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MSK 2 > fibro and BPS model > Flashcards

fibro and BPS model Flashcards

1
Q

Nociceptive Pain is often due to what

A

an MSK injury

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2
Q

Nociceptive Pain - where is the pain localized

A

one area

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3
Q

Nociceptive Pain - what is Pain intensity associated with

A

mechanical load

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4
Q

Nociceptive Pain - Pain intensity modulated by what

A

cortical and brain-stem pathways

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5
Q

what is Neuropathic Pain

A

Something is affecting the nerve itself - they are irritated - Mechanical or metabolic injury to a nerve

Chronic pain that is not associated with mechanical load

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6
Q

Neuropathic Pain - chronic pain example

A

Spine: lumbar radiculopathy

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7
Q

Neuropathic Pain - irritant to the nerve example

A

Diabetic neuropathy
Phantom limb pain

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8
Q

What is nociplastic Pain

A

Chronic pain with no clear evidence of tissue damage or activation of peripheral nociceptors

Alteration of nociceptive processing w/in CNS

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9
Q

Nociplastic Pain other name

A

Substitute for the term “central sensitization”

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10
Q

what is anesthesia

A

numb - no sensation

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11
Q

what is hyperesthesia

A

pain to a non-painful stimulus

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12
Q

what is allodynia

A

extreme pain that is out of proportion

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13
Q

why is it important to take care of peri pain

A

because if it is not addressed then it can become central pain (chronic pain)

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14
Q

4 Steps of Nociception

A

Transduction
Stimulation of nociceptors triggers nerve impulses
Anything that converts one kind of energy to another

Transmission
- Sensory afferents transmit impulses to spinal cord

Modulation
- Impulses can be amplified, suppressed or transformed
by brainstem nuclei and higher centers

Perception
- Thalamus directs impulses to cortical centers = “Pain”

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15
Q

most pain is transduced through what pathway

A

spinothalamic

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16
Q

Sensory-Discriminative type of pain

A

the cortex know s where the pain is coming from

17
Q

Affective-Motivational type of pain

A

Once the emotional centers are active

18
Q

Autonomic-Sympathetic type of pain

A

This is the fibromyalgia pt – a lot a responses to pain

19
Q

what is a hallmark fibro

A

Bilat sym pain is a hallmark of fibro

20
Q

Central Sensitization

A

An augmented response by the CNS to a variety of sensory stimuli

They are a sensitive person in general

21
Q

Can we prevent Central Sensitization (CS)?

A

Treating acute nociceptive pain early and properly to prevent the transition to chronic nociplastic pain

22
Q

what is the bio part of the BPS model

A

BIO: pain generator

23
Q

what is the psych part of the BPS model

A

PSYCHO: the patient’s mood, emotions, beliefs

24
Q

what is the social part of the BPS model

A

SOCIAL: the patient’s family, work, and personal issues

25
Q

when looking at pain what is important

A

Search for the source of pain may not be as important as understanding the source of suffering

psych - might be the source of suffering

26
Q

what makes up the psych part - the different section

A

Fear
Catastrophizing
Passive Coping
Low Self-Efficacy
Depression

27
Q

what is a syndrome

A

a cluster of symptoms with no known cause

28
Q

are tender point tirgger points

A

no

29
Q

is fibro due to soft tissue inflammation

A

no

30
Q

metabolic dysfunction and fibro relation

A

not related at all

31
Q

what is the ABC stand for in ABC Indicators

A

A Algesia
Algometry or palpation

B Bilateral
Pain drawing ≥ 3 WPI pairs

C Chronic distress
SSS score ≥ 5

32
Q

Algesia meaning

A

the capcity to feel pain

33
Q

what does SS stand for

A

summed stress score

34
Q

what can you use to measure the the mag of Fibro issue s

A

the fibro-mal scale

35
Q

can the FM scale be used for other things

A

yes

If the word “FM” is removed from the scale, it can be useful in any measuring severity of any MSK condition.

36
Q

Classic” FMS 4 key signs

A
  1. Widespread pain 2. Fatigue
  2. Poor sleep 4. Somatic complaints
37
Q

Four basic subsets of fibromyalgia

A

1.”Classic” (psycho-somatic) 2. Pathology/Disease
3. Metabolic/Functional 4. Musculoskeletal

MSK 2 (15 decks)

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