2009
DOI: 10.1007/s00586-009-1042-5
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The bothersomeness of sciatica: patients’ self-report of paresthesia, weakness and leg pain

Abstract: The objective of the study was to investigate how patients with sciatica due to disc herniation rate the bothersomeness of paresthesia and weakness as compared to leg pain, and how these symptoms are associated with socio-demographic and clinical characteristics. A crosssectional study was conducted on 411 patients with clinical signs of radiculopathy. Items from the Sciatica Bothersomeness Index (0 = none to 6 = extremely) were used to establish values for paresthesia, weakness and leg pain. Associations with… Show more

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Cited by 46 publications
(47 citation statements)
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“…Neurobiological research suggests that pain and emotional distress are driven by overlapping pathophysiological processes in the brain and body [37][38][39]. In sciatica, other symptoms than pain, namely paresthesia and weakness, are also associated with emotional distress [40]. Because symptoms like fatigue, sleep problems, abdominal discomfort, and dizziness are used to diagnose anxiety disorder and depression it may be difficult to make clear distinctions between the phenomena of emotional distress and somatic symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…Neurobiological research suggests that pain and emotional distress are driven by overlapping pathophysiological processes in the brain and body [37][38][39]. In sciatica, other symptoms than pain, namely paresthesia and weakness, are also associated with emotional distress [40]. Because symptoms like fatigue, sleep problems, abdominal discomfort, and dizziness are used to diagnose anxiety disorder and depression it may be difficult to make clear distinctions between the phenomena of emotional distress and somatic symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…Primary outcome measures were activity limitation (Oswestry Disability Index21 22) as well as back pain and leg pain (NRS23). Secondary outcome measures were global rating of change,24 25 satisfaction with physiotherapy treatment and with treatment results,26 the Sciatica Frequency and Bothersomeness Scale,27 28 self-reported number of LBD-related work days missed,26 29 degree of interference with work,26 29 Örebro Musculoskeletal Pain Questionnaire score19 30 and health-related quality of life (EuroQol-5D) 31. Adverse events were documented by trial physiotherapists in the clinical notes and collected via open questioning of participants on questionnaires.…”
Section: Methodsmentioning
confidence: 99%
“…W hile clinical and epidemiological studies of sciatica have increased [1][2][3] and the assessment of patientcentered outcomes such as "bothersomeness" 4,5 and "goal attainment scaling" 6 has been developed, reports of patients' own accounts of sciatica are still relatively scarce. 7 This is in contrast to research on low back pain (LBP) where many studies have focused on how sufferers live with their condition on an everyday basis and make physical, social, and psychological adjustments that often require changes in their perceptions of themselves and their future.…”
mentioning
confidence: 99%