Prevalence of Neuropathic Component in Post-COVID Pain Symptoms in Previously Hospitalized COVID-19 Survivors
Overview
Authors
Affiliations
Objectives: To investigate the prevalence of neuropathic pain symptoms and to analyze the correlation between neuropathic symptoms with pain-related, psychological, and cognitive variables in COVID-19 survivors exhibiting "de novo" post-COVID pain.
Methods: Seventy-seven ( = 77) previously hospitalized COVID-19 survivors presenting with post-COVID pain completed demographic (such as age, height, and weight), pain-related (the duration and intensity of pain), psychological (depressive/anxiety levels), and cognitive (catastrophizing and kinesiophobia) variables. The Self-Report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire was also assessed. After conducting multivariable correlation analyses, a stepwise multiple linear regression model was performed to identify S-LANSS predictors.
Results: Participants were assessed a mean of 6.0 (SD 0.8) months after hospital discharge. Nineteen (24.6%) exhibited neuropathic pain symptoms (S-LANSS score≥12 points). The S-LANSS score was positively associated with the duration of post-COVID pain (: 0.262), anxiety levels (: 0.275), and kinesiophobia level (: 0.291) (all, < 0.05). The stepwise regression analysis revealed that 12.8% of the S-LANSS variance was just explained by kinesiophobia.
Conclusion: This study found that almost 25% of previously hospitalized COVID-19 survivors with "de novo" post-COVID pain reported a neuropathic pain component. The presence of neuropathic pain symptomatology was associated with more anxiety and kinesiophobia, but only kinesiophobia level was significantly associated explaining 12.8% of the variance of the S-LANSS score.
Exploring viral neuropathic pain: Molecular mechanisms and therapeutic implications.
Xu S, Li H, Ai Z, Guo R, Cheng H, Wang Y PLoS Pathog. 2024; 20(8):e1012397.
PMID: 39116040 PMC: 11309435. DOI: 10.1371/journal.ppat.1012397.
The Impact of COVID-19 on the Guillain-Barré Syndrome Incidence.
Kopanko M, Zabludowska M, Zajkowska M, Gudowska-Sawczuk M, Mucha M, Mroczko B Biomedicines. 2024; 12(6).
PMID: 38927455 PMC: 11201746. DOI: 10.3390/biomedicines12061248.
Beyond the acute: pain in long COVID survivors at 1.5 years.
Oguz-Akarsu E, Gullu G, Kilic E, Dinc Y, Akdag G, Rehber C Neurol Sci. 2024; 45(9):4109-4117.
PMID: 38819528 PMC: 11306299. DOI: 10.1007/s10072-024-07620-7.
Musculoskeletal and Neuropathic Pain in COVID-19.
Lam C, Sanderson M, Vu D, Sayed D, Latif U, Chadwick A Diagnostics (Basel). 2024; 14(3).
PMID: 38337848 PMC: 10855145. DOI: 10.3390/diagnostics14030332.
Calvache-Mateo A, Lopez-Lopez L, Heredia-Ciuro A, Martin-Nunez J, Valenza-Pena G, Cabrera-Martos I J Clin Med. 2024; 13(2).
PMID: 38276103 PMC: 10816970. DOI: 10.3390/jcm13020597.