Prevalence and Spectrum of Pain in Parkinson’s Disease

Sreenivas, U M (2017) Prevalence and Spectrum of Pain in Parkinson’s Disease. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: Pain is one of the recognised non-motor symptoms in Parkinson’s disease. However, not much research has been done into definitively defining pain and its management in Parkinson’s disease. AIM OF THE STUDY: To study the prevalence, type and severity of pain in patients with Parkinson’s disease. METHODS: This was an observational study that included 51 patients with Parkinson’s disease from the Movement disorder clinic in the Institute of Neurology, MMC, Chennai. A structured interview which included questions about the presence, type, severity of pain was administered. The disease characteristics like duration and stage of PD was also noted. The severity of pain was graded using the visual analog score. RESULTS: Out of the 51 patients included in the study, 33 (64.7%) had complaints of somatic pain. The most common localization of pain was to the lower back (33.33%) followed by the lower limbs (21.21%). Musculoskeletal cramping pain (57.6%) was the most common type followed by central, dull aching type of pain (24.24%). In the visual analog score, 63.64% of patients had a score between 5 and 8 indicating moderate severity. Duration since onset of motor symptoms and stage of Parkinson’s disease did not significantly correlate with the presence of pain. CONCLUSION: Pain is a common symptom in patients with Parkinson’s disease but has varying characteristics with subjective differences between patients and poor correlation with disease characteristics.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Parkinson’s Disease, Pain, Pain in Parkinson’s Disease, Non-motor symptoms in Parkinson’s Disease, Spectrum of pain, Levodopa, Movement Disorders.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 23 Feb 2020 11:31
Last Modified: 27 Feb 2020 01:23
URI: http://repository-tnmgrmu.ac.in/id/eprint/12017

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