painDETECT questionairre in back pain
Research type
Research Study
Full title
Using the pain DETECT questionnaire to identify neuropathic pain and predict outcome following nerve root injection or disc decompression surgery for sciatica
IRAS ID
172727
Contact name
David Sharp
Contact email
Sponsor organisation
Ipswich Hospital NHS trust
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Persistent sciatica due to a “disc prolapse” can cause great disability, loss of function and have far reaching social implications. Surgery for Lumbar disc success rates in relieving leg symptoms is variable reported as between 65-90%. Neuropathic type pain is “pain initiated or caused by a primary lesion or dysfunction of the nervous system”. It is associated with a combination of key symptoms and treatment relies on early identification and tailoring treatment accordingly. We propose to use the painDETECT (DETECT) questionnaire which has been validated for the use of identifying predominantly neuropathic pain in patients undergoing Lumbar spine disc decompression or nerve root injection for disc prolapse. Adult Patients who are able to consent and are undergoing either lumbar nerve root injection or disc decompression for disc prolapse will be given the DETECT questionnaire pre and post-operation alongside the existing outcome questionnaires they routinely receive. We will look at the pre and post-operative pain scores that our patients already receive correlating the outcomes of the intervention with the level of neuropathic pain with the aim of establishing if poor outcomes are more strongly associated with neuropathic pain with either intervention or which intervention gives a better response in this group with more neuropathic pain. This could potentially help us to understand the pain pattern for our patients and guide our future clinical decisions in patient management.
REC name
London - Bromley Research Ethics Committee
REC reference
15/LO/0428
Date of REC Opinion
26 Feb 2015
REC opinion
Favourable Opinion