Assessment of musculoskeletal pain in autoimmune diseases

Dominic Gerard Benjamin
DOI: 10.15305/ijrci/v6i1/259

Abstract

Correct diagnosis and right assessment are cornerstones of clinical success in the practice of pain management. Due to constant pressure on the clinician to prove his/ her efficiency, the core elements in assessment of pain are often overlooked. The pain has been considered as the ‘fifth vital sign’. A variety of pain assessment scales are available for evaluating the intensity of acute and chronic pain. Under or over-assessment of pain often lead to errors in pain management. This is mainly due to proceeding with the treatment plan without a proper clinical history collection and clinical examination. This compromises the patient’s opportunity to obtain optimum pain relief. The current review provides an overview on the pain assessment tools used in musculoskeletal pain assessment, and to assist clinicians and researchers in selecting the pain assessment methods best suited to serve their purposes.


Citation

Benjamin D. IJRCI. 2018;(6)1:R1. DOI: 10.15305/ijrci/v6i1/259

Keywords

Pain assessment, fifth vital sign, individualised pain management

References

1. Pain terms: a list with definitions and notes on usage: recommended by the International Association for the Study of Pain (IASP) Subcommittee on Taxonomy. Pain 1979;6(3):249.

2. Melzack R, Casey KL. Sensory, motivational, and central control determinants of pain: a new conceptual model. In: Kenshalo D, eds. The skin senses. Springfield, IL: Charles C Thomas; 1968. p. 423-439.

3. Tracey I. Nociceptive processing in the human brain. Curr Opin Neurobiol 2005;15(4):478-87.

4. Tracey I. Imaging pain. Br J Anaesth 2008;101(1):32-9.

5. Price DD. Psychological and neural mechanisms of the affective dimension of pain. Science 2000;288(5472):1769-72.

6. Nakamura Y, Chapman CR. Measuring pain: an introspective look at introspection. Conscious Cogn 2002;11(4):582-92.

7. Chapman CR, Donaldson GW, Nakamura Y, Jacobson RC, Bradshaw DH, Gavrin J. A psychophysical causal model of pain report validity. J Pain 2002;3(2):143-55.

8. de C Williams AC, Davies HT, Chadury Y. Simple pain rating scales hide complex idiosyncratic meanings. Pain 2000;85(3):457-63.

9. Joel LA. The fifth vital sign: pain. Am J Nurs 1999; 99(2):9.

10. Joyce CR, Zutshi DW, Hrubes V, Mason RM. Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol 1975;8(6):415-20.

11. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986;27(1):117-26.

12. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983;16(1):87-101.

13. Price DD, Harkins SW, Rafii A, Price C. A simultaneous comparison of fentanyl’s analgesic effects on experimental and clinical pain. Pain 1986;24(2):197-203.

14. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17(1):45-56.

15. Berthier F, Potel G, Leconte P, Touze MD, Baron D. Comparative study of methods of measuring acute pain in an ED. Am J Emerg Med 1998;16(2):132-6.

16. Paice JA, Cohen FL. Validity of a verbally administered numeric rating scale to measure cancer pain intensity. Cancer Nurs 1997;20(2):88-93.

17. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, eds. Handbook of pain assessment. New York: Guilford; 1992. p. 135-151.

18. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain 1975;1(3):277-99.

19. Wilkie DJ, Savedra MC, Holzemer WL, Tesler MD, Paul SM. Use of the McGill Pain Questionnaire to measure pain: a meta-analysis. Nurs Res 1990;39(1):36-41.

20. Melzack R, Wall PD, Ty TC. Acute pain in an emergency clinic: latency of onset and description patterns related to different injuries. Pain 1982;14(1):33-43.

21. Reading AE. A comparison of the McGill Questionnaire in chronic and acute pain. Pain 1982;13(2):185-92.

22. Graham C, Bond SS, Gerkovich MM, Cook MR. Use of the McGill Pain Questionnaire in the assessment of cancer pain: replicability and consistency. Pain 1980;8(3):377-87.

