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Park, Shim, and Lee: Descriptive Patterns of Radiating Pain for Lumbar Herniated Intervertebral Disc
Original Article

Journal of Korean Spine Surg 2003;10(3):217-225.

Published online: 12 February 2003

DOI: https://doi.org/10.4184/jkss.2003.10.3.217

Descriptive Patterns of Radiating Pain for Lumbar Herniated Intervertebral Disc

Seong Kyu Park, M.D., Dae Moo Shim, M.D., Won Gu Lee, M.D.

Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea

Address reprint requests to Seong Kyu Park, M.D. Department of Orthopaedic Surgery, Kunpo hospital, Wonkwang University, 1126-1, Sanbon-dong, Kunpo, Gyunggi-do, Korea Tel: 82-31-390-2556, Fax: 82-31-390-2854, E-mail: pathe@wmc.wonkwang.ac.kr

Copyright © 2003 Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design and Objective

To evaluate the descriptive patterns of radiating leg pain due to lumbar herniated intervertebral disc, and the correlation between the patterns and various factors such as age, gender, occupation, education, duration of symptom, straight leg raising test, and degree of disc herniation on magnetic resonance imaging.

Materials and Methods

One hundred and three patients who had lower back pain and radiating leg pain were diagnosed with lumbar herniated intervertebral disc. We investigated the descriptions of their radiating leg pain, and standardized and classified 44 adjective words to 11groups by the Korean McGill pain questionnaire. We analyzed the frequencies of each word and the correlation between the frequencies and the various factors.

Results

The pattern of pain descriptions tended to exhibit certain characteristic traits. The word ‘ flashing’ was the most common (72.8%), followed by the word ‘ jerking’ (62.1%). Descriptions of most patients included either the word ‘ flashing’ or ‘ jerking’ (92.2%). However, there was no significant relation between the frequencies of each word and any factors (p>0.05, chi-square).

Conclusions

The pattern of patients’ descriptions for radiating pain of lumbar herniated intervertebral disc is either the word ‘ flashing’ or ‘ jerking’. This is a useful description to diagnosis and plan for the treatment of lumbar herniated intervertebral disc.

Keywords: Lumbar Herniated Intervertebral Disc, Radiating pain, Pain descriptions

REFERENCES

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Table 1.
Korean Words for Pain Descriptions
어휘 군 표현 어휘
국소 염증성 가물가물거린다, 지끈거리다, 욱신욱신하다, 쿡쿡 쑤신다,
반복 통증 들먹거린다, 쾅쾅친다
단순 자극 통증 움찔하게 아프다, 따끔하다, 쏘듯이 아프다
피부 파괴성 통증 바늘로 찌르듯하다, 송곳으로 찌르듯하다, 구멍을 뚫듯하다,
  칼로 찌르듯하다, 칼로 찔러 쑤시듯하다
절개통 쓰라리다, 베듯이 아프다, 도려내듯하다
표피성 압통 꼬집듯 따끔하다, 누르듯 아프다, 콱 무는 듯하다,
  콱 쥐는 듯하다, 짓이기듯 하다
견인성 통증 결린다, 땅긴다, 뒤틀리듯 아프다
열감통 따끈하다, 화끈거린다, (물, 불에) 데듯이 아프다,
  불로 지지듯 아프다
말초 신경통 저리다, 근질근질하게 아프다, 아리다, 톡 쏘듯한다
둔통 띵하다, 쓰라리다, 둔하게 아프다, 쑤신다
체강성 압통 만지면(누르면) 아프다, 뻑적지근하다, 갈아내듯 아프다,
  터질 듯이 아프다
냉감통 시리다, 싸늘하다, 오싹하다
Table 2.
Pattern of Descriptions of Radiating Pain due to Lumbar Herniated Intervertebral Disc
어휘 갯수   통증 표현     합계
  저리다 13 땅긴다 11  
1개 쿡쿡 쑤신다 1 시린다 1 29
터진다 1 화끈거린다 1 29
  아린다 1      
  땅긴다/저리다 31 저리다/시리다 5  
  땅긴다/터진다 4 땅긴다/시리다 3  
  저리다/멍하다 3 저리다/터진다 3  
2개 저리다/바늘로찌르는듯하다 2 저리다/아리다 2 61
  시리다/아리다 1 저리다/쿡쿡쑤신다 1  
  저리다/누르면 아프다 1 저리다/쑤신다 1  
  땅긴다/콱쥐는듯하다 1 땅긴다/쑤신다 1  
  쿡쿡쑤신다/멍하다 1 쑤신다/베듯하다 1  
  땅긴다/저리다/터진다     4  
  땅긴다/저리다/바늘로찌르는듯하다   2  
  땅긴다/저리다/붓는느낌이다     1  
3개 땅긴다/저리다/시리다     1 11
  땅긴다/저리다/조인다     1  
  땅긴다/저리다/화끈거린다     1  
  땅긴다/저리다/빠개진다     1  
4개 땅긴다/저리다/아리다/바늘로찌르는듯하다   1 2
땅긴다/저리다/쑤신다/둔하다     1 2
    합계     103
Table 3.
Frequencies of Words for Descriptions of Radiating Pain
통증 표현 어휘 환자 수 (%)
저리다 75 (72.8)
땅긴다 64 (62.1)
터진다 12 (11.7)
시리다 10 (9.7)
바늘로 찌르는 듯하다 5 (4.9)
아리다 5 (4.9)
멍하다 4 (3.9)
쑤신다 3 (2.9)
쿡쿡 쑤신다 2 (1.9)
화끈거린다 2 (1.9)
콱 쥐는 듯하다 1 (1)
누르면 아프다 1 (1)
베는 듯하다 1 (1)
붓는 느낌이다 1 (1)
조인다 1 (1)
빠개진다 1 (1)
둔하다 1 (1)
‘ 저리다’ 그리고‘ 땅긴다’ 44 (42.7)
‘ 저리다’ 혹은‘ 땅긴다’ 95 (92.2)
Table 4.
Correlation between Pain Descriprions and Various Factors
요인 구분 환자 수 ‘ 저리다’ 를포함한 경우 ‘ 땅긴다’ 를 포함한 경우 ‘ 저리다’ 그리고‘ 땅긴다’ 를포함한 경우 ‘ 저리다’ 혹은 ‘ 땅긴다’ 를 포함한 경우
성별 남 70 52 45 33 64
  여 33 23 19 11 31
연령 40세 미만 50 38 34 25 45
  40세 이상 53 37 29 16 48
직업 육체적 50 35 31 19 47
  비육체적 53 40 33 25 48
학력 고졸 미만 35 28 22 17 35
  고졸 이상 68 47 41 27 61
방사통 8주 이하 49 36 33 22 47
유병기간 8주 초과 54 39 31 22 48
하지 음성 57 38 32 19 51
직거상 검사 양성 46 37 32 25 44
  Grade I 15 7 9 3 13
추간판 Grade II 34 20 22 12 30
탈출정도 Grade III 35 32 21 19 34
  Grade IV 19 16 12 10 18
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