DN4 v.1

Can the pain be characterized as burning?

Can the pain be characterized as painfully cold?

Can the pain be characterized as electric shocks?

Is the pain associated with tingling in the same area?

Is the pain associated with feeling of pins and needles in the same area?

Is the pain associated with numbness in the same area?

Is the pain associated with itching in the same area?

Is the pain located in an area where physical examination may reveal touch hypoaesthesia?

Is the pain located in an area where physical examination may reveal pricking hypoaesthesia?

In the painful area, can the pain be caused or increased by brushing?

The Douleur Neuropathique 4 Questions (DN4) is a tool constructed to aid diagnosing of neuropathic pain. A score of 4p or more indicates neuropathic pain with >90% specificity.

Dennis Forslund

models@cambiocds.com

Cambio Healthcare Systems

To aid diagnosing of neuropathic pain.

The tool is based on results from interview and physical examination. Seven questions relates to patient experience, and three to physical examination. Maximum score is 10p, and a score of 4p or more indicates neuropathic pain with >90% specificity.

Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 2005; 114: 29–36. Van Seventer R, Vos C, Meerding W, Mear I, Le Gal M, Bouhassira D et al. Linguistic validation of the DN4 for use in international studies. Eur J Pain 2010; 14: 58–63.

OBSERVATION.dn4.v1, EVALUATION.dn4.v1

CDS App Challenge About us