Theme 6 - Principles of Physiotherapy in the treatment of pain Flashcards
What is acute pain?
Pain with recent onset + limited duration
What is subacute pain?
Pain that lasts 6 weeks – 3 months
What is chronic pain?
Pain that lasts longer than 3 months
Name 2 examples of acute pain
Locked facet joint and muscular tear
Name an example of subacute pain
Sprained ankle
Name an example of chronic pain
Fibromyalgia
What is the response to acute pain?
Normal tissue response, Clear cause
What is the response to subacute pain?
Normal tissue healing response, Clear cause
What is the response to chronic pain?
Beyond normal healing time, driving tissue pathology, pain amplification, central/peripheral sensitization
What are the 3 pain classifications according to the IASP?
-Nociceptive pain
-Neuropathic pain
• Peripheral
• Central
-Pain amplification/sensitization
What are the 2 types of nociceptive pain?
Somatic
Visceral
What is neuropathic pain?
Lesion in nervous system
What is pain amplification/sensitization?
Neurophysiological changes in central
/peripheral nervous system
Name 2 examples of nociceptive pain
muscle inflammation and mechanical muscle imbalance
Name 3 examples of neuropathic pain
Diabetic neuropathy, Radiculopathy, Post-herpetic
neuralgia
Name 2 examples of pain amplification/sensitization
Fibromyalgia and CRPS
Name the 4 physiotherapy modalities in the handling of pain
Movement/ manual therapy Exercise Electro-physical therapy Other: dry needling, Educate & Counsel, Cognitive behavioural therapy, relaxation
What are the 5 mechanisms on which the physiotherapy modalities are based?
Biomechanical Physiological Neurological Cognitive and affective Neuro physiological
Explain biomechanical mechanism
Alignment of joint, Correcting the incorrect movement of the joint
Explain Physiological mechanism
Swelling, Movement of tissue and joint to mobilize the body fluid
Explain neurological mechanism
Movement of nerve tissue and surrounding structures, Mobilization of nervous system (neurodynamics)
Explain Cognitive and affective mechanism
Patient education
Explain neuro physical mechanism
Pain gate theory