scholarly journals Adaptations in Evoked Pain Sensitivity and Conditioned Pain Modulation after Development of Chronic Neck Pain

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Bahar Shahidi ◽  
Katrina S. Maluf
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Time Course ◽  
Secondary Analysis ◽  
Chronic Neck Pain ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Healthy Individuals ◽  
Cold Pain

Numerous studies demonstrate elevated pain sensitivity and impaired conditioned pain modulation (CPM) in patients with chronic musculoskeletal pain compared to healthy individuals; however, the time course of changes in pain sensitivity and CPM after the development of a chronic pain condition is unclear. Secondary analysis of data from a prospective investigation examined changes in evoked pain sensitivity and CPM before and after development of chronic neck pain (CNP). 171 healthy office workers participated in a baseline assessment, followed by monthly online questionnaires to identify those who developed CNP over the subsequent year. These individuals (N=17) and a cohort of participants (N=10) who remained pain-free during the follow-up period returned for a 12-month follow-up assessment of mechanical and thermal pain sensitivity and CPM. Pain sensitivity measures did not differ between groups at baseline; however, cold pain threshold decreased in the CNP group at follow-up (p<0.05). CPM was lower at baseline in the CNP group compared to those who reported no neck pain (p<0.02) and remained unchanged one year later. These findings indicate that CPM is reduced in healthy individuals prior to the development of chronic neck pain and the subsequent reduction of thresholds for cold but not pressure pain.

Neural Tension Technique Improves Immediate Conditioned Pain Modulation in Patients with Chronic Neck Pain: A Randomized Clinical Trial

Pain Medicine ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 1227-1235 ◽  
Author(s):  
Josué Fernández-Carnero ◽  
Eva Sierra-Silvestre ◽  
Hector Beltran-Alacreu ◽  
Alfonso Gil-Martínez ◽  
Roy La Touche
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Randomized Clinical Trial ◽  
Chronic Neck Pain ◽  
Pain Modulation ◽  
Conditioned Pain Modulation

Do measures of pain sensitivity predict pain and disability at 1-year follow up in people with chronic neck pain?

2016 ◽  
Vol 25 ◽  
pp. e39-e40 ◽  
Author(s):  
N. Moloney ◽  
T. Rebeck ◽  
R. Azoory ◽  
M. Huebscher ◽  
R. Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain

Are measures of pain sensitivity associated with pain and disability at 12‐month follow up in chronic neck pain?

2018 ◽  
Vol 16 (4) ◽  
pp. 415-424 ◽  
Author(s):  
Niamh Moloney ◽  
Darren Beales ◽  
Roxanne Azoory ◽  
Markus Hübscher ◽  
Robert Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain

scholarly journals Efficacy of Manual Therapy and Transcutaneous Electrical Nerve Stimulation in Cervical Mobility and Endurance in Subacute and Chronic Neck Pain: A Randomized Clinical Trial

2021 ◽  
Vol 10 (15) ◽  
pp. 3245
Author(s):  
Belén Díaz-Pulido ◽  
Yolanda Pérez-Martín ◽  
Daniel Pecos-Martín ◽  
Isabel Rodríguez-Costa ◽  
Milagros Pérez-Muñoz ◽  
...  
Keyword(s):  
Primary Care ◽  
Neck Pain ◽  
Manual Therapy ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Sagittal Plane ◽  
Chronic Neck Pain ◽  
Post Intervention ◽  
Electrical Nerve Stimulation

Neck pain is a frequent health problem. Manual therapy (MT) and transcutaneous electrical nerve stimulation (TENS) are recommended techniques for treatment of mechanical neck disorders (MND) in Spanish Public Primary Care Physiotherapy Services. The aim of this study was to compare the efficacy of MT versus TENS in active mobility and endurance in cervical subacute or chronic neck pain. Ninety patients with MND were randomly allocated to receive ten 30-min sessions of either MT or TENS, in a multi-centered study through 12 Primary Care Physiotherapy Units in the Madrid community. Active cervical range of motion (CD-ROM) and endurance (Palmer and Epler test) were evaluated pre- and post-intervention and at 6-month follow-up. A generalized linear model of repeated measures was constructed for the analysis of differences. Post-intervention MT yielded a significant improvement in active mobility and endurance in patients with subacute or chronic MND, and at 6-month follow-up the differences were only significant in endurance and in sagittal plane active mobility. In the TENS group, no significant improvement was detected. With regard to other variables, MT improved mobility and endurance more effectively than TENS at post-intervention and at 6-month follow-up in the sagittal plane. Only MT generated significant improvements in cervical mobility and endurance in the three movement planes.

Acupuncture for Chronic Neck Pain - a Cohort Study in An Nhs Pain Clinic

2004 ◽  
Vol 22 (3) ◽  
pp. 146-151 ◽  
Author(s):  
Patrick Blossfeldt
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Chronic Neck Pain ◽  
Pain Clinic ◽  
Patient Treatment ◽  
Successful Outcome ◽  
End Of Treatment ◽  
Long Term Follow Up ◽  
One Year

The study investigates the outcome of acupuncture for chronic neck pain in a cohort of patients referred to an NHS chronic pain clinic. One hundred and seventy two patients were selected for acupuncture over a period of 6.5 years. Treatment was given by a single acupuncturist and consisted of a course of needle acupuncture for an average of seven sessions per patient. Treatment outcome was measured by an oral rating scale of improvement at the end of treatment and at follow up six months and one year after treatment. Nineteen patients were withdrawn from treatment for various reasons, two for adverse events. One hundred and fifty three patients were evaluated, of whom 68% had a successful outcome from acupuncture, reporting an improvement in pain of at least 50%. The success rate was higher in patients with a short duration of pain: 85% in patients with pain for up to three months and 78% with pain for up to six months. Long-term follow up showed that 49% of the patients who completed treatment had maintained the benefit after six months, and 40% at one year. The results indicate that acupuncture can be an effective treatment for selected patients with chronic neck pain.

Changes in Pain Sensitivity and Conditioned Pain Modulation During Recovery from Whiplash Associated Disorders

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Steffan Wittrup McPhee Christensen ◽  
Pablo Bellosta-López ◽  
Víctor Doménech-García ◽  
Pablo Herrero ◽  
Thorvaldur Skuli Palsson
Keyword(s):  
Pain Sensitivity ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Whiplash Associated Disorders
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