medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2024, Number 2

<< Back

Ortho-tips 2024; 20 (2)

Proposal of a diagnostic algorithm on the types of pain with clinical application and epidemiological research

Gutiérrez-Mendoza I, Garín-Zertuche DE, López-Almejo L, Padilla-Rojas LG, Madrigal-Rentería KM, Toledo-Infanson V, Penagos-Paniagua JA, Fernández-Fairén M

Language: Spanish
References: 15
Page: 136-140
PDF size: 166.09 Kb.


ABSTRACT

Pain, representing the main symptom that afflicts humans, requires a precise diagnosis in order to provide the patient with effective and timely treatment; Through the advances made in the knowledge of its etiology and pathophysiology, it has been classified by the IASP into Nociceptive, Neuropathic and Nociplastic pain. As well as the contribution of Freynhagen et al. Mixed pain is the combination of two or more types of pain simultaneously or concurrently in the same region of the body. Questionnaires and algorithms have been proposed that diagnose each type of pain separately; This article presents a diagnostic algorithm that unifies the different types of pain, having the benefit of making it easier for the doctor or health personnel to identify in a didactic way the type of pain that the patient presents, giving them the possibility of choosing the relevant treatment in their clinical practice, as well as making appropriate decisions in health policies when analyzed through an epidemiological study, since the proposed algorithm can be taken as a screening test for this type of research studies.


REFERENCES

  1. International Association for the Study of Pain (IASP) [Internet]. Washington: [updated 2017 Dec 14]. Available in: https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Nociplasticpain

  2. Freynhagen R, Arevalo PH, Calderon-Ospina CA, Chen J, Rakhmawati ED, Fernández-Villacorta FJ, et al. Current understanding of the mixed pain concept: a brief narrative review. Curr Med Res Opin. 2019; 35 (6): 1011-1018.

  3. Fernandez-Fairen M, Calderón-Ospina CA, Chen J, Duarte-Vega M, Fernández-Villacorta F, Gómez-García F, et al. A Latin American consensus meeting on the essentials of mixed pain. Curr Med Res Opin. 2023; 39 (3): 451-466. doi: 10.1080/03007995.2023.2177401.

  4. Guzmán F, Arias CA. La historia clínica: elemento fundamental del acto médico. Rev Colomb Cir. 2012; 27: 15-24.

  5. Ronald Melzack. The McGill Pain questionnaire from description to measurement. Anesthesiology. 2005; 103 (1): 199-202.

  6. Ferrer VA. Inventario multidimensional del dolor de West Haven-Yale. Pain. 1993; 8: 153-160.

  7. Daut RL, Cleeland CS and Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain 1983; 2 (17): 197-210. Available in: https://doi.org/10.1016/0304-3959(83)90143-4.

  8. Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005; 114: 29-36. doi: 10.1016/j.pain.2004.12.010.

  9. Perez C, Galvez R, Huelbes S, Insausti J, Bouhassira D, Diaz S, Rejas J. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Health and Quality Life Outcomes. 2007; 5: 66. doi: 10.1186/1477-7525-5-66.

  10. Bennett MI, Smith BH, Torrance N, Potter J. The S-LANSS score for identifying pain of predominantly neuropathic origin: Validation for use in clinical and postal research. J Pain. 2005; 6: 140-158. doi: 10.1016/j.jpain.2004.11.007.

  11. Freynhagen R, Baron R, Gockel U, Tolle TR. PainDETECT: A new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006; 22: 1911-1920. doi: 10.1185/030079906X132488.

  12. Finnerup NB, Haroutounian S, Kamerman P, Baron R, Bennett D, Bouhassira D, et al. Neuropathic pain: an updated grading system for research and clinical practice. Pain. 2016; 157 (8): 1599-1606. doi: 10.1097/j.pain.0000000000000492.

  13. Fernández FM. Nuevas perspectivas del dolor en el paciente diabético. Orthotips. 2019; 15 (3): 171-184.

  14. Zhu GC, Bottger K, Slater H, Cook C, Farrell SF, Hailey L, et al. Concurrent validity of a low-cost and time-efficient clinical sensory test battery to evaluate somatosensory dysfunction. Eur J Pain. 2019; 23 (10): 1826-1838. doi: 10.1002/ejp.1456.

  15. Kosek E, Clauw D, Nijs J, Baron R, Gilron I, Harris RE, Mico JA, Rice ASC, Sterling M. Chronic nociplastic pain affecting the musculoskeletal system: clinical criteria and grading system. Pain. 2021; 162 (11): 2629-2634. doi: 10.1097/j.pain.0000000000002324.



EVIDENCE LEVEL

V




2020     |     www.medigraphic.com