Clinical Profiles of Patients with Chronic Pain Syndromes of Lumbosacral Localization
Objective of the study: to examine the clinical profiles of patients with low back pain according to The Quebec Task Force Classification for Spinal Disorders (QTFCSD). Materials and methods. 103 patients with chronic lumbosacral pain syndromes were examined. The study included clinical and neurological examination with a detailed sensory testing, qualitative and quantitative evaluation of pain by means of McGill pain questionnaire and visual analog scale (VAS). Finger-floor distance (FFD) and modified Schober’s test were estimated in order to determine flexibility in lumbar spine. All patients were divided into 4 groups according to QTFCSD. Results. Patients of group I were significantly younger compared to other groups, and pain intensity according to VAS was significantly higher in the group IV. Results of modified Schober’s test were significantly lower in group IV compared to group I, whereas the values of the FFD were significantly lower in group I compared to group IV. In group IV sensory deficit was present in 90 % of cases, electric shock-like (85.4 %), burning (70.7 %), hot (34.1 %), searing (31.7 %) and pricking (22.0 %) pain was more frequent. Conclusions. 1. Patients with chronic pain syndromes of lumbosacral localization have certain clinical features that are clear if patients are allocated into groups according to QTFCSD. 2. Doctors of different specialties should use QTFCSD in their clinical practice to assess the leading mechanism of pain, to make disease prognosis and to choose mechanism-oriented therapy.
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