Chronic pain

Question 1

carries nociceptive and non-nociceptive inputs. descending inhibition inhibits incoming pain signal

Answer 1

spinothalamic tract

Question 2

ability of our nervous system to change.

Answer 2

neuroplasticity

Question 3

hyperirritability or sensitivity of the nervous system

Answer 3

facilitation

Question 4

organization of neuronal connections in the nervous system

Answer 4

reorganization

Question 5

new connections and new neural pathways are created and used for transmission of pain

Answer 5

generation

Question 6

brain activity pattern associated with pain that is highly modifiable. Experiences associated with pain

Answer 6

neurotag

Question 7

non-localized pain due to lack of normal motor, sensory, and proprioceptive input into affected area.

Answer 7

homoncular smudging

Question 8

gradually increasing exposure to activities that are limited by pain

Answer 8

pacing up

Question 9

alternating periods of work and rest when there is relative overactivity

Answer 9

pacing down

Question 10

nerves need these 3 things

Answer 10

1. movement
2. space
3. blood

Question 11

role of the PT/PTA in acute pain

Answer 11

fix them and educate them

Question 12

when the pain signal does not shut off, despite your best efforts

Answer 12

fear avoidance cycle

Question 13

fear avoidance cycle leads to… (3)

Answer 13

1. mm guarding
2. decreased blood flow
3. adaptive shortening

Question 14

examples of peripheral sensitivity with chronic pain (3)

Answer 14

1. axon changes
2. ion channel receptors
3. neurogenic swelling

Question 15

examples of central sensitivity with chronic pain (4)

Answer 15

1. reduced descending inhibition
2. death of interneuron
3. neurotag
4. homuncular smudging

Question 16

chronic inflammation generated from the dorsal horn at spinal cord level. appears as mild chronic swelling with minimal to no heat or redness

Answer 16

neurogenic swelling

Question 17

sensitivity occurs when a nerve is damaged or demyelinated.

Answer 17

axonal changes

Question 18

sensitivity due to millions of protein channels along a nerve. sensitive to temp, pressure, stress

Answer 18

ion channel receptors

Question 19

you no longer need a nociceptive input to cause pain when ________ is present

Answer 19

central sensitivity

Question 20

PT goals in chronic pain rehab (4)

Answer 20

1. ROM
2. CV endurance
3. coordination
4. strength

Question 21

before exercise for chronic pain, consider (3)

Answer 21

1. age
2. medical status
3. body type

Question 22

what are the three E’s for chronic pain

Answer 22

1. education
2. exercise
3. encourage CNS plasticity