multidimensional pain

Question 1

how many canadians live w chronic pain

Answer 1

1/5

Question 2

chronic pain + gender/race

Answer 2

mc among females across all ages

Indiginoues people had highest prev

Question 3

chronic pain and vetrens %

Answer 3

41% of canadian veterans

Question 4

economic impact of chronic pain )direct+indirect

Answer 4

56-60 bil

Question 5

what is the dualistic theory of pain

Answer 5

pain could be a results of physical injury or psychological injury but never both

Question 6

what regulates the gate control theory of pain

Answer 6

substantia gelatinosa serves to modulate the signals that get thru and act as a gate

Question 7

what is the descending aspect of gate control

Answer 7

can be desendatory inhibition from the brain which can close the gate

-negative state of mind can do the opposite as well

Question 8

what are the 3 aspects of the expanded gate control theory

Answer 8

sensory discrimative (provide perceptual info about the noxious stim)

Motivational affective (activate the motivational tendency to escape/attack)

Cognitive evaluate (cognitive info based on analysis of multimodal info exerts control of pain- mems etc)

Question 9

what is a neurosigniture and what influences it

Answer 9

CNS is responsible for eliciting painful sensations rather than periphery (signals from periphery can influence or initiate a neurosis but not create it)

-A neurosis allows for memory formation, which serves to influence how we react to similar situations in the future

Question 10

what does loesers conceptual model of pain include (4)

Answer 10

“biopsychosocial model of pain”

1. pain behaviour (actions people carry out post pain)
2. Suffering (emotional response)
3. Pain (subjective ex)
4. Nociception

Question 11

what is the def of pain

Answer 11

An unpleasant sensory and emotional experience associated with, or resembling that associated with actual or pot tissue damage

Question 12

what are key aspects we know about pain

Answer 12

• pain is always personal
• pain does NOT = nociception
• pain is learned
• pain must be respected by clinition
• pain can be maladaptive
• pain can be expressed in multitude of ways

Question 13

acute, subacute, chronic pain timlines

Answer 13

acute- <1m
subacute- 1-3m
chronic- 3-6m

Question 14

what is nociceptive pain

Answer 14

pain that arises from actual or threatened damage to non neural tissue and is due to activation of nociceptoes

Question 15

what is neuropathic pain

Answer 15

results from alterations in nerve structure, function and dynamics that cause neural dysfunction.

may also involve the nerve interface w other tissues in its anatomical path

Question 16

what is nociplastic pain

Answer 16

Pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage

Question 17

What is chronic primary pain

Answer 17

pain in one or more anatomical regions that:

• pesists >3m
• is associated w sig emotional distress
• symptoms not better accounted for by another dx

Question 18

What is chronic secondary pain

Answer 18

dx when pain originally emerges as a symptom of another underlying condition. It may persist after the condition has be tx