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Pain Characteristic Differences Between Subacute and Chronic Back Pain

  • Mona Lisa Chanda
    Affiliations
    Department of Physiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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  • Matthew D. Alvin
    Affiliations
    Rehabilitation Institute of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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  • Thomas J. Schnitzer
    Affiliations
    Rehabilitation Institute of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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  • A. Vania Apkarian
    Correspondence
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    Affiliations
    Department of Physiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

    Rehabilitation Institute of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

    Department of Anesthesia, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

    Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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      Abstract

      Back pain is commonly classified based on duration. There is currently limited information regarding differences in the clinical features of back pain between these duration-based groupings. Here, we compared the pain characteristics of patients with subacute (SBP; pain 6–16 weeks, n = 40) and chronic back pain (CBP; pain ≥1 year, n = 37) recruited from the general population. CBP patients reported significantly higher pain intensity on the Visual Analogue Scale (VAS) compared to SBP patients. Based on this finding, we investigated group differences and their dependence on VAS for the Beck Depression Inventory (BDI), sensory and affective dimensions of the McGill Pain Questionnaire (MPQ-S and MPQ-A), Neuropathic Pain Scale (NPS), and the variability of spontaneous pain. Correction for VAS abolished significant group differences on the MPQ-S, MPQ-A and NPS. Only a significant difference in the variability of spontaneous pain was independent of VAS. Finally, whereas SBP patients displayed a higher incidence of unilateral pain radiating down the legs/buttocks, there was a shift towards more bilateral pain in CBP patients. In summary, SBP and CBP groups differ on 3 independent parameters: VAS ratings, pain location, and temporal dynamics of spontaneous pain.

      Perspective

      The present study reports differences in the characteristics of back pain between duration-based groupings in the general population. The main outcome of the study is the demonstration that a small number of descriptors are required to characterize the difference between SBP and CBP.

      Key words

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