Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome
Azize Esra Gürsoy, Mehmet Kolukisa, Gülsen Babacan Yildiz, Gülsen Kocaman, Arif Çelebi, Abdülkadir KoçerDepartment of Neurology, Bezmialem Vakif University, Istanbul, TurkeyObjective: The aim of the study was to invest...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2013
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/c9f4a47030564c498a950d320e86e576 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:c9f4a47030564c498a950d320e86e576 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:c9f4a47030564c498a950d320e86e5762021-12-02T06:32:09ZRelationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome1176-63281178-2021https://doaj.org/article/c9f4a47030564c498a950d320e86e5762013-01-01T00:00:00Zhttp://www.dovepress.com/relationship-between-electrodiagnostic-severity-and-neuropathic-pain-a-a11883https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Azize Esra Gürsoy, Mehmet Kolukisa, Gülsen Babacan Yildiz, Gülsen Kocaman, Arif Çelebi, Abdülkadir KoçerDepartment of Neurology, Bezmialem Vakif University, Istanbul, TurkeyObjective: The aim of the study was to investigate the relationship between the presence of neuropathic pain assessed by the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scale and electrophysiological findings in patients with carpal tunnel syndrome (CTS).Methods: We studied 124 hands with idiopathic CTS with pain complaints involving hand and wrist. All hands were assessed by the LANSS with which a score of 12 or more is defined as pain dominated by neuropathic mechanisms. These hands were assigned to minimal, mild, moderate, severe, or extreme severe groups according to the results of the median nerve conduction studies.Results: A LANSS score ≥ 12, suggestive of pain dominated by neuropathic mechanisms, was defined in 59 (47.6%) CTS hands. Pain intensity was significantly higher in CTS hands with a LANSS score ≥ 12 (P < 0.001). Among electrophysiological findings, compound muscle action potential amplitude was significantly lower in hands with a LANSS score ≥ 12 compared with hands with a LANSS score < 12 (P = 0.020). Severity of CTS was not significantly different between LANSS ≥ 12 and LANSS < 12 groups. Electrophysiological severity was significantly higher in CTS hands with evoked pain (P = 0.005) and allodynia (P < 0.001) in LANSS subscore analysis.Conclusion: We suggest that the presence of pain dominated by neuropathic mechanisms in CTS is not related to electrophysiological CTS severity. Neuropathic pain should be assessed carefully in patients with CTS, and an appropriate treatment plan should be chosen, taking into account the clinical and electrophysiological findings together with the true pain classification.Keywords: electrodiagnostic evaluation, carpal tunnel syndrome, LANSS, neuropathic painGürsoy AEKolukısa MBabacan Yıldız GKocaman GÇelebi AKoçer ADove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 65-71 (2013) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Gürsoy AE Kolukısa M Babacan Yıldız G Kocaman G Çelebi A Koçer A Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| description |
Azize Esra Gürsoy, Mehmet Kolukisa, Gülsen Babacan Yildiz, Gülsen Kocaman, Arif Çelebi, Abdülkadir KoçerDepartment of Neurology, Bezmialem Vakif University, Istanbul, TurkeyObjective: The aim of the study was to investigate the relationship between the presence of neuropathic pain assessed by the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) scale and electrophysiological findings in patients with carpal tunnel syndrome (CTS).Methods: We studied 124 hands with idiopathic CTS with pain complaints involving hand and wrist. All hands were assessed by the LANSS with which a score of 12 or more is defined as pain dominated by neuropathic mechanisms. These hands were assigned to minimal, mild, moderate, severe, or extreme severe groups according to the results of the median nerve conduction studies.Results: A LANSS score ≥ 12, suggestive of pain dominated by neuropathic mechanisms, was defined in 59 (47.6%) CTS hands. Pain intensity was significantly higher in CTS hands with a LANSS score ≥ 12 (P < 0.001). Among electrophysiological findings, compound muscle action potential amplitude was significantly lower in hands with a LANSS score ≥ 12 compared with hands with a LANSS score < 12 (P = 0.020). Severity of CTS was not significantly different between LANSS ≥ 12 and LANSS < 12 groups. Electrophysiological severity was significantly higher in CTS hands with evoked pain (P = 0.005) and allodynia (P < 0.001) in LANSS subscore analysis.Conclusion: We suggest that the presence of pain dominated by neuropathic mechanisms in CTS is not related to electrophysiological CTS severity. Neuropathic pain should be assessed carefully in patients with CTS, and an appropriate treatment plan should be chosen, taking into account the clinical and electrophysiological findings together with the true pain classification.Keywords: electrodiagnostic evaluation, carpal tunnel syndrome, LANSS, neuropathic pain |
| format |
article |
| author |
Gürsoy AE Kolukısa M Babacan Yıldız G Kocaman G Çelebi A Koçer A |
| author_facet |
Gürsoy AE Kolukısa M Babacan Yıldız G Kocaman G Çelebi A Koçer A |
| author_sort |
Gürsoy AE |
| title |
Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| title_short |
Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| title_full |
Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| title_fullStr |
Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| title_full_unstemmed |
Relationship between electrodiagnostic severity and neuropathic pain assessed by the LANSS pain scale in carpal tunnel syndrome |
| title_sort |
relationship between electrodiagnostic severity and neuropathic pain assessed by the lanss pain scale in carpal tunnel syndrome |
| publisher |
Dove Medical Press |
| publishDate |
2013 |
| url |
https://doaj.org/article/c9f4a47030564c498a950d320e86e576 |
| work_keys_str_mv |
AT gampuumlrsoyae relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome AT kolukısam relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome AT babacanyıldızg relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome AT kocamang relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome AT ampccedilelebia relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome AT koampccedilera relationshipbetweenelectrodiagnosticseverityandneuropathicpainassessedbythelansspainscaleincarpaltunnelsyndrome |
| _version_ |
1718399900241100800 |