Adult Patients' Postoperative Pain Descriptions and Responses to the Short-Form McGill Pain Questionnaire

2001 ◽  
Vol 10 (4) ◽  
pp. 442-452 ◽  
Author(s):  
Deborah Dillon McDonald ◽  
Constance Spagnola Weiskopf

This study examined the clinical usefulness of the Short-Form McGill Pain Questionnaire (SF-MPQ). Thirty postoperative patients were asked to describe their postoperative pain and then administered the SF-MPQ. Eighteen (60%) used exact SF-MPQ sensory or affective words or synonyms to describe their postoperative pain during the interview. These results provide further evidence of the clinical relevance of the SF-MPQ sensory and affective scales. Pain descriptions by patients that go beyond pain intensity descriptions may communicate more precise information about the pain and lead to more effective pain interventions. Patients with difficulty describing their pain might be assisted by using the SF-MPQ.

2008 ◽  
Vol 29 (11) ◽  
pp. 1063-1068 ◽  
Author(s):  
Loretta B. Chou ◽  
Dominic Wagner ◽  
Daniela M. Witten ◽  
Gabriel J. Martinez-Diaz ◽  
Nancy S. Brook ◽  
...  

Background: Orthopaedic procedures have been reported to have the highest incidence of pain compared to other types of operations. There are limited studies in the literature that investigate postoperative pain. Materials and Methods: A prospective study of 98 patients undergoing orthopedic foot and ankle operations was undertaken to evaluate their pain experience. A Short-Form McGill Pain Questionnaire (SF-MPQ) was administered preoperatively and postoperatively. Results: The results showed that patients who experienced pain before the operation anticipated feeling higher pain intensity immediately postoperatively. Patients, on average, experienced higher pain intensity 3 days after the operation than anticipated. The postoperative pain intensity at 3 days was the most severe, while postoperative pain intensity at 6 weeks was the least severe. Age, gender and preoperative diagnosis (acute versus chronic) did not have a significant effect on the severity of pain that patients experienced. Six weeks following the operation, the majority of patients felt no pain. In addition, the severity of preoperative pain was highly predictive of their anticipated postoperative pain and 6-week postoperative pain, and both preoperative pain and anticipated pain predict higher immediate postoperative pain. Conclusion: The intensity of patients' preoperative pain was predictive of the anticipated postoperative pain. Patients' preoperative pain and anticipated postoperative pain were independently predictive of the 3-day postoperative pain. The higher pain intensity a patient experienced preoperatively suggested that their postoperative pain severity would be greater. Therefore, surgeons should be aware of these findings when treating postoperative pain after orthopaedic foot and ankle operations. Level of Evidence: II, Prospective Comparative Study


2019 ◽  
Author(s):  
Nirosha P. Edirisinghe ◽  
Thamasi R. Makuloluwa ◽  
Thamara D. Amarasekara ◽  
Christine S. E. Goonewardena

Biology ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 379
Author(s):  
Laura Antonio-Zancajo ◽  
Javier Montero ◽  
Daniele Garcovich ◽  
Mario Alvarado-Lorenzo ◽  
Alberto Albaladejo ◽  
...  

The objective of this prospective clinical study was to analyze the pain (intensity, location and type) that patients presented after the placement of different types of orthodontic appliances: conventional, low friction, lingual and aligners. The sample consisted of 120 patients divided into four groups: conventional (CON), low friction (LF), lingual (LO) and aligners (INV). The participants were given the Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ), where they had to record the pain intensity (no pain, mild, moderate or intense) and the periodontal location at different time points, from the first 4 h to 7 days after the start of treatment. In all the study groups, the most frequent location was both anterior arches, with maximum values between 56.7% (CON group at 24 h) and 30% (LO group at 4 h). The “whole mouth” and “complete lower arch” locations were indicated only by the patients in the lingual group. Regarding pain intensity, the patients reported a higher percentage of mild–moderate pain during the first 3 days of treatment (96.7% in LO at 4 h, 86.7% in CON, 83.3% in LF and 90% in INV at 24 h); later, the reported pain decreased to no pain/mild pain, especially in the lingual group, until reaching values close to zero at 7 days post-treatment. The most frequent type of pain was acute in the low friction and lingual groups (with maxima of 60% and 46.7% at 24 h, respectively). On the contrary, in the conventional (36.7% at 4 h) and Invisalign (40% at 24 h) groups, the sensitive type was the most frequent. There are differences regarding periodontal pain in its intensity, location and type according to the use of different orthodontic techniques.


Pain Medicine ◽  
2012 ◽  
Vol 13 (4) ◽  
pp. 541-551 ◽  
Author(s):  
Tatsuyuki Arimura ◽  
Masako Hosoi ◽  
Yoshihiro Tsukiyama ◽  
Toshiyuki Yoshida ◽  
Daiki Fujiwara ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Dong Wang ◽  
Kai Zhang ◽  
ShaoLong Han ◽  
LingZhi Yu

Objective. PainVision device was a developed application for the evaluation of pain intensity. The objective was to assess the efficacy and safety of pulsed radiofrequency (PRF) combined with pharmacological therapy in the treatment of postherpetic neuralgia (PHN). We also discussed the correlation of the measurements.Method. Forty patients with PHN were randomized for treatment with PRF combined with pharmacological therapy (PRF group,n=20) or pharmacological therapy (control group,n=20) at postoperative 48 hours. The efficacy measure was pain degree (PD) that was assessed by PainVision and visual analog scale (VAS), short form Mcgill pain questionnaire (SF-Mcgill), and numeric rate scale sleep interference score (NRSSIS). Correlations between PD, VAS, SF-Mcgill, and NRSSIS were determined.Results. The PD for persistent pain (PP) and breakthrough pain (BTP) at postoperative 48 hours assessed by PainVision were significantly lower in PRF group than in control group (PD-PP,P<0.01; PD-BTP,P<0.01). PD and VAS were highly correlated for both persistent pain (r=0.453,ρ=0.008) and breakthrough pain (r=0.64,ρ=0.001).Conclusion. PRF was well tolerated and superior to isolated pharmacological therapy in the treatment of PHN. PainVision device showed great value in the evaluation of pain intensity and PD had an excellent correlation with VAS and SF-Mcgill.


2020 ◽  
Vol 25 (3) ◽  
pp. 22-25
Author(s):  
Adriana Boţan ◽  
Monica Chiş ◽  
Sanda-Maria Copotoiu

AbstractThe first and most important step in pain management is to correctly assess it. Short-form McGill Pain Questionnaire-2(SF-MPQ-2) and Multidimensional Pain Evaluation Scale (MPES) are valid and reliable tools used in clinical practice and research. Our aim was to evaluate the efficacy of pharmacological and non-pharmacological treatments applied for pain relief. 27 patients were included in the study, of which 12 were outpatients and 15 were inpatients. Statistical and clinical significant differences were obtained only for the inpatient group on the MPES (p=0.00, difference between means=3.07) and for 3 out of 4 domains of the SF-MPQ-2 (p=0.01, 0.01 and 0.00 and the difference between means=2.60, 2.00 and 2.20 for continuous pain, neuropathic pain and affective descriptors, respectively). Outcomes of pain management are better for inpatients due to a combination of analgesic drugs with physical medicine and rehabilitation procedures and a strict monitoring during their hospitalization.


2013 ◽  
Author(s):  
Karine Azevedo São Leão Ferreira ◽  
Daniel Ciampi de Andrade ◽  
Manoel Jacobsen Teixeira

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