Provocative cervical discography symptom mapping

Slipman, Curtis W.; Plastaras, Chris; Patel, Rajeev K.; Isaac, Zacharia; Chow, David W.; Garvan, Cynthia; Pauza, Kevin; Furman, Michael B.

doi:10.1016/j.spinee.2004.11.012

Cited by 73 publications

(42 citation statements)

References 17 publications

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“…Furthermore, prior studies have suggested diagnostic capabilities of the pain diagram without considering sex differences in reported [ research report ] area. 13,46 There is the potential then that clinical application of pain drawings may be less than optimal by not considering sex differences. Second, different psychological factors may be associated with pain drawing area for men and women.…”

Section: Results Tmentioning

confidence: 99%

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Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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Diagnostic classification has been referred to as a prerequisite for physical therapy treatment. 40,42 The medical diagnosis for musculoskeletal complaints is frequently inadequate to guide physical therapy treatment. Subsequently, various classification systems have been proposed that are independent of pathoanatomical diagnosis. 9,23,57 Physical therapists may make use of findings such as pain location and pain response to movement ment-based classification systems for low back pain suggest that the location of peripheral pain may dictate appropriate treatment.9,54 Additionally, pain drawings demonstrating nonanatomic distribution have been suggested to int StuDy DeSiGn: Cross-sectional. t oBJectiveS: To (1) determine the association between pain severity and pain drawing area for men and women; (2) determine if sex differences exist in pain severity or pain drawing area; (3) determine the relative influence of pain severity, anatomical location of pain, personality, and psychological coping factors on pain drawing area for men and women.t BackGrounD: Pain drawings have been postulated to assist in clinical decision making regarding classification and treatment of musculoskeletal pain. Prior studies have been ambiguous on this topic, possibly because they have not considered if sex differences exist for pain drawing area. t methoDS anD meaSureS: One hundred twenty-six subjects referred to a multidisciplinary chronic pain clinic with chronic musculoskeletal pain were included in this study. Subjects completed a pain drawing, the Multidimensional Pain Inventory (MPI), the Coping Strategies Questionnaire (CSQ), and the Minnesota Multiphasic Personality Inventory (MMPI-2). Pearson correlations investigated the associations of pain severity and pain drawing area, independent t tests investigated sex differences in pain severity and pain drawing area, and multiple regression investigated factors that influenced pain drawing area.t reSultS: Pain severity was positively correlated with pain drawing area for men (r = 0.38, P = .003) and women (r = 0.23, P = .052), accounting for approximately 14% and 5% of the total variance, respectively. There was no significant sex difference in pain severity ratings, but women reported a significantly larger area of symptoms on the pain drawings (effect size, 0.61; P = .002). The sex difference in pain drawing area was consistent across different anatomical locations of pain. In women, the final regression model accounted for 39% (P,.001) of the variance in pain drawing area, with anatomical location of pain (b = .42, P,.001) and hypochondriasis (b = .31, P = .005) as the only unique predictors in the final model. In men, the regression model accounted for 27% (P = .003) of the variance in pain drawing area, with pain severity (b = .32, P = .021) and a coping style of ignoring pain (b = -.32, P = .018) as the only unique predictors in the final model. t concluSionS: Women had larger pain drawing area and this area was significantly associated with anatomical location of pain and hy...

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Section: Results Tmentioning

confidence: 99%

“…13,46 The implication of these studies is that clinicians observing a similar pain pattern may be able to localize the cause of pain and specifically direct treatment. Furthermore, treat-…”

mentioning

confidence: 99%

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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“…(13). Currently, it is assumed that the cervical disc disruption can refer pain to the upper extremities (14). Referred somatic pain originating from each disc level to the neck, shoulder, and upper thoracic region has a great amount of overlap.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of Miyofascial Trigger Points and Cervical Disc Herniation: Which One is the Main Source of Pain?

Öztürk¹,

Külcü²,

Aktaş³

et al. 2016

Tod

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“…[7] Bu nedenle, semptomatik hastaları tanımlamak için, servikal dejeneratif disk hastalığı yerine "servikal internal disk yırtılma (disruption ) sendromu" ya da "servikal diskojenik ağrı" ifadesi kullanılmaktadır. [8,9] Servikal diskojenik ağrı, boyun ağrısının en sık nedenidir. Servikal disk herniyasyonunun aksine, diskojenik ağrı diskin mimari yapısında bozulmadır ve klinikte mekanik boyun ağrısı şeklinde kendini gösterir.…”

Section: Servikal Diskojenik Ağrıunclassified

Kronik boyun ağrılı hastada ayırıcı tanı

Akalin¹

2017

TOTBID

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Provocative cervical discography symptom mapping

Cited by 73 publications

References 17 publications

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

Coexistence of Miyofascial Trigger Points and Cervical Disc Herniation: Which One is the Main Source of Pain?

Kronik boyun ağrılı hastada ayırıcı tanı

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