The method for assessing the severity and monitoring the effectiveness of treatment neuropathic pain syndrome

Abstract

The existing difficulties in objectifying the patient’s complaints about the severity of the pain syndrome create the need to create new practical tools for assessing its intensity, as well as monitoring the effectiveness of treatment. Based on the accumulated experience of providing care to patients with neuropathic pain syndrome of traumatic genesis, the staff of the M.I. Astvatsaturov Clinic of Nervous Diseases of the Kirov Military Medical Academy has developed a method for assessing the severity and monitoring the effectiveness of treatment of neuropathic pain syndrome. The method is based on the patient’s auto-monitoring of his pain sensations during one day with the sequential fixation of the average hourly indicator of the severity of the pain experienced on an 11-point digital rating scale, as well as indicating the duration and quality of sleep in a daily graphic pain diary. The doctor evaluates the average daily and total daily pain indicators, as well as sleep parameters. The developed method has high visibility and reproducibility, has been tested, implemented and is used at the Kirov Military Medical Academy in the treatment of patients with neuropathic pain syndrome.

About the authors

Sergey V. Kolomentsev

Military Medical Academy

Author for correspondence.
Email: skolomencev@yandex.ru
ORCID iD: 0000-0002-3756-6214
SPIN-code: 6439-6701

M.D., Ph.D. (Medicine), the Head of the Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Anna V. Kolomentseva

Military Medical Academy

Email: antonova401@mail.ru
ORCID iD: 0009-0004-8741-3306

M.D., neurologist, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Peter A. Polezhaev

Military Medical Academy

Email: polezhaev76@gmail.com
ORCID iD: 0009-0009-7771-2229

resident, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Marina S. Yaroslavtseva

Military Medical Academy

Email: gutsumarina@gmail.com
ORCID iD: 0009-0007-0920-6979

resident, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Anna A. Kirpichenko

Military Medical Academy

Email: ann04.111998@mail.ru
ORCID iD: 0009-0005-3112-5716

resident, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Aleksandr V. Ryabtsev

Military Medical Academy

Email: ryabtsev26@gmail.com
ORCID iD: 0000-0002-3832-2780
SPIN-code: 9915-4960
Scopus Author ID: 57202361039
ResearcherId: AAD-3948-2019

M.D., lecturer, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Natalia Y. Polushina

Military Medical Academy

Email: nkotovaya@yandex.ru
ORCID iD: 0009-0001-3527-201X

M.D., neurologist, Neurological Department of the Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Nikolay V. Tsygan

Military Medical Academy

Email: 1860n@mail.ru
ORCID iD: 0000-0002-5881-2242
SPIN-code: 1006-2845
Scopus Author ID: 37066611200
ResearcherId: H-9132-2016

M.D., D.Sc. (Medicine), Professor, Deputy Head of the Department and Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

Igor' V. Litvinenko

Military Medical Academy

Email: litvinenkoiv@rambler.ru
ORCID iD: 0000-0001-8988-3011
SPIN-code: 6112-2792
Scopus Author ID: 35734354000
ResearcherId: F-9120-2013

M.D., D.Sc. (Medicine), Professor the Head of the Department and Clinic of Nervous Diseases

Russian Federation, Saint Petersburg

References

  1. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889): 1127–1131. doi: 10.1016/s0140-6736(74)90884-8
  2. Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain Practice. 2003;3(4):310–316. doi: 10.1111/j.1530-7085.2003.03034.x
  3. Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain. 2001;93(2):173–183. doi: 10.1016/S0304-3959(01)00314-1
  4. Use color-coded scale to assess children’s pain [Internet]. Relias Media. Available from: https://www.reliasmedia.com/articles/12205-use-color-coded-scale-to-assess-children-s-pain (accessed 27.09.2023).
  5. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, editors. Handbook of pain assessment. 2nd ed. New York: Guilford Press; 2001. P. 15–34.
  6. Hjermstad MJ, Fayers PM, Haugen DF, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. Journal of pain and symptom management. 2011;41(6):1073–1093. doi: 10.1016/j.jpainsymman.2010.08.016
  7. Davydov OS, Yakhno NN, Kukushkin ML, et al. Neuropathic pain: clinical guidelines on the diagnostics and treatment from the russian association for the studying of pain. Russian Journal of Pain. 2018;16(57):5–41. (In Russ.). doi: 10.25731/RASP.2018.04.025
  8. Оdinak MМ, Zivolupov SА. Diseases and injuries of the peripheral nervous system (generalization of clinical and experimental experience): a guide for doctors. Saint Petersburg: SpetsLit Publ.; 2009. 367 s.
  9. Kolomentsev SV, Polezhaev PA, Gaivoronsky AI, et al. Modern concepts of treatment of phantom limb pain. Bulletin of the Russian Military Medical Academy. 2023;25(3):515–527. doi: 10.17816/brmma340914
  10. Snyder E, Cai B, DeMuro C, Morrison MF, Ball W. A New Single-Item Sleep Quality Scale: Results of Psychometric Evaluation in Patients With Chronic Primary Insomnia and Depression. J Clin Sleep Med. 2018;14(11):1849–1857. doi: 10.5664/jcsm.7478
  11. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975;1(3):277–299. doi: 10.1016/0304-3959(75)90044-5
  12. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica Scandinavica. 1983;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x
  13. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. Journal of psychosomatic research. 2000;48(6):555–560. doi: 10.1016/s0022-3999(00)00095-7

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Visual analogue scale

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3. Fig. 2. Digital rating scale

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4. Fig. 3. NBS daily graphic diary (example)

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5. Fig. 4. 11-point sleep quality scale

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