Open AccessThe influence of pain catastrophizing and central sensitization on the reported pain after hip arthroscopy
Author(s) -
Bech Niels H.,
Sierevelt Inger N.,
Rooij Aleid,
Kerkhoffs Gino M. M. J.,
Haverkamp Daniel
Publication year - 2021
Publication title -
knee surgery, sports traumatology, arthroscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.806
H-Index - 125
eISSN - 1433-7347
pISSN - 0942-2056
DOI - 10.1007/s00167-021-06658-w
Subject(s) - hip arthroscopy , medicine , univariate analysis , physical therapy , arthroscopy , central sensitization , femoroacetabular impingement , pain catastrophizing , prospective cohort study , multivariate analysis , anesthesia , surgery , chronic pain , nociception , receptor
Purpose This study was conducted to investigate whether the pain catastrophizing scale (PCS) and the central sensitization inventory (CSI) are predictive factors for the reported pain after hip arthroscopy. Methods A total of 37 patients undergoing hip arthroscopy for femoroacetabular impingement syndrome and labral tears were prospectively enrolled. All patients completed the PCS and CSI before hip arthroscopy. Postoperative pain was measured with the numeric rating scale (NRS) weekly the first 12 weeks after surgery by electronic diary. Results At baseline, univariate analyses showed that both the CSI and PCS were significantly associated with the NRS outcome ( p < 0.01). During 12 weeks follow‐up, a significant decrease on the NRS was observed ( p < 0.01). Univariate analyses showed that both the CSI and PCS were significantly associated with the NRS during follow‐up. Multivariate mixed model analysis showed that only the PCS remained significantly associated with the NRS outcome with a ß of 0.07 (95% CI 0.03–0.11, p < 0.01). Conclusion Results indicate that both the PCS and CSI are associated with the reported postoperative pain after hip arthroscopy. The PCS and CSI may be useful in daily practice to identify patients that possibly benefit from pain catastrophizing reduction therapy (e.g. counseling) prior to surgery. Level of evidence IV