Pain

Question 1

Pain

Answer 1

• Unpleasant feeling caused by intense or damaging stimuli
• Most common reason pt’s visit PT
• Chronic pain affects approx. 116 million Americans
• Affects more people than diabetes, heart disease, and cancer combined
• In the US the cost of pain is approx 600 billion per year

Question 2

Definitions of Pain

Answer 2

• May include the perception, experience, and behavior of the individual
• Acute
• Persistent
• Chronic

Question 3

Acute Pain

Answer 3

• Begins suddenly and sharp in quality

- In proportion to tissue damage and the potential for tissue damage

Question 4

Persistent Pain

Answer 4

• Unresolved acute pain

- Called recurrent pain if repeating episodes of acute pain

Question 5

Chronic Pain

Answer 5

• Persistent pain for more than a specific length of time
• 3 to 6 months
• Can directly affect a person’s well-being, psychosocial affects of life, and occurs with the absence of observed tissue injury or damage

Question 6

Biopsychosocial Model of Pain

Answer 6

• If tissue damage is fixed the pain goes away (biomechanical model)
• Does not explain nonorganic pain-physiological source cannot be found (Psychogenic Pain)
• Biopsychosocial model attemps to explain the combination of physical and personal factors that cause pain
• Even in the absence of peripheral tissue damage that could be viewed as a psychological manifestation

Question 7

Suffering - Affective Component of Pain

Answer 7

• Both emotional and cognitive

- Can be due to catastrophizing with feelings of anxiety and helplessness

Question 8

Chronic Pain Syndrome

Answer 8

• CPS
• Any pain that persists longer than a reasonable healing time
• Individuals develop extensive pain behaviors (to the point of disease)
• Need to managed at times secondary to no cure