Recommendations for terminology and the identification of neuropathic pain in people with spine-related leg pain. Outcomes from the NeuPSIG working group.
Recommendations for terminology and the identification of neuropathic pain in people with spine-related leg pain. Outcomes from the NeuPSIG working group.
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DOI：
10.1097/j.pain.0000000000002919
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发表时间：
2023-08-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
作者：
补充数字内容可在文本中获得。从脊柱放射到腿部的疼痛通常被称为“坐骨神经痛”，“坐骨神经痛”可能包括各种情况，如神经根痛或疼痛性神经根病。它可能会给患者带来严重后果，导致生活质量下降，并带来大量的直接和间接成本。与“坐骨神经痛”诊断相关的主要挑战包括与诊断标签和神经性疼痛识别术语使用不一致有关的挑战。这些挑战阻碍了对这些疾病的集体临床和科学理解。在这篇立场文件中，我们描述了由国际疼痛研究协会（IASP）神经性疼痛特别兴趣小组（NeuPSIG）委托的一个工作组的结果，该工作组的任务是实现以下目标：(1)修订脊柱相关腿部疼痛分类术语的使用；(2)在脊柱相关腿部疼痛的背景下提出一种识别神经性疼痛的方法。专家组建议在没有进一步说明其含义的情况下，不鼓励在临床实践和研究中使用“坐骨神经痛”一词。术语“脊柱相关性腿痛”被提议作为一个总括性术语，包括有或没有神经根病的躯体性疼痛和神经根性疼痛的病例定义。该小组建议在脊柱相关性腿痛的背景下调整神经性疼痛分级系统，以促进神经性疼痛的识别，并在该患者群体中开始特定的治疗。
Supplemental Digital Content is Available in the Text. Pain radiating from the spine into the leg is commonly referred to as “sciatica,” “Sciatica” may include various conditions such as radicular pain or painful radiculopathy. It may be associated with significant consequences for the person living with the condition, imposing a reduced quality of life and substantial direct and indirect costs. The main challenges associated with a diagnosis of “sciatica” include those related to the inconsistent use of terminology for the diagnostic labels and the identification of neuropathic pain. These challenges hinder collective clinical and scientific understanding regarding these conditions. In this position paper, we describe the outcome of a working group commissioned by the Neuropathic Pain Special Interest Group (NeuPSIG) of the International Association for the Study of Pain (IASP) which was tasked with the following objectives: (1) to revise the use of terminology for classifying spine-related leg pain and (2) to propose a way forward on the identification of neuropathic pain in the context of spine-related leg pain. The panel recommended discouraging the term “sciatica” for use in clinical practice and research without further specification of what it entails. The term “spine-related leg pain” is proposed as an umbrella term to include the case definitions of somatic referred pain and radicular pain with and without radiculopathy. The panel proposed an adaptation of the neuropathic pain grading system in the context of spine-related leg pain to facilitate the identification of neuropathic pain and initiation of specific management in this patient population.
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影响因子：
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