Pain

Question 1

What type of pain is a red flag

Answer 1

Constant unrelenting

Question 2

Differentiate peripheral VS central

Answer 2

P= pain travels further from irritation, decreases intensity
C= pain travels toward irritation, increase intensity

Question 3

Differentiate chronic VS joint/soft tissue inflammation

Answer 3

Chronic= morning, improves with activity

Joint/soft tissue= mid day, worse with overwork

Question 4

Stages:

Answer 4

1) acute/inflammatory
2) subacute/proliferation
3) chronic/remodelling/maturation

Question 5

Describe acute stage

Answer 5

-4-10d
*clotting (bradykinins, neutrophils, macrophages)
Decrease bleeding= RICE, NSAIDs
Decrease pain= RICE
Decrease inflammation= METH
Promote good scar tissue= gentle ROM/massage, ultrasound

Question 6

Describe subacute stage

Answer 6

1-15d
*granulation, scar tissue formation
Collagen formation-weak/vulnerable
Fiber orientation= AROM, gentle massage, ultrasound
Protection= decrease stress

Question 7

Describe chronic stage

Answer 7

15d-6 month
*scar tissue remodelling
Granulation replaced by collagen
Apoptosis of cells no longer needed
Exercise, friction, regular activity

Question 8

Types of pain

Answer 8

1) mm
2) vascular
3) visceral
4) constant
5) mechanical
6) episodic