Neuropathic Pain Component in Patients with Cervical Radicular Pain: A Single-Center Retrospective Study.

Background and Objectives: Evidence regarding the prevalence of neuropathic pain in patients with cervical radicular pain is limited. This study aimed to investigate the prevalence of neuropathic pain components in patients with cervical radicular pain using established screening tools and identify the relationship between neuropathic pain components and clinical factors. Materials and Methods: Data from 103 patients (aged ≥ 20 years) with cervical radicular pain who visited our pain clinic were analyzed retrospectively. Demographic characteristics, history of neck surgery, pain intensity using numeric rating score, dominant pain site, duration of symptoms, and neck disability index were assessed. The prevalence of neuropathic pain components was defined according to the Douleur Neuropathique 4 questions and painDETECT questionnaire tools. Patient characteristics were compared using the chi-square test or Fisher's exact test for categorical variables and the independent t-test or Mann−Whitney U test for continuous variables. The correlation between neck disability index and other variables was analyzed using Pearson's correlation coefficient. Results: Of the 103 patients, 29 (28.1%) had neuropathic pain components. The neck disability index was significantly higher (p < 0.001) for patients in the neuropathic pain group (23.79 ± 6.35) than that in the non- neuropathic pain group (18.43 ± 7.68). The Douleur Neuropathique 4 questions (r = 0.221, p < 0.025) and painDETECT questionnaire (r = 0.368, p < 0.001) scores positively correlated with the neck disability index score. Conclusions: The prevalence of neuropathic pain components in patients with cervical radicular pain was low. The patients in our study showed a strong correlation between functional deterioration and their neuropathic pain screening score. This study may be useful in understanding the characteristics of cervical radicular pain.

Extremely Low Frequency Electromagnetic Field from Convective Air Warming System on Temperature Selection and Distance.

BACKGROUND: Hypothermia generates potentially severe complications in operating or recovery room. Forced air warmer is effective to maintain body temperature. Extremely low frequency electromagnetic field (ELF-EMF) is harmful to human body and mainly produced by electronic equipment including convective air warming system. We investigated ELF-EMF from convective air warming device on various temperature selection and distance for guideline to protect medical personnel and patients. METHODS: The intensity of ELF-EMF was measured as two-second interval for five minutes on various distance (0.1, 0.2, 0.3, 0.5 and 1meter) and temperature selection (high, medium, low and ambient). All of electrical devices were off including lamp, computer and air conditioner. Groups were compared using one-way ANOVA. P<0.05 was considered significant. RESULTS: Mean values of ELF-EMF on the distance of 30 cm were 18.63, 18.44, 18.23 and 17.92 milligauss (mG) respectively (high, medium, low and ambient temperature set). ELF-EMF of high temperature set was higher than data of medium, low and ambient set in all the distances. CONCLUSION: ELF-EMF from convective air warming system is higher in condition of more close location and higher temperature. ELF-EMF within thirty centimeters exceeds 2mG recommended by Swedish TCO guideline.