Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy

Jae Hyun Jung, Hyoung Ihl Kim, Dong Ah Shin, Dong Gyu Shin, Jung Ok Lee, Hyo Joon Kim, Ji Hun Chung

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

There are currently no initial guides for the diagnosis of somatic referred pain of lumbar zygapophyseal joint (LZJ) or sacroiliac joint (SIJ). We developed a classification system of LZJ and SIJ pain, the "pain distribution pattern template (PDPT)" depending on the pain distribution patterns from a pool of 200 patients whose spinal pain source was confirmed. We prospectively applied the PDPT to determine its contribution to clinical decision-making for 419 patients whose pain was presumed to arise from the LZJs (259 patients) or SIJs (160 patients). Forty-nine percent (128/259) of LZJ and 46% (74/160) of SIJ arthopathies diagnosed by PDPT were confirmed by nerve blocks. Diagnostic reliabilities were significantly higher in Type A and C patterns in LZJ and Type C in SIJ arthropathies, 64%, 80%, and 68.4%, respectively. For both LZJ and SIJ arthropathies, favorable outcome after radiofrequency (RF) neurotomies was similar to the rate of positive responses to diagnostic blocks in Type A to Type D, whereas the outcome was unpredictable in those with undetermined type (Type E). Considering the paucity of currently available diagnostic methods for LZJ and SIJ arthropathies, PDPT is useful in clinical decision-making as well as in predicting the treatment outcome.

Original languageEnglish
Pages (from-to)1048-1054
Number of pages7
JournalJournal of Korean medical science
Volume22
Issue number6
DOIs
Publication statusPublished - 2007 Dec 1

Fingerprint

Zygapophyseal Joint
Sacroiliac Joint
Joint Diseases
Decision Making
Pain
Arthralgia
Referred Pain
Nociceptive Pain
Nerve Block

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Jung, Jae Hyun ; Kim, Hyoung Ihl ; Shin, Dong Ah ; Shin, Dong Gyu ; Lee, Jung Ok ; Kim, Hyo Joon ; Chung, Ji Hun. / Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy. In: Journal of Korean medical science. 2007 ; Vol. 22, No. 6. pp. 1048-1054.
@article{bb83d4efcb8e47b980a2a78f451a5e08,
title = "Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy",
abstract = "There are currently no initial guides for the diagnosis of somatic referred pain of lumbar zygapophyseal joint (LZJ) or sacroiliac joint (SIJ). We developed a classification system of LZJ and SIJ pain, the {"}pain distribution pattern template (PDPT){"} depending on the pain distribution patterns from a pool of 200 patients whose spinal pain source was confirmed. We prospectively applied the PDPT to determine its contribution to clinical decision-making for 419 patients whose pain was presumed to arise from the LZJs (259 patients) or SIJs (160 patients). Forty-nine percent (128/259) of LZJ and 46{\%} (74/160) of SIJ arthopathies diagnosed by PDPT were confirmed by nerve blocks. Diagnostic reliabilities were significantly higher in Type A and C patterns in LZJ and Type C in SIJ arthropathies, 64{\%}, 80{\%}, and 68.4{\%}, respectively. For both LZJ and SIJ arthropathies, favorable outcome after radiofrequency (RF) neurotomies was similar to the rate of positive responses to diagnostic blocks in Type A to Type D, whereas the outcome was unpredictable in those with undetermined type (Type E). Considering the paucity of currently available diagnostic methods for LZJ and SIJ arthropathies, PDPT is useful in clinical decision-making as well as in predicting the treatment outcome.",
author = "Jung, {Jae Hyun} and Kim, {Hyoung Ihl} and Shin, {Dong Ah} and Shin, {Dong Gyu} and Lee, {Jung Ok} and Kim, {Hyo Joon} and Chung, {Ji Hun}",
year = "2007",
month = "12",
day = "1",
doi = "10.3346/jkms.2007.22.6.1048",
language = "English",
volume = "22",
pages = "1048--1054",
journal = "Journal of Korean Medical Science",
issn = "1011-8934",
publisher = "Korean Academy of Medical Science",
number = "6",

}

Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy. / Jung, Jae Hyun; Kim, Hyoung Ihl; Shin, Dong Ah; Shin, Dong Gyu; Lee, Jung Ok; Kim, Hyo Joon; Chung, Ji Hun.

