Neuropathic Pain and Related Factors in Female Patients with Rheumatoid Arthritis

Halime Kibar

doi:10.31067/acusaglik.1241794

EN

Neuropathic Pain and Related Factors in Female Patients with Rheumatoid Arthritis

Abstract

Purpose : Neuropathic pain (Np) can accompany Rheumatoid arthiritis (Ra)like many other diseases. Aim of our study was to investigate the frequency of Np and related factors in female patients with Ra. Methods : Age, disease duration, body mass index (BMI), erythrocyte sedimentation rate (ESR) were recorded. A pain visual analog scale (VAS) was used to record pain intensity and paindetect questionnaire (Pd) was used to record Np score. Ra disease activity was calculated with DAS28 score. Health Assesment Questionnaire (HAQ) was used for functional status. Results : Np scores of the patients were high. A significant correlation was found between Pd and VAS, BMI and HAQ values. The correlation value between Pd and disease duration, age, inflammation, disease activity was not significant Conclusion : All of the patients' pain may not be caused by inflammation. If this is the case, treatment can change. If the pain pattern is questioned and treated, unnecessary use of anti-inflammatory drugs can be prevented.

Keywords

References

Brasington RD. Hochberg MC, Silman AJ et al. Clinical features of rheumatoid arthritis. Rheumatology. Fourth ed. New York: Mosby;2008:763-764.
Ten Klooster PM, Veehof MM, Taal E et al. Changes in priorities for improvement in patients with rheumatoid arthritis during 1 year of anti-tumour necrosis factor treatment. Ann Rheum Dis. 2007;66:1485–90.
Kidd BL, Urban LA. Mechanisms of inflammatory pain. British Journal of Anaesthesia. 2001;87(1):3-11.doi: 10.1093/bja/87.1.3.
Schaible H-G, Ebersberger A, Von Banchet GS. Mechanisms of pain in arthritis. Ann N Y Acad Sci. 2002;966:343–354. 24.
Lee YC, Nassikas NJ, Clauw DJ. The role of the central nervous system in the generation and maintenance of chronic pain in rheumatoid arthritis, osteoarthritis and fibromyalgia. Arthritis Res Ther. 2011;13(2):211.
Lee YC, Cui J, Lu B, Frits ML, Iannaccone CK, Shadick NA, et al. Pain persists in DAS28 rheumatoid arthritis remission but not in ACR/EULAR remission: a longitudinal observational study. Arthritis Res Ther 2011;13:R83.
Koop SMW, Klooster P M, Harald E et al. Neuropathic-like pain features and cross-sectional associations in rheumatoid arthritis. Arthritis Research & Therapy. 2015;17:237.
Ahmed S, Magan T, Vargas M et al. Use of the painDETECT tool in rheumatoid arthritis suggests neuropathic and sensitization components in pain reporting. J Pain Res 2014 Oct 14;7:579-88.

