Umut Hatay Gölge, Halil Murat Şen, Ersin Kuyucu, Hacer Şen, Ferdi Göksel, Burak Kaymaz, Erkam Kömürcü
Abstract for Investigation of knee pain in osteoarthritic and neuropathic pain awareness
The mechanism of neuropathic pain (NP) and osteoarthritic (OA) pain, although different, are both defined as chronic pain, and combinations are possible. In this study, the awareness of both types of chronic pain was investigated among patients and doctors. This prospective study was planned and coordinated by the orthopedic and internal medicine clinics and included 100 patients with a diagnosis of knee OA evaluated with the DN4 questionnaire. Patients with an OA diagnosis included those with NP linked to diabetes and those without NP, and these groups were compared using a visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritic Index (WOMAC). Data analysis of both groups focused on descriptive statistics of demographic and clinical characteristics. Twenty-four of the patients with type 2 diabetes mellitus (DM) were diagnosed with NP according to DN4 criteria, and began treatment. Of these patients, 21 (84%) had DM for 10 years or more, while 19 (86.4%) had HbA1c of 7 and above. The average WOMAC pain score for patients with NP was 4.33 ± 1.2 while the score for VAS was 8.25 ± 0.8. Patients without NP had a WOMAC pain score of 2.49 ± 0.6 and a VAS of 6.28 ± 1.8. It was observed that in these two knee OA patient groups, NP had a statistically significant enhancing effect on the WOMAC pain score and the VAS (p < 0.001). As underlying pathophysiological mechanism of pain caused by OA is complex, and OA is considered to have a component of NP, it has been proven to be useful to use drugs apart from conventional treatments for NP. We believe that, as a source of pain that is not relieved after arthroplasty, awareness level of NP among orthopedists should be increased and multidisciplinary studies are required on this topic.
Doç. Dr. Erkam KÖMÜRCÜ
Born in Ankara in 1979, Erkam Kömürcü completed his primary and secondary education in Ankara and started his medical education at Ege University Faculty of Medicine in 1996. He graduated in 2002 and passed the Medical Specialization Examination (TUS) in September 2002 and started his specialty training at Ankara Numune Training and Research Hospital Orthopedics and Traumatology Clinic. In 2008, he submitted his specialization thesis and passed the exam and became an orthopedics and traumatology specialist.Erkam Kömürcü, who performed his military service as a reserve officer at the GATA Turkish Armed Forces Rehabilitation Center, completed his compulsory service at the Ministry of Health Aksaray State Hospital.Erkam Kömürcü, who was appointed as an Assistant Professor at Çanakkale Onsekiz Mart University Faculty of Medicine in 2011, worked as a professor at the world-famous UCLA Spine Center on the spine in Los Angeles, United States, in 2013. Dr. He completed 3 months of spine surgery training under the supervision of Jeffrey C. Wang.The academician, who was awarded the title of Associate Professor by successfully passing the Associate Professor Examination he took in 2015, is very experienced in the fields of pediatric and adult spine surgery, adult joint reconstruction (hip and knee prostheses), sports traumas and pediatric orthopedics.Assoc. Dr. Erkam Kömürcü speaks English, is married and has 3 daughters. His wife, Nur Sultan Kömürcü, is a lawyer and works as a freelance lawyer.