Patients With Knee Osteoarthritis Who Score Highly on the PainDETECT Questionnaire Present With Multi-modality Hyperalgesia, Increased Pain and Impaired Physical Function

Penny Moss, Heather A E Benson, Rob Will, Anthony Wright

    Research output: Contribution to journalArticlepeer-review

    32 Citations (Scopus)

    Abstract

    OBJECTIVES:: PainDETECT is a self-report questionnaire that can be used to identify features of neuropathic pain. A proportion of patients with knee osteoarthritis score highly on the PainDETECT questionnaire. This study aimed to determine whether those with a higher “positive neuropathic” score on the PainDETECT questionnaire also had greater pain, hypersensitivity and reduced function compared to individuals with knee OA with lower PainDETECT scores. METHODS:: 130 participants with knee OA completed the PainDETECT, Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Pain Quality Assessment Scale (PQAS) questionnaires. Quantitative sensory testing was carried out at three sites (both knees and elbow) using standard methods. Cold and heat pain thresholds were tested using a Peltier thermode and pressure pain thresholds using a digital algometer. Physical function was assessed using three timed locomotor function tests. RESULTS:: 22.3% of participants scored in the “positive neuropathic” category with a further 35.4% in the unclear category. Participants in the “positive neuropathic” category reported higher levels of pain and more impaired function based on the WOMAC questionnaire (P

    Original languageEnglish
    Pages (from-to)15-21
    Number of pages7
    JournalClinical Journal of Pain
    Volume34
    Issue number1
    DOIs
    Publication statusPublished - Jan 2018

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