Predictive factors of the neuropathic pain in patients with carpal tunnel syndrome and its impact on patient activity

Pain Manag. 2018 Nov 1;8(6):455-463. doi: 10.2217/pmt-2018-0045. Epub 2018 Nov 5.

Abstract

Aim: To determine the predictive factors of the neuropathic pain in patients with carpal tunnel syndrome (CTS), and the impact of such neuropathic pain on patient's activity.

Methods: Douleur Neuropathique 4 questionnaire, Short Form-Brief Pain Inventory test and Boston Carpal Tunnel Syndrome Questionnaire were completed and results were stratified according neuropathic pain and work activity of the patients.

Results: 69 of 90 patients with CTS had neuropathic pain (76.7%). Increasing by one the scores of numbness/tingling, pain intensity and neurologic affectation of the electromyogram meant increasing 3.3-, 2.7- and 4.4-times the risk of neuropathic pain, respectively.

Conclusion: These results will be useful for a better neuropathic pain evaluation in patients with CTS, allowing the appropriate treatment.

Keywords: DN4 questionnaire; carpal tunnel syndrome; neuropathic pain.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Carpal Tunnel Syndrome / complications*
  • Carpal Tunnel Syndrome / psychology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuralgia / complications
  • Neuralgia / diagnosis*
  • Neuralgia / psychology*
  • Pain Measurement
  • Prognosis
  • Surveys and Questionnaires
  • Work