A Nationwide Survey of Spinal Cord-Related Pain Syndrome in Japan: Clinical Characteristics and Treatment

Spine Surg Relat Res, 2019 · DOI: 10.22603/ssrr.2018-0096 · Published: January 1, 2019

Simple Explanation

This study focuses on chronic neuropathic pain (NeP) in patients with spinal cord damage, defining it as spinal cord-related pain syndrome. A nationwide survey was conducted in Japan to understand the prevalence, characteristics, and treatment of this syndrome. The goal was to gather information for planning effective control measures against spinal cord-related pain syndrome.

Study Duration

Not specified

Participants

3,401 patients

Evidence Level

Not specified

Key Findings

1
The most frequent underlying conditions were cervical spondylotic myelopathy (26.7%), spinal cord injury (17.4%), and ossification of the posterior longitudinal ligament (OPLL) of the cervical spine (14.1%).
2
62.5% reported at-level pain, among which 43.0% presented with allodynia, while 38.7% presented with below-level pain.
3
Anticonvulsants showed significantly higher effectiveness (31.1%) compared to other medications.

Research Summary

This nationwide survey investigated spinal cord-related pain syndrome in Japan, focusing on neuropathic pain associated with spinal cord damage. The study identified common underlying conditions, the prevalence of at-level and below-level pain, and the effectiveness of various treatments. The findings highlight the need for further classification of allodynia and symptom-based treatment approaches to improve pain management in these patients.

Practical Implications

Improved Diagnosis

Better understanding of the clinical characteristics of spinal cord-related pain syndrome can improve diagnosis.

Targeted Treatment

Tailoring treatment based on the level of pain (at-level vs. below-level) and the type of allodynia may enhance treatment effectiveness.

Medication Management

Considering the potential adverse effects and limited effectiveness of some medications, exploring alternative and multidisciplinary approaches is crucial.

A Nationwide Survey of Spinal Cord-Related Pain Syndrome in Japan: Clinical Characteristics and Treatment

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Diagnosis

Targeted Treatment

Medication Management

Study Limitations

Your Feedback

Was this summary helpful?

A Nationwide Survey of Spinal Cord-Related Pain Syndrome in Japan: Clinical Characteristics and Treatment

Simple Explanation

Key Findings

Research Summary

Practical Implications

Improved Diagnosis

Targeted Treatment

Medication Management

Study Limitations

Your Feedback

Was this summary helpful?