Lecture 5 (9-23) Flashcards
What is pain is experienced after injury has taken place and tissue damage is occurring
Acute
What pain is defined as pain lasting longer than 6 months
Chronic
Does chronic pain respond to intervention
No
If pain goes away and comes back does that constitute as chronic pain
No
What type of pain is perceived to be in an area that has little relation to the pathology
Referred
What type of pain is caused by irritation of nerves and nerve roots
Radicular/radiating
What causes referred pain to be long lasting (4)
- Altered reflex pattern
- Continued mechanical stress on muscles
- Learned habits of guarding
- Development of trigger points (hypersensitive areas)
Deep somatic pain is what type of pain
Referred
What is pain that emanates from a sclerotome
Deep somatic
True or False:
Deep somatic pain is often has a discrepancy between the site of pain and the location of pathology
True
What do we gain from rating pain (4)
- Improves communication
- Directs clinician testing
- Standard measure for monitoring progress
- Provides documentation of progress for physicians and third party payers
What does the patient gain from rating pain (2)
- Reassure the patient
2. Reinforce the commitment to the plan of treatment when gains are made
What are the 5 pain scales
- Visual analog scale
- Pain chart
- McGill pain questionnaire
- Activity pattern indicators pain profile
- Numeric pain rating scale (NPRS)
What type of pain scale assess location of pain and allows patient to color/draw on areas of pain
Pain charts
What pain scale is 78 words that describe pain grouped into sets, used for LBP, and show change ever 2-4 weeks
McGill pain questionnaire
What pain scale is 64 questions that examines functional impairment and frequency of certain behaviors
Activity pattern indicators pain profile
What pain scale is rated from 0-10
Numeric pain scales
What is the measure of how far a patient can go until it hurts
ROM to pain onset (TPO)
What is the measure of pain during isometric break testing
Force to pain onset (FTPO)
How do you manage pain (2)
- Identify source of pain
2. Select appropriate interventions based on best evidence
What are the 4 pain management strategies
- Encourage activities that influence perception of pain
- Extensive patient education
- Validate your patient’s pain
- Incorporate pain modulating modalities where appropriate
What are the activities that influence perception of pain (4)
- Motivation techniques
- Relaxation techniques
- Meditiation
- Diaphragmatic breathing
What are ways to educate patients (3)
- Explain what patient should expect during recovery
- Discuss signs of inflammation
- Encourage gentle progression of activity
True or False:
All pain is very real to patients
True
