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321635

Frequency of Neuropathic Pain in Egyptian Patients with Knee Osteoarthritis

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Last updated: 04 Jan 2025

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Clinical Research (Medical)

Abstract

Background: Nociceptive pain in osteoarthritis (OA) is correlated significantly with focal joint changes. Yet, another substantial pathway is associated with the severity of pain in OA which is a neuropathic pathway. Aim: This study aimed todetermine the frequency of neuropathic pain in Egyptian patients with knee OA. Subjects and Methods: One hundred ten patients with unilateral OA knees were included. The frequencies of neuropathic pain were assessed by the Douleur Neuropathique 4 (DN4), the Self-Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), and the Pain-DETECT scores. The severity of OA was evaluated by Kellgren-Lawrence grades, Knee injury and Osteoarthritis Outcome Score (KOOS), and Visual Analogue Scale (VAS) for pain. Results:The mean age of the patients was 50.9±9.4 years with female predominance (60.2%). The frequencies of neuropathic pain were 17.3%, 11.8%, and 14.5% according to DN4, S-LANSS, and Pain-DETECT scores, respectively. Overall, 17 patients had manifestations of neuropathic pain (15.5%). Pain DETECT was significantly correlated with Kellgren-Lawrence grades, KOOS, and VAS for nociceptive pain, while S-LANSS was only correlated with KOOS. Conclusions:The patients with OA and neuropathic pain suffered from higher levels of nociceptive pain. When neuropathic pain is detected, suitable treatment options should be included in the management of OA.
 

DOI

10.21608/scumj.2023.321635

Keywords

Pain-DETECT, nociceptive pain, severity of pain

Authors

First Name

Aly E.

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

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City

-

Orcid

-

First Name

Somaya

Last Name

Ibraheem

MiddleName

-

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

-

City

-

Orcid

-

First Name

Nermeen

Last Name

Hassan

MiddleName

-

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

dr.nermeen_hassan@med.suez.edu.eg

City

Ismailia

Orcid

-

Volume

26

Article Issue

8

Related Issue

43654

Issue Date

2023-08-01

Receive Date

2023-10-15

Publish Date

2023-08-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_321635.html

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https://scumj.journals.ekb.eg/service?article_code=321635

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4

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Frequency of Neuropathic Pain in Egyptian Patients with Knee Osteoarthritis

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Article

Created At

24 Dec 2024