lecture 23 - medically unexplained symptoms in orthopaedics

Question 1

What is pain?

Answer 1

Unpleasant sensory and emotional experience associated with actual or potential damage

Question 2

What are medically unexplained symptoms?

Answer 2

Presence of physical symptoms despite no pathophysiological basis found for them

Question 3

What are the 3 classifications of pain?

Answer 3

Nociceptive, Neuropathic, Nociplastic

Question 4

What is nociceptive pain?

Answer 4

Pain associated with damage of peripheral structures

Question 5

What is neuropathic pain?

Answer 5

Pain arising from disease/injury to nerves

Question 6

What is nociplastic pain?

Answer 6

Pain arising from altered function of central or peripheral nerve pathways

Question 7

How does nociplastic pain typically present?

Answer 7

More widespread/intense pain than expected, associated CNS symptoms (fatigue, poor sleep, memory loss, low mood, etc.)

Question 8

What is neuroplasticity?

Answer 8

Ability for neural pathways to expand or contract according to usage

Question 9

What are the risk factors for relapse of medically unexplained pain?

Answer 9

multiple physical symptoms, personality disorder, fixed beliefs