Evidence map›Paper›PMID 40035355›Full record

ArticlePain practice : the official journal of World Institute of Pain2025

A prospective study of the association between pain and catastrophizing after selective nerve root blockade.

Pedram Tabatabaei Shafiei, Josefin Åkerstedt, Amar Awad, Rickard L Sjöberg, Johan Wänman

Abstract read
In one paragraph

Article in Pain practice : the official journal of World Institute of Pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pedram Tabatabaei ShafieiDepartment of Clinical Science, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0003-2912-7059
Josefin ÅkerstedtDepartment of Diagnostics and Interventions, Umeå, Sweden.ORCID https://orcid.org/0000-0002-5920-293X
Amar AwadDepartment of Clinical Science, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-3068-0065
Rickard L SjöbergDepartment of Clinical Science, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-8258-0699
Johan WänmanDepartment of Diagnostics and Interventions, Umeå, Sweden.ORCID https://orcid.org/0000-0002-4874-6800

Funding

Grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement
6 · The paper itself

Abstract

introductionPain, comprising sensory and emotional elements, is influenced by pain catastrophizing, which magnifies pain and promotes helplessness and rumination. This study explores the relationship between pain catastrophizing and outcomes following selective nerve root blockade (SNRB) in patients with lumbar radicular pain (LRP).

methodsA prospective cohort study of 103 LRP patients, confirmed by MRI, was conducted. All participants underwent SNRB at Umeå University Hospital. Outcomes were measured using PROMIS-29 and the Pain Catastrophizing Scale (PCS) at baseline and several intervals up to 84 days post-intervention. Patients were categorized into responder (≥30% pain reduction) and non-responder groups and stratified into three groups based on baseline PCS scores. Changes in outcomes from baseline to 14 days post-SNRB were analyzed in relation to PCS groups. PCS changes over time were evaluated between responders and non-responders. Statistical analyses assessed PCS and outcome changes.

resultsBaseline pain catastrophizing was not a significant predictor of pain response to SNRB. However, responders demonstrated significant reductions in pain catastrophizing following the intervention, suggesting that SNRB may influence cognitive coping mechanisms related to pain.

conclusionSNRB reduces pain catastrophizing in LRP patients, although baseline catastrophizing does not predict pain outcomes. Addressing catastrophizing remains important but may serve better as an outcome measure rather than a predictor of treatment response.

Indexed as

CatastrophizationLow Back PainNerve BlockRadiculopathySpinal Nerve RootsAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesTreatment Outcomeanesthesiaback pain with radiationinfiltrationnerve block

Identifiers

PMID40035355
PMCPMC11877626

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.