Chronic low back pain Flashcards
pain Neuromatrix
Suggest that pain is produced in the brain as a reaction to a perception of danger to body tissue that requires an action
Pain response involve sensory and emotional component, making it a multi system process
Effects of pain cortical output
reduces cortical processing capacity
slows decision making
Increases cognitive error rate
Paint suffers report forgetfulness, and being easily distracted
Immune activity is modified
Hypothalamus, pituitary, adrenal axis and sympathetic nervous system activity is altered
Reproductive system function is reduced
effects of pain, motor output
Motor output serves to promote escape
Limit provocation of the painful part
Motor changes are driven by the higher centers
There is no pain center in the brain true or false
True
There is no pain center in the brain
what exactly is the pain neuromatrix?
Beliefs and attitudes, which are physiologic reactions in the brain
May also affect the pain matrix, which are areas of the brain that are active with belief
changes in the brain with chronic pain
The brain becomes hypersensitive
Less brain activity is needed to stimulate a pain experience
Three aspects for managing patients with long-term pain
reduction of threatening input so as to reduce activity of the pain neuro matrix, and thereby reducing its efficacy
targeted activation of specific components of the pain neuro matrix without over, activating the Neuromatrix
Upgrading physical and functional tolerance by great exposure to threatening and put across sensory and nonsensory domains
What is the goal of education in pain management programs?
to reconceptualize the problem
patient communication by physical therapist rules
Use language to foster success
Get rid of Medical speak and jargon
Get rid of words that create fear, or promote misunderstanding through lack of clarity
Words that heal
The good news is
Normal age related changes
We see this a lot
Relate, repeat, reframe
