Quantitative Sensory Testing in Women After Surgery for Breast Cancer

Dams, Lore; Gucht, Elien Van der; Meeus, Mira; Devoogdt, Nele; Smeets, Ann; Penen, Frauke; Baerdemaecker, Tom De; Haenen, Vincent; Bernar, Koen; Vrieze, Tessa De; Groef, An De

doi:10.1097/ajp.0000000000000940

Cited by 6 publications

(14 citation statements)

References 54 publications

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“…In patients with fibromyalgia, a recent systematic review describes a reduction in cold pain thresholds when compared to a control group 22 . In breast cancer survivors, local disturbance in thermal detection and increased pain facilitation were found in these patients with pain in the surgical area 23 .…”

Section: Discussionmentioning

confidence: 93%

Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain

Dibai‐Filho

Oliveira

et al. 2021

Rev. Assoc. Med. Bras.

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OBJECTIVE:The objective of the study was to correlate the thermal pain threshold (heat and cold) on myofascial trigger points with measurements of pain and skin temperature in patients with chronic neck pain.METHODS: This is a cross-sectional study. We included participants of both genders, aged between 18-45 years, with chronic neck pain (>90 days), and with active bilateral myofascial trigger point centrally located in the upper trapezius muscle. Neck Disability Index, Numerical Rating Scale, Pain-Related Catastrophizing Thoughts Scale, algometry, infrared thermography, and quantitative sensory testing were used for the evaluation.RESULTS: A significant, weak, and negative association was observed between pain intensity and heat pain threshold on the myofascial trigger point to the right (rho -0.381, p=0.022) and to the left (rho -0.334, p=0.049), and a significant, weak, and positive association was observed between pain intensity and cold pain threshold on the myofascial trigger point to the right (rho 0.471, p=0.004) and to the left (rho 0.339, p=0.043).CONCLUSION: Thermal pain threshold (heat and cold) on myofascial trigger points is associated with pain intensity in individuals with chronic neck pain.

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Section: Discussionmentioning

confidence: 93%

Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain

Dibai‐Filho

Oliveira

et al. 2021

Rev. Assoc. Med. Bras.

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“…Our results indicated higher MDT (or a decreased sensitivity for mechanical stimuli) and altered selfreported body perception in women with objective and subjective BCRL as compared to the control group. Decreased sensitivity for mechanical stimuli has previously been reported in the surgical region compared to the same region on the non-affected side, both in breast cancer participants with and without pain in this area [41]. As described in literature, local sensory loss seems prevalent after breast cancer surgery [4,41], although not necessarily related to the presence of measurable BCRL.…”

Section: Discussionmentioning

confidence: 50%

“…Decreased sensitivity for mechanical stimuli has previously been reported in the surgical region compared to the same region on the non-affected side, both in breast cancer participants with and without pain in this area [41]. As described in literature, local sensory loss seems prevalent after breast cancer surgery [4,41], although not necessarily related to the presence of measurable BCRL. The twopoint discrimination threshold does not significantly differ between groups after correction for multiple testing.…”

Section: Discussionmentioning

confidence: 50%

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Sensory signs and symptoms in women with self-reported breast cancer–related lymphedema: a case–control study close up

et al. 2021

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Purpose: It is not clear to what extent signs and symptoms other than arm swelling, including pain, altered sensory function and body perception disturbances, differ between women with measurable and non-measurable breast cancer-related lymphedema (BCRL). A case-control study was performed to compare these signs and symptoms between 1) women with self-reported BCRL with objectively measurable swelling; 2) women with self-reported BCRL without objective confirmation; and 3) a control group with no self-reported BCRL. Methods:The three groups were compared for 1) the severity of self-reported signs and symptoms of BCRL, 2) problems in functioning related to BCRL, 3) pain-related outcomes, 4) sensory functions and 5) body perception.Results: All self-reported outcomes related to signs and symptoms of BCRL and problems in functioning were significantly different between the control group and the other two groups with and without measurable self-reported BCRL (p<0.001-0.003). Except for 'skin texture' (p=0.01), 'hand swelling' (p=0.301) and 'difficulty writing' (p=0.676), no differences were found between groups. For painrelated outcomes, sensory function and body perception, significant differences were only found for the mechanical detection threshold (p<0.01) and self-reported disturbances in body perception (p<0.001) between the self-reported BCRL groups and control group. Conclusions:Diverse signs and symptoms related to BCRL, sensory function and perception were different among women with self-reported BCRL compared to controls. No differences between women with and without measurable self-reported BCRL were found. Implications:The presence of self-reported BCRL, with or without measurable swelling, is a first indication for the need of further diagnostic evaluation.

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“…Psychological factors likely interfere with the nociceptive system. Increased pain sensitivity [25][26][27] www.co-anesthesiology.com related predictors of pain. Sensory disturbance was predicted by higher preoperative temporal summation of pain [29 && ].…”

Section: Breast Cancer-related Persistent Postsurgical Painmentioning

confidence: 99%

Individualized multidisciplinary analgesia to prevent persistent postsurgical pain

Lukas

Buhre

2022

Current Opinion in Anaesthesiology

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Purpose of reviewPersistent postsurgical pain as outcome of surgery has reached more attention in the past years. In the first place because of related disability, long-term use of (opioid)analgesics and impact on the quality of life of individual patients. In addition, the individual and societal socio-economic burden of PPSP is high and increasing in the light of increasing numbers of surgery world-wide.Recent findingsActual studies identified risk factors for persistent postsurgical pain in relevant patient populations. Astonishingly, most of predicting factors seem unrelated to surgery.SummaryFuture perioperative practice will have to focus on identifying patients at risk for PPSP before surgery and develop/offer suitable individually tailored preventive interventions.

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Quantitative Sensory Testing in Women After Surgery for Breast Cancer

Cited by 6 publications

References 54 publications

Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain

Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain

Sensory signs and symptoms in women with self-reported breast cancer–related lymphedema: a case–control study close up

Individualized multidisciplinary analgesia to prevent persistent postsurgical pain

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