Subjective Ax Features of Pain types Flashcards
1
Q
Subjective Features of Loose Control (14)
A
Younger age More commonly episodic More intense Quicker resolution of severe pain Agg by minimal pertubations Agg by sudden or unguarded movements Trick movements 'immobilised' or 'stuck' Feeling of giving way 'Back going into spasm' Catch or painful arc Self-manipulator Post-trauma Post-pregnancy
2
Q
Subjective Features of Tight Control (15)
A
Various ages Less episodic Slower development Mid-range pain Pain static loading Pain coming out of flexion Fearful and anxious Relief when distracted Relief with relaxation 'Tight' 'Tired' Muscular distribution to some pains Burning LBP (ischaemic) Maladaptive stability beliefs Worse with stability training
3
Q
Subjective Features of Impaired Mobility (12)
A
Older age Less episodic Less variation in symptoms intensity Slower to resolve when aggravated Not increasing in frequency Less intense Less likely to be 'immobilised' or 'stuck' Associated with stiffness Morning pain Pain with position change Relief with stretching Less when warmed up
4
Q
Subjective Features of Neurogenic pain with radicular pain only (4)
A
Nerve trunk pain only
neuroanatomical distribution
minimal dyaesthesias
no/minimal associated symptoms
5
Q
Subjective Features of Neurogenic pain with radicular pain with radiculopathy (5)
A
Dyaesthetic pain Nerve trunk pain Dermatomal distribution Neuroanatomical distribution Associated symptoms
6
Q
Subjective Features of Nociplastic pain (13)
A
Sustained high levels of pain Non-standard clinical course Widespread pain not within usual anatomical boundaries Extensive spreading from original area Pain shifts around Spontaneous pain Distorted stimulus response relationship Sensitises early Non-noxious triggers Other sensitivities: smell, chemical, noises Non-restorative sleep Extreme fatigue Concentration problems
7
Q
Features of nerve trunk pain (in neurogenic presentations) (8)
A
Deep, aching pain Pulling Dragging Heaviness Along line of the nerve Clumping along the nerve Maybe Mild paraesthesia (non-dermatomal) Peripheral tenderness along nerve
8
Q
Features of dyaesthetic pain (in neurogenic presentations) (17)
A
sharp, shooting, lancinating, stabbing Burning, gripping Paroxysmal pain Felt in sensory distribution of nerve Localised paraesthesia Localised anaesthesia Localised weakness Localised hyperalgesia Localised allodynia Latent pain, after pain Feeling awful, wearing Autonomic changes Peripheral tenderness (dermatome + nerve)
9
Q
Qualities of referred pain in a Somatic presentation
A
Less intense than back pain Deep Aching quality Usually dull, though may become severe Static in location Expand slowly if stimulus increases Aware of where centred but hard to localise boundaries Less often below knee Non tender in referred area After pain uncommon Latent pain uncommon Closely related to back pain
10
Q
Psychosocial history features of nociplastic pain (13)
A
Pain markedly affected by emotions Anxiety and depression associated with pain High levels of fear and catastrophisation Negative perceptions and expectations Unhelpful behaviours Increased down time Withdrawal from activity Social withdrawal Heavy drug / alcohol use as a coping strategy Inflexible coping Lots of passive treatment Maybe compensation issues Poor family and social support
