This study found that the neck disability index is higher in patients with neuropathic pain. A positive correlation was observed between neuropathic pain screening score and functional deterioration of study participants with cervical radicular pain.

Cervical radicular pain is frequently caused by herniation of a disc or degenerative spondylosis. This type of pain is perceived in the neck or upper limb. It is associated with motor and dermatomal sensory symptoms and is considered to be a combination of nociceptive and neuropathic pain. This study, published in the journal Medicina, utilized screening tools to evaluate the prevalence of neuropathic pain components in individuals with cervical radicular pain. The study also identified the association between the clinical factors of cervical radicular pain and the components of neuropathic pain.
The study obtained data from 103 participants with cervical radicular pain. The authors assessed different parameters associated with cervical radicular pain, including history of neck surgery, neck stability index, duration of symptoms, pain intensity, and the dominant pain site.
Ultimately they found that 29 (28.1%) of the 103 individuals reported neuropathic pain components. The study revealed a significantly higher neck disability index in patients with the neuropathic pain group (23.79 ± 6.35) than those without neuropathic pain(18.43 ± 7.68). The authors also observed a positive correlation between the questionnaire and neck disability index scores.
In summary, the authors observed a low prevalence of neuropathic pain components in patients suffering from cervical radicular pain. The participants included in this study demonstrated a significant correlation between these individuals’ neuropathic pain screening scores and functional deterioration. The authors found no significant differences in the comorbidities, duration and intensity of pain, body mass index (BMI), sex, age, and the dominant pain location between the two groups.
References
Kwon, J., Oh, D., Lee, B., Lee, H., Ko, M., Moon, S., . . . Kim, S. (2022). Neuropathic Pain Component in Patients with Cervical Radicular Pain: A Single-Center Retrospective Study. Medicina (Kaunas), 58(9). doi:10.3390/medicina58091191

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