Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba, Japan.
Graduate School of Global and Transdisciplinary Studies, Chiba University, Chiba, Japan.
Mod Rheumatol. 2023 Mar 2;33(2):428-433. doi: 10.1093/mr/roac003.
The purpose of this study was to clarify the prevalence of pain outside the foot, and to determine the associations of pain outside the foot with foot-specific quality of life (QOL) in patients with hallux valgus.
Patients scheduled to undergo hallux valgus surgery were recruited. Patients answered whether they experienced disabling pain in 13 body regions other than the foot. Foot-specific QOLwas assessed using the Self-Administered Foot Evaluation questionnaire (SAFE-Q). Foot pain was quantified using the visual analogue scale (VAS). Patient characteristics, including age, sex, comorbidity, anxiety, and depression, were also surveyed. The association between pain elsewhere and the SAFE-Q and pain VAS scores were assessed using univariate and multivariate analyses.
Of 102 patients, 55 (54%) experienced pain other than the foot. All SAFE-Q subscale scores were lower, and pain VAS was higher in patients with pain elsewhere than in patients without. In the multivariate analysis, an increase in the number of pain regions was independently associated with a decrease in SAFE-Q scores and an increase in pain VAS.
More than half of the patients with hallux valgus experienced pain elsewhere. The presence of pain elsewhere was associated with poorer foot-specific QOL and severer foot pain.
本研究旨在明确足部以外疼痛的发生率，并确定拇外翻患者足部以外疼痛与足部特定生活质量（QOL）之间的关系。
招募了计划接受拇外翻手术的患者。患者回答他们是否在脚部以外的 13 个身体部位经历过致残性疼痛。使用自我管理足部评估问卷（SAFE-Q）评估足部特定 QOL。使用视觉模拟评分（VAS）量化足部疼痛。还调查了患者的特征，包括年龄、性别、合并症、焦虑和抑郁。使用单变量和多变量分析评估了其他部位疼痛与 SAFE-Q 和疼痛 VAS 评分之间的关系。
在 102 名患者中，有 55 名（54%）患者有足部以外的疼痛。与无其他部位疼痛的患者相比，所有 SAFE-Q 子量表评分均较低，疼痛 VAS 评分较高。在多变量分析中，疼痛部位数量的增加与 SAFE-Q 评分的降低和疼痛 VAS 的增加独立相关。
超过一半的拇外翻患者有足部以外的疼痛。其他部位疼痛的存在与较差的足部特定 QOL 和更严重的足部疼痛相关。
