A meta-synthesis of research on leg ulceration and neuropathic pain

T Taverner, S. Jose Closs, M Briggs

Research output: Contribution to journalArticlepeer-review


Leg ulceration represents a substantial health problem, and pain is likely to be an associated symptom. The aim of this meta-synthesis was to undertake a systematic review of qualitative studies investigating the experience of chronic painful leg ulceration. This study undertook the meta-synthesis approach described by Sandelowski and Barroso (2003), which is a synthesis and re-interpretation of the findings from several qualitative studies. Findings were extracted and synthesized. The overarching theme was that patients with chronic leg ulceration suffer from persistent pain with associated sequelae. Word descriptors used by participants also suggested that patients have neuropathic pain. In addition, findings from the meta-synthesis suggested that pain associated with chronic leg ulcer may have a neuropathic pain component. Pain associated with leg ulceration is likely to have nociceptive properties as well as neuropathic properties. If neuropathic pain is not identified and managed effectively, patients are at risk of developing a chronic pain condition with associated sequelae, such as poor sleep, depression and suicidal ideation. It is proposed that early identification and management may enable appropriate pain management which may prevent or reduce the associated risks.
Original languageUndefined
JournalBritish Journal of Nursing
Issue numberSup12
Publication statusPublished - 1 Nov 2011


  • Persistent pain
  • Neuropathic pain
  • Pain sequelae
  • Leg ulceration
  • Qualitative synthesis

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