has included objective measures such as skin temperature and rewarming patterns and self-report questionnaires. 2,10,11,[17][18][19]21 These evaluation methods have illustrated a wide range of responses that occur with cold provocation and cold sensitivity after upper extremity trauma.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Cold Sensitivity, Pain, and Quality of Life After Upper Extremity Nerve Injury

Novak

Mackinnon

2016

Hand (New York, N,Y.)

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Background: The purpose of this study was to evaluate the relationship between reported cold sensitivity, pain, and impact on quality of life (QoL) after upper extremity nerve injury. Methods: This cross-sectional study included adults more than 6 months after an upper extremity nerve injury. Assessment included the Pain Evaluation Questionnaire (pain descriptors, questionnaire, pain intensity, impact on QoL), and Cold Intolerance Severity Scale (CISS). Statistical analyses evaluated the relationships between the Pain Evaluation Questionnaire, CISS, and independent variables. Results: There were 70 patients (mean age 42 ± 16 years). There were high levels of pain, cold sensitivity, and impact on QoL reported. Patients selecting the adjective "coldness" had significantly higher CISS scores (P = .005), pain intensity (P= .008), and impact on QoL (P < .006). Impact on QoL and CISS (r = .35) were moderately correlated. There were significant correlations (P < .01) between the level of cold-induced pain and CISS (r = .78), overall pain intensity (r = .58), pain descriptor score (r = .49), and impact on QoL (r = .32). Conclusions: Cold-induced pain is associated with higher cold sensitivity scores and greater impact on QoL. Reporting a single descriptor "coldness" and ranking cold-induced symptoms were strongly associated with higher cold sensitivity scores and impact on health-related QoL. This may have important implications for quick screening to identify patients with cold sensitivity, and future studies in larger patient samples are necessary to provide additional evidence.

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Prevalence of Cold Sensitivity in Patients with Hand Pathology

Cited by 10 publications

References 29 publications

Occurrence of cold sensitivity in carpal tunnel syndrome and its effects on surgical outcome following open carpal tunnel release

Occurrence of cold sensitivity in carpal tunnel syndrome and its effects on surgical outcome following open carpal tunnel release

Prevalence of cold sensitivity in upper extremity nerve compression syndromes

Evaluation of Cold Sensitivity, Pain, and Quality of Life After Upper Extremity Nerve Injury

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