Pain in Postsurgical Orthopedic Rehabilitation: A Multicenter Study

Luca Padua, Irene Aprile, Francesca Cecchi, Raffaele Molino Lova, Maria Felice Arezzo, Costanza Pazzaglia, Massimo Bacchini, Stefano Bondi, Davide Cattaneo, Fabio De Santis, Marco Forni, Silvia Galeri, Michele Maiolatesi, Carla Manenti, Ileana Minciotti, Angelo Montesano, Anna Rita Pellegrino, Stefano Pierani, Arcangelo Popolizio, Antonella RomanelliMichele Rossi, Giuseppina Russo

Research output: Contribution to journalArticlepeer-review


Objective. The aim of this study was to quantify and characterize pain in patients undergoing lower limb postsurgical orthopedic rehabilitation and to investigate the impact of pain in slowing or interrupting their rehabilitation. Design. The study was designed as a multicenter cross-sectional study. Setting. The study was set in rehabilitation departments of the Don Gnocchi Foundation. Subjects. The study subjects were the inpatients attending rehabilitation. Interventions. There were no interventions used in the study. Outcome Measures. Pain intensity was measured with a numeric rating scale (NRS); pain characteristics were assessed with the McGill Pain Questionnaire and the ID Pain (able to discriminate nociceptive from neuropathic pain). Quality of life (QoL) was measured with the Short Form 36 Health Status Survey. A semi-structured questionnaire on pain occurrence, impact, and management was administered by the physiotherapist in charge of the patients and by the physician. Results. We studied 139 patients, 82% of whom complained of at least moderate pain (NRS≥3). According to ID pain, 45.6% patients complained of probable (33.8%) or highly probable (11.8%) neuropathic pain. A higher pain intensity was significantly related to the probability of having neuropathic pain (P

Original languageEnglish
Pages (from-to)769-776
Number of pages8
JournalPain Medicine (United States)
Issue number6
Publication statusPublished - Jun 2012


  • Lower limb
  • Orthopedic
  • Pain
  • Quality of life
  • Rehabilitation
  • Surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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