MSK 10

Question 1

What is pain?

Answer 1

An unpleasant sensory and emotional experience associated with actual or potential tissue damage

Question 2

Different categories of pain?

Answer 2

Acute Pain= short period of time less than 3 months
Chronic Pain= lasts longer than 3 months cause of injury
Cancer Pain= as a result of tumour and the pain pressing on surrounding tissue and organ.
Phantom Pain= when patient some limb removed and after.

Question 3

What are the different types of pain?

Answer 3

Nociceptive pain=>caused by cut or burn
Neuropathic Pain=> this usually through the nerve so you can’t see any cut or burned: Shingles
Mixed category pain=> Mixture of Neuropathic and nociceptive
Central pain=>Muscle and bone across your whole-body Ex: fibromyalgia (brain get confused because of muscle and bone pain)

Question 4

What is Referred pain?

Answer 4

Brain gets a little bit confused to identify the right place of the pain. For example: patient get heart attack and they can feel pain in their hand, but the main event is in the heart.

Question 5

Q: There are various types of pain; acute and chronic. How long does pain have to remain for it to be considered chronic?

Answer 5

More than 3 months

Question 6

Bowel obstruction or gallstone is what kind of pain?

Answer 6

Colicky pain

Question 7

What is somatic pain?

Answer 7

Localized and deep dull pain i.e. toothache or strained ankle

Question 8

What is neuropathic pain?

Answer 8

Difficult to treat than other types of pain
Neuralgia
Paraesthesia
Tight feeling

Question 9

What kind of response we get from pain?

Answer 9

Sympathetic response: increase pallor (pale in colour) pulse, pressure, muscle tension etc
Parasympathetic response: Very severe sometimes people loss consciousness. Nausea vomiting weakness blood pressure etc.

Question 10

How pain moves throughout the body?

Answer 10

4 process
Transduction: By needle=>Chemical mediators give signal to => muscle fibres also known A&C fibres=> send signals to the ganglion in spinal cord.
Transmission: Once pain in the ganglion than we secret neurotransmitter which take the message to the brain (particularly hypothalamus, sensory cortex, Limbic system) via afferent pathway.
Perception:
Modulation: this is where body naturally try to stop our pain by secreting enkephalins

Question 11

Q: The stimulation of nerves that convey information to the brain about possible tissue damage refers to what?

Answer 11

Nociception

Question 12

What are the factors which can influence pain?

Answer 12

Gender
Culture
Age
Fatigue
Social factors
Anxiety