fibro and BPS model Flashcards
Nociceptive Pain is often due to what
an MSK injury
Nociceptive Pain - where is the pain localized
one area
Nociceptive Pain - what is Pain intensity associated with
mechanical load
Nociceptive Pain - Pain intensity modulated by what
cortical and brain-stem pathways
what is Neuropathic Pain
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
Neuropathic Pain - chronic pain example
Spine: lumbar radiculopathy
Neuropathic Pain - irritant to the nerve example
Diabetic neuropathy
Phantom limb pain
What is nociplastic Pain
Chronic pain with no clear evidence of tissue damage or activation of peripheral nociceptors
Alteration of nociceptive processing w/in CNS
Nociplastic Pain other name
Substitute for the term “central sensitization”
what is anesthesia
numb - no sensation
what is hyperesthesia
pain to a non-painful stimulus
what is allodynia
extreme pain that is out of proportion
why is it important to take care of peri pain
because if it is not addressed then it can become central pain (chronic pain)
4 Steps of Nociception
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”
most pain is transduced through what pathway
spinothalamic
Sensory-Discriminative type of pain
the cortex know s where the pain is coming from
Affective-Motivational type of pain
Once the emotional centers are active
Autonomic-Sympathetic type of pain
This is the fibromyalgia pt – a lot a responses to pain
what is a hallmark fibro
Bilat sym pain is a hallmark of fibro
Central Sensitization
An augmented response by the CNS to a variety of sensory stimuli
They are a sensitive person in general
Can we prevent Central Sensitization (CS)?
Treating acute nociceptive pain early and properly to prevent the transition to chronic nociplastic pain
what is the bio part of the BPS model
BIO: pain generator
what is the psych part of the BPS model
PSYCHO: the patient’s mood, emotions, beliefs
what is the social part of the BPS model
SOCIAL: the patient’s family, work, and personal issues
when looking at pain what is important
Search for the source of pain may not be as important as understanding the source of suffering
psych - might be the source of suffering
what makes up the psych part - the different section
Fear
Catastrophizing
Passive Coping
Low Self-Efficacy
Depression
what is a syndrome
a cluster of symptoms with no known cause
are tender point tirgger points
no
is fibro due to soft tissue inflammation
no
metabolic dysfunction and fibro relation
not related at all
what is the ABC stand for in ABC Indicators
A Algesia
Algometry or palpation
B Bilateral
Pain drawing ≥ 3 WPI pairs
C Chronic distress
SSS score ≥ 5
Algesia meaning
the capcity to feel pain
what does SS stand for
summed stress score
what can you use to measure the the mag of Fibro issue s
the fibro-mal scale
can the FM scale be used for other things
yes
If the word “FM” is removed from the scale, it can be useful in any measuring severity of any MSK condition.
Classic” FMS 4 key signs
- Widespread pain 2. Fatigue
- Poor sleep 4. Somatic complaints
Four basic subsets of fibromyalgia
1.”Classic” (psycho-somatic) 2. Pathology/Disease
3. Metabolic/Functional 4. Musculoskeletal
