Investigation of risk factors for pain chronification in patients suffering from infections of the spine

• Verfasst von: Zhao, Yina [VerfasserIn]
• Verfasst von: Hemmer, Stefan [VerfasserIn]
• Verfasst von: Pepke, Wojciech [VerfasserIn]
• Verfasst von: Akbar, Michael [VerfasserIn]
• Verfasst von: Schiltenwolf, Marcus [VerfasserIn]
• Verfasst von: Dapunt, Ulrike A. [VerfasserIn]
• Titel: Investigation of risk factors for pain chronification in patients suffering from infections of the spine
• Verf.angabe: Yina Zhao, Stefan Hemmer, Wojciech Pepke, Michael Akbar, Marcus Schiltenwolf and Ulrike Dapunt
• E-Jahr: 2020
• Jahr: 5 December 2020
• Umfang: 14 S.
• Fussnoten: Gesehen am 03.02.2022
• Titel Quelle: Enthalten in: Journal of Clinical Medicine
• Ort Quelle: Basel : MDPI, 2012
• Jahr Quelle: 2020
• Band/Heft Quelle: 9(2020), 12, Artikel-ID 4056, Seite 1-14
• ISSN Quelle: 2077-0383
• DOI: doi:10.3390/jcm9124056
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: chronic pain syndrome
• Sach-SW: multidisciplinary pain therapy
• Sach-SW: pain coping strategies
• Sach-SW: quantitative sensory testing (QST)
• Sach-SW: spinal infection
• K10plus-PPN: 1788456017

Abstract

Background: Spinal infections represent a therapeutic challenge. The often protracted course of the disease is accompanied by pain, which can lead to a chronic pain experience even after the infectious disease has been treated successfully. The aim of this study was to investigate possible risk factors of pain chronification. Methods: In a prospective study, 14 patients with spinal infections were examined at admission (T1), at discharge from inpatient therapy (T2), and three to eight months postoperatively (T3) byquestionnaires on risk factors for pain chronification and by quantitative sensory testing (QST). Results: In-patient treatment lasted on average 45.3 days (±33.13). The patients complained of pain for 3.43 months (±2.77) prior to inpatient treatment. The visual analogue scale (VAS) for pain (0-10) and the Oswestry Disability Index detected significant improvement in the course of the study. However, patients also reported catastrophic thinking, as well as fear of movement and (re)-injury. Conclusion: In summary, our results demonstrate that patients with spinal infections did not suffer from pain chronification, but might benefit from an interdisciplinary therapeutic approach, which emphasizes promoting active pain-coping strategies, as well as addressing fear of movement and catastrophic thinking.