Clinical Reasoning/ Pain Types

Question 1

noiciceptive pain

Answer 1

Nociceptive pain – pain that is associated with actual or threatened damage to nonneural tissue and involves the activation of peripheral nociceptors

-Clear aggravating and easing factors
* Can be a localised area of pain
Somatic referred pain – the brain misinterprets the origin of the nociception and the person feels pain in different areas, often as a vague dull ache

Question 2

neuropathic pain

Answer 2

pain associated with a lesion or disease of the the somatosensory nervous system

-shooting, burning, electric shock etc

Question 3

Nociplastic pain – pain that persists in the absence of overt tissue or nerve pathology

Question 4

summary

Answer 4

Nociceptive pain
– With inflammation (inflammatory pattern)
– Without inflammation(mechanicalpattern)
 Neuropathic pain
– Lesion or disease affecting the somatosensory nervous system  Nociplastic pain
– Dysfunctional pain with altered nociceptive processing in the CN

Question 5

Clinical Reasoning

Answer 5

Clinical reasoning is the process of deciding which factors are relevant to a patient’s presenting problem, then deciding what to do about them. It is a way of thinking to sort out and make sense of the information a client tells you (subject assessment) and information gathered from the objective assessment

What Is Clinical Reasoning?
* Hypothesis Testing
Pattern Recognition