Around 20% of patients undergoing surgery for lumbar radiculopathy develop chronic pain after surgery, leading to high socio-economic burden. Current perioperative interventions, including education and rehabilitation, are not always effective in preventing prolonged or chronic postoperative pain and disability.
Goudman et al.,proposed a shift in educational intervention from a biomedical towards a biopsychosocial approach for people scheduled for lumbar surgery. Pain neuroscience education (PNE) is such a biopsychosocial approach which aims at decreasing the threat value of pain by reconceptualizing pain and increasing the patient's knowledge about pain.
In a paper they provides a clinical perspective for the provision of perioperative PNE, specifically developed for patients undergoing surgery for lumbar radiculopathy. Besides the general goals of PNE, perioperative PNE aims to prepare the patient for post-surgical pain and how to cope with it 1).
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10: Huysmans E, Goudman L, Van Belleghem G, De Jaeger M, Moens M, Nijs J, Ickmans K, Buyl R, Vanroelen C, Putman K. Re: Return to work following surgery for lumbarradiculopathy-is there a need for postoperative rehabilitation? Spine J. 2018 Dec;18(12):2376-2377. doi: 10.1016/j.spinee.2018.09.009. Epub 2018 Sep 18. PubMed PMID: 30240878.
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14: De Jaeger M, Goudman L, Van Schuerbeek P, De Mey J, Keymeulen B, Brouns R, Moens M. Cerebral Biochemical Effect of Pregabalin in Patients with Painful Diabetic Neuropathy: A Randomized Controlled Trial. Diabetes Ther. 2018 Aug;9(4):1591-1604. doi: 10.1007/s13300-018-0460-y. Epub 2018 Jun 27. PubMed PMID: 29951977; PubMed Central PMCID: PMC6064591.
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