Association of neuropathic pain and it’s intensity in patients with traumatic transfemoral and transhumeral amputees
Keywords:
Dolor de la región lumbar, ciática, dolor crónico, Metilprednisolona, Levobupivacaína, bloqueo nervioso, raíces nerviosas espinales.Abstract
Background: Neuropathic Pain is a pain arising from a direct consequence of a lesion or disease affecting the somatosensory system. Amputee acquired patients with pain,
could have association neuropathic pain.
Objective: The objective aim this study to determine the presence and absent of neuropathic pain in transfemoral and transhumeral amputee acquired.
Methods/design: In 2009, 35 Transfemoral and Transhumeral amputee patients were evaluated with Neuropathic Pain DN4 test (DN4), and Numeric Rating Scale temporally average. Statistical association studies were applied to database.
Results: Prevalence of Neuropathic Pain was 57.1% using DN4 test and the presence of pain was 85,7% whit the temporally average Numeric Rating Scale. Association between the DN4 test and numeric rating scale showed a mild positive correlation, but this was significant statistically (p<0.01).
Discussion: More than half of the patients had neuropathic pain expression that was DN4 positive. The use of DN4 with numeric rating scale can be used to separate between neuropathic pain, mixed and nociceptive pain, with useful clinical application.
Conclusion: Transfemoral and transhumeral amputee patients with pain can to refer more pain intensity perception when have neuropathic pain association.
Author Biographies
Ethy Oziel Zabner, Instituto Nacional de Rehabilitación del MPPS.
María Matilde Rosas Chacón, Instituto Nacional de Rehabilitación del MPPS.
Patricia Bonilla, Unidad de Cuidados paliativos del Instituto de Oncología Luis Razzetti,
Luis Razzetti, Caracas, Venezuela.
References
2. A través del procedimiento propuesto se logró disminuir de forma rápida e importante el dolor y la discapacidad funcional inicial.
3. El efecto analgésico obtenido posterior al bloqueo es de largo plazo, sobrepasando la vida media estimada de los
medicamentos utilizados, lo que permite mejor adherencia al tratamiento conservador (fisioterapia).
4. A pesar de no observarse complicaciones durante su realización, consideramos importante un entrenamiento adecuado en la realización del procedimiento.
5. El procedimiento descrito debe ser considerado como una herramienta terapéutica útil en la práctica clínica fisiátrica.
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