Table 4.
Predictive value | Chronic low back pain with neuropathic components | Chronic neuropathic pain after surgical and nonsurgical trauma |
---|---|---|
Positive | Localized pain | Localized pain |
Hyperalgesia | Hyperalgesia | |
Allodynia | Allodynia | |
Differentiation between back pain and nonback pain | Superficial pain | |
Pain quality | ||
Positive sensory symptoms (eg, dysesthesia) | ||
Negative | Long duration of paina | Long duration of paina |
Predominant radicular pain | Spontaneous pain without evoked pain | |
Widespread pain | Deep pain | |
Widespread pain | ||
Negative sensory symptoms (eg, anesthesia, hypoesthesia) | ||
Uncertain | Pain quality | |
No value | Diagnosis of pain | Diagnosis of pain |
Site of pain | Site of pain | |
Paresthesia |
Notes: Pain quality = burning, shooting, stabbing, or other descriptors of pain.
Pain of long duration is difficult to treat with any pain medication.