{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T18:43:36Z","timestamp":1785609816439,"version":"3.56.0"},"reference-count":46,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T00:00:00Z","timestamp":1624752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The cognitive\u2013evaluative (C\u2013E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C\u2013E dimension of pain. Moreover, the improvement process of the C\u2013E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C\u2013E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C\u2013E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C\u2013E dimension of pain was present in addition to the sensory\u2013discriminative (S\u2013D) dimension of pain. It was observed that improvement of the C\u2013E dimension of pain was delayed in comparison with that of the S\u2013D dimension of pain. The C\u2013E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C\u2013E dimension of pain. Moreover, the delay in improving the C\u2013E dimension of pain indicates a difference in the improvement process for each pain dimension.<\/jats:p>","DOI":"10.3390\/medicina57070658","type":"journal-article","created":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T22:24:57Z","timestamp":1624832697000},"page":"658","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cognitive\u2013Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0832-0290","authenticated-orcid":false,"given":"Tsubasa","family":"Kawasaki","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Health Sciences, Tokyo International University, Saitama 350-1197, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Yada","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, National Hospital Organization, Tokyo Medical Center, Tokyo 152-8902, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Ohira","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Health Science, Uekusa Gakuen University, Chiba 264-0007, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s10865-006-9085-0","article-title":"The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence","volume":"30","author":"Leeuw","year":"2007","journal-title":"J. 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