Maladaptive Pain Responses Flashcards
Types of Pain
- Nociceptive pain
- neuropathic pain
- Neuroplastic pain
Nociceptive pain “normal pain”
short duration, well localized, easing and aggravating factors, no electric qualities
Neuropathic Pain “ electric/ nerve pain”
pain is at one location and travels along a dermatome or peripheral nerve pattern
Neuroplastic Pain “Chronic/ Unexplainable Pain”
spread from original areas in non- dermatomal pattern, intensity is out of proportion from original injury
Biomedical Approach - Chronic Treatment
- medical/ pharm treatments
- anatomic education
- emphasis on pain, not function
- facilitating avoidance
Sales Pitch for Better Persistent Pain Treatment
- biopsychosocial approach, emphasis on PNE and developing therapeutic alliance with patients. focus less on diagnosis and more on changing maladaptive responses
Maladaptive Responses
- catastrophizing
- fear avoidance
- kinesiophobia
- deconditioning
Central Sensitization
overall description that explains why people develop chronic pain, becoming more efficient at feeling pain
What do Changes of Properties in Neurons Within CNS means?
- pain no longer coupled with duration/ intensity of peripheral stimuli
- co- opts novel inputs into nociceptive pathways
Effects of Sensitization
allodynia, hyperalgesia, secondary hyperalgesia
Allodynia
pain evoked by normally benign stimulus such as cold, heat, or light touch
Hyperalgesia
increase in perception of pain elicited by noxious stimulus
Secondary hyperalgesia
spread of pain beyond initial site of injury. Caused by cortical smudging or synaptic adaptations
Catastrophizing
worse case thinking; negative cognitive- affective response to actual or anticipated paintR
Rumination
overthinking and worrying about pain