Pain Flashcards
What is the definition of pain?
Unpleasant sensory and emotional experience
A personal experience influenced by biological, psychological, and social factors
Not solely from sensory input via neurons
Framed through life experiences and their report should be respected
May adversely impact function, social, and psychological wellbeing
What is acute pain?
pain that lasts from a few seconds to three months & is usually associated with actual or threatened tissue injury
What is chronic pain?
Pain that lasts or recurs for more than three months and can last for several years
What is nociceptive pain?
Pain that arises from actual or threatened damage to a non-neural tissue due to activation of nociceptors
What is neuropathic pain?
Pain caused by a lesion or disease of the somatosensory nervous system
What is nociplastic pain?
Pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage
On assessment how does nociceptive pain present?
Clear proportionate mechanical nature to pain
Pain is localized to area of injury
Reproduction of pain with movement
Loaclized
On assessment how does neuropathic pain present?
Burning or shooting
Associated with other neurological symptoms
Positive neurological findings
Pain/provocation on palpation of relevant neural tissues
On assessment how does nociplastic pain present?
Disproportionate to nature and extent of pathology
Non-anatomical distribution of pain
Maladaptive psychosocial factors
Absence of signs of tissue injury/pathology
What kind of physical therapy interventions do you to for nociceptive pain?
AAROM
PROM
STM
Nerve mobilization
Thrust & non-thrust mobilizations
What kind of physical therapy interventions do you do for neuropathic pain?
Positioning
Lateral glides
Movement of neural tissue (sliders, tensioners)
Repeated neurodynamic movements for bloodflow
What kind of physical therapy interventions do you do for nociplastic pain?
Build a therapeutic relationship
MT directed to local or remote to desentize the system only
Outcome measures to compliment MT
Patient education on pain
