Usefulness of the pain map in the clinical evaluation of the patient with spinal pain
Keywords:
Pain drawing, musculoskeletal pain, low back pain, diagnosisAbstract
«Pain drawing» is a clinical tool for evaluation of back pain in people by means of a graphic
representation of painful areas. Some of the benefits of this non-invasive instrument are its
low cost, self-administration, patient comfort, and its being non time-consuming. It is most
useful as an objective graphic expression and outline of painful areas in each person, and
for comparison throughout the whole treatment. The tool has not been useful, however,
to evaluate psychological-related disorders.
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References
IASP. Pain terms: a list with defi nitions and notes on
usage. Recommended by the IASP subcommittee on
Taxonomy. Pain. 1979; 6 (3): 249.
Serrano-Atero MS, Caballero J, Cañas A, García-Saura
PL, Serrano-Álvarez C, Prieto J. Pain assessment (I).
Rev Soc Esp Dolor. 2002; 9: 94-108.
Serrano-Atero MS, Caballero J, Cañas A, García-Saura
PL, Serrano-Álvarez C, Prieto J. Pain assesment (II).
Rev Soc Esp Dolor. 2002; 9: 109-121.
Schott, GD. The cartography of pain: The evolving con-
tribution of pain maps. European Journal of Pain. 2010;
: 784–791.
Carnes D, Ashby D, Underwood M. A systematic review
of pain drawing literature. Clin J Pain. 2006; 22 (5):
–457.
Ohnmeiss DD. Repeatability of pain drawings in a low
back pain population. Spine. 2000; 25 (8): 980–988.
Pande KC, Tripathi S, Kanoi R. Limited clinical utility of
pain drawing in assessing patients with low back pain.
J Spinal Disord Tech. 2005; 18 (29): 160-162.
Lacey RJ, Lewis M, Jordan K, Jinks C, Sim J. Interrater
reliability of scoring of pain drawings in a self-report
health survey. Spine. 2005; 30 (16): E455–E458.
Bertilson BC, Brosjö E, Billing H, Strender LE. As-
sessment of nerve involvement in the lumbar spine:
agreement between magnetic resonance imaging,
physical examination and pain drawing fi ndings. BMC
Musculoskeletal Disorders. 2010; 11: 202.
Murphy DR, Hurwitz EL, Gerrard JK, Clary R. Pain
patterns and descriptions in patients with radicular pain:
does the pain necessarily follow a specifi c dermatome?
Chiropractic & Osteopathy. 2009; 17: 9.
Bogduk N. On the defi nitions and physiology of back
pain, referred pain, and radicular pain. Pain. 2009; 147:
-19.
Aina A, May S, Clare H. The centralization phenome-
non of spinal symptoms—a systematic review. Manual
Therapy. 2004; 9: 134-143.
Grunnesjö M, Bogefeld J, Blomberg S, Delaney H,
Svärdsudd K. The course of pain drawings during a
-week treatment period in patients with acute and sub-
acute low back pain. BMC Musculoskeletal Disorders.
; 7: 65.
Andersen T, Christensen FB, Høy KW, Helmig P, Nied-
ermann B, Hansen ES, Bünger C. The predictive value
of pain drawings in lumbar spinal fusion surgery. Spine
J. 2010; 10 (5): 372-9.
Sanders NW, Mann NH, Spengler DM. Pain drawing
scoring is not improved by inclusion of patient-reported
pain sensation. Spine. 2006; 31 (23): 2735–2741.
Ransford AO, Cairns D, Mooney V. The pain drawing
as an aid to the psychologic evaluation of patients with
low-back pain. Spine. 1976; 1 (2): 127-134.
Gordon W, McCulloch J, Kummel E, Venner R. Nonor-
ganic physical signs in low-back pain. Spine. 1980; 5
(2): 117–125.
Apeldoorn AT, Bosselaar H, Ostelo RW, Blom-Luberti
T, Van der Ploeg T, Fritz JM et al. Identifi cation of
patients with chronic low back pain who might benefi t
from additional psychological assessment. Clin J Pain.
; 28 (1): 23-31.
Egloff N, Cámara R, von Känel R, Klingler N, Marti
E, Gander ML. Pain drawings in somatoform-func-
tional pain. BMC Musculoskeletal Disorders. 2012;
: 257.
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