CHAPTER 38: Chronic Pain Flashcards
Is a painful condition that lasts >3 months, pain that persists beyond the reasonable time for an injury to heal, or pain that persists 1 month beyond the usual course of an acute disease
Chronic pain
Is the most common site for chronic pain
Back pain
Is the exaggerated response to a normally painful stimulus
Hyperalgesia
Is pain from a normally nonpainful stimulus
Allodynia
Is a syndrome in which classic or common migraine headaches change over time and develop into a chronic pain syndrome
Transformed migraine
Chronic migraine is —?— migraine days a month
15 or more
Is widespread muscular pain involving greater than 6 body areas out of 19 total regions and a symptom severity score of 5 or more, rating four areas
Fibromyalgia
Are symmetric numbness associated with burning, electrical, or stabbing pain in lower extremities
Painful diabetic neuropathy
Pain characterized by allodynia and shooting, lancinating (tearing or sharply cutting) pain that may follow the course of an acute episode of herpes zoster
Postherpetic neuralgia
Include paroxysmal, short bursts of sharp, electric shock-like pain in the nerve distribution of the trigeminal nerve
Trigeminal neuralgia
Pain may be aching, cramping, burning, tearing, or squeezing in the extremity before amputation
Phantom limb pain
Type of Complex regional pain syndrome:
From prolonged immobilization or disuse
Type I Complex regional pain syndrome
I = Immobilization
Type of Complex regional pain syndrome:
From a peripheral nerve injury
Type II Complex regional pain syndrome
II= ||erve injury
Patients with AIDS can develop distal sensory polyneuropathy characterized by shooting pain, numbness, and burning sensations primarily on the soles, dorsum of the feet, and toes
HIV-associated sensory neuropathy