In: Journal of Korean medical science, Vol. 22, No. 6, 01.12.2007, p. 1048-1054.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Usefulness of pain distribution pattern assessment in decision-making for the patients with lumbar zygapophyseal and sacroiliac joint arthropathy

AU - Jung, Jae Hyun

AU - Kim, Hyoung Ihl

AU - Shin, Dong Ah

AU - Shin, Dong Gyu

AU - Lee, Jung Ok

AU - Kim, Hyo Joon

AU - Chung, Ji Hun

PY - 2007/12/1

Y1 - 2007/12/1

N2 - There are currently no initial guides for the diagnosis of somatic referred pain of lumbar zygapophyseal joint (LZJ) or sacroiliac joint (SIJ). We developed a classification system of LZJ and SIJ pain, the "pain distribution pattern template (PDPT)" depending on the pain distribution patterns from a pool of 200 patients whose spinal pain source was confirmed. We prospectively applied the PDPT to determine its contribution to clinical decision-making for 419 patients whose pain was presumed to arise from the LZJs (259 patients) or SIJs (160 patients). Forty-nine percent (128/259) of LZJ and 46% (74/160) of SIJ arthopathies diagnosed by PDPT were confirmed by nerve blocks. Diagnostic reliabilities were significantly higher in Type A and C patterns in LZJ and Type C in SIJ arthropathies, 64%, 80%, and 68.4%, respectively. For both LZJ and SIJ arthropathies, favorable outcome after radiofrequency (RF) neurotomies was similar to the rate of positive responses to diagnostic blocks in Type A to Type D, whereas the outcome was unpredictable in those with undetermined type (Type E). Considering the paucity of currently available diagnostic methods for LZJ and SIJ arthropathies, PDPT is useful in clinical decision-making as well as in predicting the treatment outcome.

AB - There are currently no initial guides for the diagnosis of somatic referred pain of lumbar zygapophyseal joint (LZJ) or sacroiliac joint (SIJ). We developed a classification system of LZJ and SIJ pain, the "pain distribution pattern template (PDPT)" depending on the pain distribution patterns from a pool of 200 patients whose spinal pain source was confirmed. We prospectively applied the PDPT to determine its contribution to clinical decision-making for 419 patients whose pain was presumed to arise from the LZJs (259 patients) or SIJs (160 patients). Forty-nine percent (128/259) of LZJ and 46% (74/160) of SIJ arthopathies diagnosed by PDPT were confirmed by nerve blocks. Diagnostic reliabilities were significantly higher in Type A and C patterns in LZJ and Type C in SIJ arthropathies, 64%, 80%, and 68.4%, respectively. For both LZJ and SIJ arthropathies, favorable outcome after radiofrequency (RF) neurotomies was similar to the rate of positive responses to diagnostic blocks in Type A to Type D, whereas the outcome was unpredictable in those with undetermined type (Type E). Considering the paucity of currently available diagnostic methods for LZJ and SIJ arthropathies, PDPT is useful in clinical decision-making as well as in predicting the treatment outcome.

UR - http://www.scopus.com/inward/record.url?scp=38349148648&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38349148648&partnerID=8YFLogxK

U2 - 10.3346/jkms.2007.22.6.1048

DO - 10.3346/jkms.2007.22.6.1048

M3 - Article

C2 - 18162721

AN - SCOPUS:38349148648

VL - 22

SP - 1048

EP - 1054

JO - Journal of Korean Medical Science

JF - Journal of Korean Medical Science

SN - 1011-8934

IS - 6

ER -