23. Jenkinson C, Carroll D, Egerton M, Frankland T, McQuay H, Nagle C. Comparison of the sensitivity to change of long and short form pain measures. Qual Life Res 1995;4(4):353-7.

24. Burchiel KJ, Anderson VC, Brown FD, Fessler RG, Friedman WA, Pelofsky S, et al. Prospective, multicenter study of spinal cord stimulation for relief of chronic back and extremity pain. Spine (Phila Pa 1976) 1996;21(23):2786-94.

25. Kalso E, Tasmuth T, Neuvonen PJ. Amitriptyline effectively relieves neuropathic pain following treatment of breast cancer. Pain 1996;64(2):293-302.

26. Katz J, Clairoux M, Kavanagh BP, Roger S, Nierenberg H, Redahan C. Pre-emptive lumbar epidural anaesthesia reduces postoperative pain and patient-controlled morphine consumption after lower abdominal surgery. Pain 1994;59(3):395-403.

27. Melzack R. The short-form McGill Pain Questionnaire. Pain 1987;30(2):191-7.

28. Dudgeon D, Raubertas RF, Rosenthal SN. The Short-Form McGill Pain Questionnaire in chronic cancer pain. J Pain Symptom Manage 1993;8(4):191-5

29. Lowe NK, Walker SN, MacCallum RC. Confirming the theoretical structure of the McGill Pain Questionnaire in acute clinical pain. Pain 1991;46(1):53-60.

30. Harden RN, Carter TD, Gilman CS, Gross AJ, Peters JR. Ketorolac in acute headache management. Headache 1991;31(7):463-4.

31. Serrao JM, Marks RL, Morley SJ, Goodchild CS. Intrathecal midazolam for the treatment of chronic mechanical low back pain: a controlled comparison with epidural steroid in a pilot study. Pain 1992;48(1):5-12.

32. Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore 1994;23(2):129-38.

33. Daut RL, Cleeland CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain 1983;17(2):197-210.

34. Portenoy RK, Miransky J, Thaler HT, Hornung J, Bianchi C, Cibas-Kong et al. Pain in ambulatory patients with lung or colon cancer: prevalence, characteristics, and effect. Cancer 1992;70(6):1616-24.

35. Raichle KA, Osborne TL, Jensen MP, Cardenas D. The reliability and validity of pain interference measures in persons with spinal cord injury. J Pain 2006;7(3):179-86.

36. Keller S, Bann CM, Dodd SL, Schein J, Mendoza TR, Cleeland CS. Validity of the brief pain inventory for use in documenting the outcomes of patients with noncancer pain. Clin J Pain 2004;20(5):309-18.

37. Keefe FJ, Caldwell DS, Queen K, Gil KM, Martinez S, Crisson JE, et al. Osteoarthritic knee pain: a behavioral analysis. Pain 1987;28(3):309-21.

38. Gagliese L, Melzack R. The assessment of pain in the elderly. In: Ostofsky D, Lomranz J, eds. Handbook of pain and aging. New York: Plenum Press; 1997. p. 69-96.

39. Gagliese L, Melzack R. Age differences in the quality of chronic pain: a preliminary study. Pain Res Manage 1997;2(3):157-162.

40. Herr KA, Mobily PR, Kohout FJ, Wagenaar D. Evaluation of the Faces Pain Scale for use with the elderly. Clin J Pain 1998;14(1):29-38.

41. Herr KA, Spratt K, Mobily PR, Richardson G. Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin J Pain 2004;20(4):207-19.

42. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The faces pain scale for the self-assessment of the severity of pain experienced by children: development, initial validation and preliminary investigation for ratio scale properties. Pain 1990;41(2):139-50.

43. Benzon H, Raja SN, Fishman SE, Liu SS, Cohen SP. Essentials of Pain Medicine E-book. Elsevier Health Sciences; 2011. 807 p.

44. Jensen MP. The validity and reliability of pain measures in adults with cancer. J Pain 2003;4(1):2-21.