{Reference Type}: Journal Article
{Title}: Reliability of PainDETECT for Evaluating Low Back Pain Caused by Cluneal Nerve Entrapment.
{Author}: Takada C;Kim K;Kokubo R;Ideguchi M;Mihara R;Koketsu K;Murai Y;
{Journal}: J Nippon Med Sch
{Volume}: 91
{Issue}: 3
{Year}: 2024
{Factor}: 1.115
{DOI}: 10.1272/jnms.JNMS.2024_91-312
{Abstract}: <B>BACKGROUND: </B>Superior/middle cluneal nerve entrapment (CN-E) is an elicitor of low back pain (LBP). The painDETECT questionnaire is used to characterize CN-E symptoms.<BR><B>METHODS: </B>Nineteen consecutive patients with LBP caused by CN-E (superior CN-E = 7; middle CN-E = 12) participated in a Japanese language painDETECT questionnaire survey before surgery. A score of 12 or lower was recorded as 'neuropathic component unlikely', a score of 19 or higher as 'neuropathic pain likely', and scores between 13 and 18 as 'neuropathic pain possible'. LBP severity was recorded on a numerical rating scale, the Roland-Morris Disability Questionnaire, and the EuroQol-5 dimension-5 level.<BR><B>RESULTS: </B>The mean painDETECT score was 11.8 and did not significantly differ between the superior CN-E and middle CN-E groups. We classified low back pain as unlikely to have a neuropathic component in 13 patients, as likely to have a neuropathic component in 2 patients, and as possibly neuropathic in 4 patients. There was no significant difference in the pain level of patients with scores of ≤12 and ≥13 on painDETECT. All patients reported trigger pain; the positive rate was high for electric shock pain, radiating pain, and pain attacks and low for a burning or tingling sensation, pain elicited by a light touch, and pain caused by cold or hot stimulation.<BR><B>CONCLUSIONS: </B>The painDETECT questionnaire may not reliably identify LBP caused by superior/middle CN-E as neuropathic pain. A diagnosis of LBP due to CN-E must be made carefully because symptoms resemble nociceptive pain.