Fransen J, van Riel PL. The Disease Activity Score and the EULAR response criteria. Clin Exp Rheumatol. 2005;23:S93–9.
Alkan H, Ardic F, Erdogan C et al. Turkish Version of the painDETECT Questionnaire in the Assessment of Neuropathic Pain: A Validity and Reliability Study. Pain Med. 2013 Dec;14(12):1933-43.
Hallström H, Norrbrink C. Screening tools for neuropathic pain: Can they be of use in individuals with spinal cord injury? Pain 2011;152(4):772-9
Fries JF, Spitz P, Kraines G et al. Measurement of Patient Outcome in Arthritis, Arthritis and Rheumatism, 1980, 23:137-145.
Kucukdeveci AA, Sahin H, Ataman S et al. Issues in crosscultural validity: example from the adaptation, reliability and validity testing of a Turkish version of the Standford Health Assessment Questionnaire. Arthritis Care Res 2004; 51(1): 14-19.
Heiberg T, Finset A, Uhlig T et al. Seven year changes in health status and priorities for improvement of health in patients with rheumatoid arthritis. Ann Rheum Dis. 2005;64:191–195.
McWilliams DF, Zhang W. Mansell JS et al. Preddictors of change in bodily pain in early rheumatoid arthiritis: an inception cohort study. Arthiritis Care Res. 2014:64 (10): 1505-1513.
Vermeer M, Kuper HH, van der Bijl AE et al. The provisional ACR/EULAR definition of remission in RA: a comment on the patient global assessmentcriterion. Rheumatol. 2012;51:1076–80.
Masri KR, Shaver TS, Shahouri SH et al. Validity and reliability problems with patient global as a component of the ACR/EULAR remission criteria as used in clinical practice. J Rheumatol. 2012;39:1139–45.
Noda K, Saitou M, Matsushita T et al. How do central ensitization features affect symptoms among patients with rheumatoid arthritis? Analysis of pain descriptors and the effect of central sensitivity syndrome on patient and evaluator global assessments . Clin Exp Rheumatol. 2022 Nov;40(11):2119-2124.
Ranzolin A, Brenol JC, Bredemeier M, et al. Association of concomitant fibromyalgia with worse disease activity score in 28 joints, health assessment questionnaire, and short form 36 scores in patients with rheumatoid arthritis. Arthritis Rheum 2009;61:794–800.
Rocha TM, Pimenta S, Bernardo A et al. Determinants of non-nociceptive pain in Rheumatoid Arthritis. Acta Reumatol Port 2018 Oct-Dec;43(4):291-303.
Christensen AW, Rifbjerg-Madsen S, Christensen R et al. Non-nociceptive pain in rheumatoid arthritis is frequent and affects disease activity estimation: cross-sectional data from the FRAME study. Scand J Rheumatol.2016 Nov;45(6):461-469.
Bigal ME, Liberman JN, Lipton RB. Obesity and migrane: apopulation study. Neurology, 2006;(4):545-550.
Lake JK, Power C, Cole TJ. Back pain and obesity in the 1958 British birth cohort. Cause or effect? J Clin Epidemiol. 2000;53(3):245–250.
Peres MF, Lerario DD, Garrido AB. Primary headaches in obese patients. Arq –Neuropsiquiatr. 2005;63 (4):931-933
Fantuzzi G. Adipose tissue, adipokines, and inflammation. J Allergy Clin Immunol. 2005;115: 911–9.
Schaefer C, Mann R, Sadosky A et al. Burden of Illness Associated with Peripheral and Central Neuropathic Pain among Adults Seeking Treatment in the United States: A Patient‐Centered Evaluation. Pain Medicine 2014;15(12): 2105-2119. 216.
Doth AH, Hansson PT, Jensen MP. The burden of neuropathic pain: a systematic review and meta-analysis of health utilities. Pain 2010;149(2): 338-344.
Pollard LC, Ibrahim F, Choy EH. Pain thresholds in rheumatoid arthritis: the effect of tender point counts and disease duration. J Rheumatol. 2012; 39(1):28–31.
Amris K, Jespersen A, Bliddal H. Self-reported somatosensory symptoms ofneuropathic pain in fibromyalgia and chronic widespread pain correlatewith tender point count and pressure-pain thresholds. Pain. 2010;151:664–9.
Hochman JR, Davis AM, Elkayam J et al. Neuropathic painsymptoms on the modified painDETECT correlate with signs of centralsensitization in knee osteoarthritis. Osteoarthritis Cartilage. 2013; 21:1236–42.

Details

Primary Language

English

Subjects

Rheumatology and Arthritis

Journal Section

Research Article

Authors

Halime Kibar ^*
0000-0002-9695-062X
Türkiye

Early Pub Date

June 22, 2023

Publication Date

July 10, 2023

Submission Date

January 25, 2023

Acceptance Date

April 10, 2023

Published in Issue

Year 1970 Volume: 14 Number: 3

DOI

https://doi.org/10.31067/acusaglik.1241794

IZ

https://izlik.org/JA67NS99PD

Cite

RIS / Bibtex

EndNote

Kibar H (July 1, 2023) Neuropathic Pain and Related Factors in Female Patients with Rheumatoid Arthritis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 3 383–389.

Öz

Neuropathic Pain and Related Factors in Female Patients with Rheumatoid Arthritis

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Early Pub Date

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite