NHÂN ĐÁNH GIÁ ĐAU DO NGUYÊN THẦN KINH BẰNG THANG ĐIỂM PAINDETECT Ở BỆNH NHÂN THOÁI HÓA CỘT SỐNG THẮT LƯNG

Abstract

Objective: Description of clinical, radiological and pain characteristics due to neuropathic causes according to the PainDETECT scale in patients with lumbar spine osteoarthritis. Subjects: Conducted a study on 105 patients diagnosed with lumbar spine osteoarthrits who had VAS spinal pain score ≥ 3 points and were treated in the Centre for Rheumatology from August 2023 to August 2024. Research Method: Cross-sectional study. Result: 1. The average age of the study subjects was 62,0 ± 11.5 years; the majority were female (67,6%); mainly intellectual workers (58,1%). Lumbar spinal pain primarily occurred spontaneously (54,3%); pain duration is mainly >6 months (55,2%). Most common clinical symptoms: pain on palpation of paraspinal pain points (100%), paraspinal muscle stiffness (81,9%), decreased Schober index (67,6%), increased hand-to-ground distance (65,7%). Most common X-ray symptoms: subchondral sclerosis (78,1%), vertebral body osteophytes (75,2%). 2. Most common X-ray symptoms: subchondral sclerosis (78,1%), vertebral body osteophytes (75,2%). 3. The rate of neuropathic pain in patients with degenerative lumbar spine disease according to the PainDETECT scale was 27,6%. Common neuropathic pain symptoms according to the PainDETECT scale were numbness (72,4%), sudden electric shock-like pain (64,8%), tingling or prickling pain (61,9%) and pain with light pressure (58,1%), the most common types of pain were persistent pain with slight increases and decreases (48,1%) and diffuse pain (43,2%). Conclusion: The rate of lumbar spine pain due to neuropathic pain in patients with degenerative lumbar spine disease according to the PainDETECT scale is 26,7% and neuropathic pain may be 22.9%. Common symptoms of neuropathic pain according to the PainDETECT scale are numbness, burning pain, pain when lightly applied, tingling or prickling pain, the most common type of pain is persistent pain with slight increases and decreases.