Chapter 6- 3 Mechanism-Baed types of pain

Question 1

What are the 3 mechanism-based types of pain?

Answer 1

1. Nociplastic
2. Nociceptive
3. Neuropathic

Question 2

What is cognitive-emtoional sensitization?

Answer 2

Functional and structural changes in the brain associated with psychological factors: catastrophizing, fear-avoidance, traumatic events. chronic toxic stress, etc.

Question 3

What is Nocicpetive pain?

Answer 3

Pain that arises from actual or threatemed damange to non-neural tissue and is due to the activation of the nociceptors.
Example: Ankle sprain, osteoarthritis

Question 4

What is neuroapthic pain?

Answer 4

Pain caused by a lesion or a disease of the somatosensory nervous system.
Ex: Radiculopathy, Diabetic Neuroapthy

Question 5

What is nociplastic pain?

Answer 5

Pain that arises from altered nocicpetion despite no clear evidence of actual or threatened tissue damage - causing the activation of periphereal nociceptors or evidence for disease or lesion of the somatosensory system causing pain.
Ex: Fibromyalgia, Non specific low back pain

Question 6

What are the 2 important factors when it comes to tools to use for recognizing the pain type?

Answer 6

1. History Taking
2. Clinical Reasoning

Question 7

When a disc herniation occurs and it is pressing on a nerver, what type of pain is it?

Answer 7

1. Can be considered Neuropathic AND nocicpetive because of the musculoskeletal and disc related pain (when acute)

Question 8

What problems can we have with neuroanatomically plausible distribution?

Answer 8

Innervation territories of nerves and roots vary between individuals, they are not always clear demarcated and there if often overlap between them.
- Because of nociplastic pain, the areas of allodynia and hyperalgesia may extend beyomd the innervation territory

Question 9

True or False
Screening tools alone can be used to itenditify neuropathic pain?

Answer 9

FALSE

Question 10

When would you need to require a medical specialist for CT scan, MRI, Nerve Conduction tests?

Answer 10

When confirmatory tests are done