Topal İlknur, Özçelik Necdet, Atayoğlu Ali Timuçin
Department of Physical Medicine and Rehabilitation, International School of Medicine, Istanbul Medipol University, Istanbul, Turkiye.
Department of Ear Nose Throat Diseases, International School of Medicine, Istanbul Medipol University, Istanbul, Turkiye.
Korean J Pain. 2022 Oct 1;35(4):468-474. doi: 10.3344/kjp.2022.35.4.468.
The new type of corona virus has a wide range of symptoms. Some people who have COVID-19 can experience long-term effects from their infection, known as post-COVID conditions. The authors aimed to investigate prolonged musculoskeletal pain as a symptom of the post-COVID-19 condition.
This is a descriptive study on the patients who were diagnosed with COVID-19 in a university hospital, between March 2020 and March 2021. Patient records and an extensive questionnaire were used to obtain relevant demographic and clinical characteristics, including hospitalization history, comorbidities, smoking history, duration of the pain, the area of pain, and the presence of accompanying neuropathic symptoms.
Of the diagnosed patients, 501 agreed to participate in the study. Among the participants, 318 had musculoskeletal pain during COVID-19 infection, and 69 of them reported prolonged pain symptoms as part of their a post-COVID condition which could not be attributed to any other cause. The mean duration of pain was 4.38 ± 1.73 months, and the mean pain level was 7.2 ± 4.3. Neuropathic pain symptoms such as burning sensation (n = 16, 23.2%), numbness (n = 15, 21.7%), tingling (n = 10, 14.5%), stinging (n = 4, 5.8%), freezing (n = 1, 1.4%) were accompanied in patients with prolonged musculoskeletal pain.
Patients with COVID-19 may develop prolonged musculoskeletal pain. In some patients, neuropathic pain accompanies it. Awareness of prolonged post-COVID-19 pain is crucial for its early detection and management.
新型冠状病毒具有广泛的症状。一些感染新冠病毒的人可能会经历感染带来的长期影响，即新冠后遗症。作者旨在调查持续性肌肉骨骼疼痛作为新冠后遗症的一种症状。
这是一项针对2020年3月至2021年3月期间在一家大学医院被诊断为新冠病毒感染的患者的描述性研究。使用患者记录和一份详尽的问卷来获取相关的人口统计学和临床特征，包括住院史、合并症、吸烟史、疼痛持续时间、疼痛部位以及是否存在伴随的神经病理性症状。
在确诊患者中，501人同意参与研究。在参与者中，318人在新冠病毒感染期间出现了肌肉骨骼疼痛，其中69人报告疼痛症状持续存在，属于新冠后遗症的一部分，且无法归因于任何其他原因。疼痛的平均持续时间为4.38±1.73个月，平均疼痛程度为7.2±4.3。持续性肌肉骨骼疼痛的患者伴有烧灼感（n = 16，23.2%）、麻木感（n = 15，21.7%）、刺痛感（n = 10，14.5%）小刺痛感（n = 4，5.8%）、冷痛觉（n = 1，1.4%）等神经病理性疼痛症状。
新冠病毒感染患者可能会出现持续性肌肉骨骼疼痛。在一些患者中，会伴有神经病理性疼痛。认识到新冠后遗症导致的持续性疼痛对于其早期发现和管理至关重要。
