Neuropathic Spinal Pain Descriptors in Ankylosing Spondylitis
Study Details
Study Description
Brief Summary
The investigators have aimed to explore and interpret the neuropathic pain (NP) descriptors of spinal pain in patients with ankylosing spondylitis (AS). For this purpose they have attempted to initiate a prospective, cross-sectional study with AS patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
NP descriptors have been investigated in several pain syndromes such as post-herpetic neuralgia, post-surgical nerve trauma, peripheral diabetic neuropathy and low back pain. But there is no study examining descriptors of inflammatory spinal pain with or without neuropathic characteristics seen in AS. To date, only one study reported distribution of sensory descriptors in neuropathic and non-neuropathic pain (nonNP) in AS patients, but in this paper the painful region was not specified and the results related to sensory descriptors were not discussed. Therefore, investigators have aimed to explore and interpret the sensory descriptors of inflammatory spinal pain in patients with AS. For this purpose investigators have attempted to initiate a study investigating whether sensory descriptors in neuropathic pain (NP) are differ from those seen in non-neuropathic pain (nonNP).
The aims of this study are;
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To determine NP descriptors that associated with spinal pain in ankylosing spondylitis patients
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To compare the patients with and without NP with respect to sensory descriptors
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To evaluate the relation between neuropathic pain (NP) descriptors and functional status
Study Design
Outcome Measures
Primary Outcome Measures
- Neuropathic pain [Once, at baseline]
It will be assessed using the painDETECT questionnaire. This questionnaire, contains nine questions all of which are selfreport. Seven items are rated on a six point Likert scale and thus are scored between 0-5. These seven questions query some sensations such as burning, tingling or prickling, allodynia, numbness etc. Apart from these seven items, one item assesses the radiation of pain and the other one item looks for the temporal characteristics of pain. A total score of 12 or less indicates neuropathic component is unlikely, 13-18 means possible neuropathic component and 19 or greater means a neuropathic component is likely. Beside these, there are three items in a separate section measuring severity of pain at the time of evaluation, on average and maximum over the past month. This section is not taken into account in scoring.
- Neuropathic pain descriptors [Once, at baseline]
In the painDETECT questionnaire, seven items querying sensory abnormalities are scored between 0-5. Each of these abnormal sensations represent a pain descriptor. These descriptors are; burning, tingling, allodynia, pain attacks, thermal hyperalgesia, numbness and pressure hyperalgesia. A descriptor will accepted as positive if it is scored between 3 to 5
Secondary Outcome Measures
- Functional status [Once, at baseline]
To measure functional status of patients, Bath Ankylosing Spondylitis Functional Index will be used. It is a 10 item questionnaire querying patients' ability in performing daily activities (such as dressing, bending forward, climbing stairs, reaching a shelf, etc.) on a line of 10 centimeters. The final score is the average of the items, between 0 (no limitation) to 10 (maximal limitation in function).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Being diagnosed with AS according to the Modified NewYork Criteria
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Visual Analogue Scale spinal pain score ≥ 3
Exclusion Criteria:
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Diabetes mellitus, renal insufficiency, hypothyroidism
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Postherpetic neuralgia, spinal cord compression
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Being diagnosed as fibromyalgia in the last month or widespread pain indicating fibromyalgia
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Malignancy
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Pregnancy
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Severe cardiac disease
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In the last three months medical treatment leading to neuropathy (colchicine etc.)
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In the last three months drug use for the treatment of fibromyalgia, depression or anxiety
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Izmir Bozyaka Training and Reseach Hospital | Izmir | Turkey | 35300 |
Sponsors and Collaborators
- Bozyaka Training and Research Hospital
Investigators
- Principal Investigator: Taciser Kaya, Prof., MD, Izmir Bozyaka Training and Reseach Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Bidad K, Gracey E, Hemington KS, Mapplebeck JCS, Davis KD, Inman RD. Pain in ankylosing spondylitis: a neuro-immune collaboration. Nat Rev Rheumatol. 2017 Jul;13(7):410-420. doi: 10.1038/nrrheum.2017.92. Epub 2017 Jun 15. Review.
- Choi JH, Lee SH, Kim HR, Lee KA. Association of neuropathic-like pain characteristics with clinical and radiographic features in patients with ankylosing spondylitis. Clin Rheumatol. 2018 Nov;37(11):3077-3086. doi: 10.1007/s10067-018-4125-z. Epub 2018 Apr 30.
- Heraughty M, Ridehalgh C. Sensory descriptors which identify neuropathic pain mechanisms in low back pain: a systematic review. Curr Med Res Opin. 2020 Oct;36(10):1695-1706. doi: 10.1080/03007995.2020.1790349. Epub 2020 Aug 4.
- Ji Y, He Y, Nian X, Sun E, Li L. Inflammatory or Neuropathic Pain: Characteristics and Their Relationships with Disease Activity and Functional Status in Axial Spondyloarthritis Patients. Pain Med. 2019 May 1;20(5):882-888. doi: 10.1093/pm/pny138.
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