A Y P Chan1, J J Ford, J M McMeeken, V E Wilde. 1. School of Physiotherapy, Faculty of Health Sciences, La Trobe University, Bundoora, Australia. ay2chan@students.latrobe.edu.au
Abstract
OBJECTIVES: The lumbar intervertebral disc is a known source of low back pain (LBP). Various clinical features of discogenic pain have been proposed, but none have been validated. Several subgroups of discogenic pain have been hypothesised, with non-reducible discogenic pain (NRDP) proposed as a relevant clinical subgroup. The objectives of this study were to obtain consensus from an expert panel on the features of discogenic low back pain, the existence of subgroups of discogenic LBP, particularly NRDP, and the associated features of NRDP. DESIGN: Three-round Delphi survey. PARTICIPANTS: Twenty-one international physiotherapists with expertise in LBP. METHODS: Panellists listed and ranked features that they believed to be indicative of discogenic pain and NRDP. On completion of Round 3, features with ≥50% agreement between panellists were deemed to have reached consensus. RESULTS: After three rounds, 10 features of discogenic LBP were identified. Nineteen of the panellists believed that NRDP was a subgroup of discogenic LBP, and nine features of NRDP were identified. CONCLUSION: This study provides preliminary validation for the features associated with discogenic LBP. It also provides evidence supporting the existence and features of NRDP as a separate clinical subgroup of discogenic LBP.
OBJECTIVES: The lumbar intervertebral disc is a known source of low back pain (LBP). Various clinical features of discogenic pain have been proposed, but none have been validated. Several subgroups of discogenic pain have been hypothesised, with non-reducible discogenic pain (NRDP) proposed as a relevant clinical subgroup. The objectives of this study were to obtain consensus from an expert panel on the features of discogenic low back pain, the existence of subgroups of discogenic LBP, particularly NRDP, and the associated features of NRDP. DESIGN: Three-round Delphi survey. PARTICIPANTS: Twenty-one international physiotherapists with expertise in LBP. METHODS: Panellists listed and ranked features that they believed to be indicative of discogenic pain and NRDP. On completion of Round 3, features with ≥50% agreement between panellists were deemed to have reached consensus. RESULTS: After three rounds, 10 features of discogenic LBP were identified. Nineteen of the panellists believed that NRDP was a subgroup of discogenic LBP, and nine features of NRDP were identified. CONCLUSION: This study provides preliminary validation for the features associated with discogenic LBP. It also provides evidence supporting the existence and features of NRDP as a separate clinical subgroup of discogenic LBP.
Authors: Muath A Shraim; Kathleen A Sluka; Michele Sterling; Lars Arendt-Nielsen; Charles Argoff; Karl S Bagraith; Ralf Baron; Helena Brisby; Daniel B Carr; Ruth L Chimenti; Carol A Courtney; Michele Curatolo; Beth D Darnall; Jon J Ford; Thomas Graven-Nielsen; Melissa C Kolski; Eva Kosek; Richard E Liebano; Shannon L Merkle; Romy Parker; Felipe J J Reis; Keith Smart; Rob J E M Smeets; Peter Svensson; Bronwyn L Thompson; Rolf-Detlef Treede; Takahiro Ushida; Owen D Williamson; Paul W Hodges Journal: Pain Date: 2022-01-19 Impact factor: 7.926
Authors: Christy Tomkins-Lane; Markus Melloh; Jon Lurie; Matt Smuck; Michele C Battié; Brian Freeman; Dino Samartzis; Richard Hu; Thomas Barz; Kent Stuber; Michael Schneider; Andrew Haig; Constantin Schizas; Jason Pui Yin Cheung; Anne F Mannion; Lukas Staub; Christine Comer; Luciana Macedo; Sang-Ho Ahn; Kazuhisa Takahashi; Danielle Sandella Journal: Spine (Phila Pa 1976) Date: 2016-08-01 Impact factor: 3.241