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Prevalence of Neuropathic Component in Post-COVID Pain Symptoms in Previously Hospitalized COVID-19 Survivors

Abstract

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.

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References
1.
Fernandez-de-Las-Penas C, de-la-Llave-Rincon A, Ortega-Santiago R, Ambite-Quesada S, Gomez-Mayordomo V, Cuadrado M . Prevalence and risk factors of musculoskeletal pain symptoms as long-term post-COVID sequelae in hospitalized COVID-19 survivors: a multicenter study. Pain. 2021; 163(9):e989-e996. DOI: 10.1097/j.pain.0000000000002564. View

2.
Lopez-de-Uralde-Villanueva I, Gil-Martinez A, Candelas-Fernandez P, de Andres-Ares J, Beltran-Alacreu H, La Touche R . Validity and reliability of the Spanish-language version of the self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) pain scale. Neurologia (Engl Ed). 2016; 33(8):505-514. DOI: 10.1016/j.nrl.2016.10.009. View

3.
Balevi Batur E, Korez M, Gezer I, Levendoglu F, Ural O . Musculoskeletal symptoms and relationship with laboratory findings in patients with COVID-19. Int J Clin Pract. 2021; 75(6):e14135. PMC: 8250333. DOI: 10.1111/ijcp.14135. View

4.
Ojeda A, Calvo A, Cunat T, Mellado-Artigas R, Comino-Trinidad O, Aliaga J . Characteristics and influence on quality of life of new-onset pain in critical COVID-19 survivors. Eur J Pain. 2021; 26(3):680-694. PMC: 9015597. DOI: 10.1002/ejp.1897. View

5.
Emerick T, Alter B, Jarquin S, Brancolini S, Bernstein C, Luong K . Telemedicine for Chronic Pain in the COVID-19 Era and Beyond. Pain Med. 2020; 21(9):1743-1748. PMC: 7543644. DOI: 10.1093/pm/pnaa220. View