Pain types and risk factors in post-COVID-19

• Published in: Turkish journal of physical medicine and rehabilitation Vol. 70; no. 1; pp. 30 - 38
• Main Authors: Ketenci, Ayşegül, Zure, Mert, Akpınar, Fatma Merih, Soluk Özdemir, Yelda, Balbaloğlu, Özlem, Akaltun, Mazlum Serdar, Erden, Ender, Çağlıyan Türk, Ayla, Korkmaz, Merve Damla, Metin Ökmen, Burcu, Altındağ, Özlem, Soyupek, Feray, Yakşi, Elif, Sindel, Dilşad, Sezgin, Nalan, Ustaömer, Kübra, Kesiktaş, Fatma Nur, Dere, Didem, Güneş, Şevket, Medin Ceylan, Cansın, Sonel Tur, Birkan, Evcik, Deniz
• Format: Journal Article
• Language: English; Turkish
• Published: Turkey Galenos Yayinevi Tic. Ltd 01-03-2024; Bayçınar Medical Publishing
• Subjects: Chronic diseases; Chronic pain; Exercise; Medical research; Medicine, Experimental; Original; Risk factors; Thyroid diseases; post-COVID-19 conditions; Central sensitization; neuropathic pain; pain; nociceptive pain; physical activity
• ISSN: 1302-0234; 2587-0823; 2587-0823
• DOI: 10.5606/tftrd.2024.13828

This study aims to accurately evaluate pain lasting longer than three months and falls under the category of chronic pain and to determine the risk factors to follow up and treat properly and to develop appropriate diagnostic and treatment algorithms.
Between March 2021 and December 2021, a total of 437 patients (162 males, 275 females; mean age: 44±14.6 years; range, 12 to 82 years) who were referred to the participating centers due to pain complaints and were diagnosed with post-COVID-19 condition according to the criteria defined by the World Health Organization (WHO) were included in the study. The patients were divided into three groups as nociceptive pain, neuropathic pain, and central sensitization, based on the physician's clinical evaluation and the Self-Report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) and Central Sensitization Inventory scores.
The most common diagnosis was nociceptive pain followed by central sensitization. Patients with nociceptive pain had less pain. It was found that not exercising regularly, having a chronic disease and being a woman were risk factors for central sensitization, having thyroid disease before COVID-19, and defining the current pain as very severe were risk factors for neuropathic pain.
In the evaluation of post-COVID-19 pain, neuropathic pain and central sensitization should be also considered in addition to nociceptive pain and the severity of pain, systemic diseases and physical activity should be questioned.