A Survey of Pain in Idiopathic Parkinson's Disease

The aim of this study was to use both quantitative and qualitative data to assess pain in idiopathic Parkinson's disease (IPD) and classify it according to cause. In this descriptive cross-sectional study, 123 patients were interviewed and pain was assessed using patient descriptions, the Brief...

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Bibliographic Details
Published in:Journal of pain and symptom management 2006-11, Vol.32 (5), p.462-469
Main Authors: Lee, Mark A., Walker, Richard W., Hildreth, Tony J., Prentice, Wendy M.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Aged, 80 and over
analgesia
Biological and medical sciences
classification
Cross-Sectional Studies
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Female
Health Surveys
Humans
Idiopathic
idiopathic Parkinson's disease
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Organic mental disorders. Neuropsychology
Pain
Pain - classification
Pain - etiology
Pain Management
Pain Measurement
Parkinson Disease - complications
Parkinsons Disease
Pharmacology. Drug treatments
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
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Summary:The aim of this study was to use both quantitative and qualitative data to assess pain in idiopathic Parkinson's disease (IPD) and classify it according to cause. In this descriptive cross-sectional study, 123 patients were interviewed and pain was assessed using patient descriptions, the Brief Pain Inventory, and Visual Analogue Scales. Patients reported 285 pains (median 2 per patient), and 22.8% had 4 or more pains. Pain was reported as a problem in 85% and was IPD-related in 62.6% of patients, unrelated to IPD in 64.2%, indirectly related to IPD in 8.1%, related to multiple causes in 4.1%, and treatment related in 0.8%. Pain unrelated to IPD was more common, more constant, and more severe than IPD-related pain. Overall, analgesic use was low. This study demonstrates the benefits of adopting a systematic and logical approach to the assessment of pain in IPD and the merits of a simple new classification system.
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2006.05.020