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Pain Relief

 
Pain Management Introduction

 

Pain Management is a complex physical and psychological experience that may, or may not, reflect injury or tissue damage.  In fact, the paradox of pain is that it may often exist without recent injury or tissue damage.

  1. Acute pain is usually a sign of actual or potential injury or trauma.  It is often associated with anxiety or sympathetic nervous system hyperactivity, lasting a short time, generally between one to six months, according to different definitions.
     

  2. Chronic pain lasts longer than this period.  Chronic pain is usually paralleled to the duration of the many physiological healing processes of acute tissue damage.

Other symptoms commonly become associated with the chronic stage of pain, including; anxiety, depression, insomnia, weight loss, appetite disturbance, constipation, and decreased libido.

 

Pain can have a somatogenic or organic cause, involving a physiological mechanism.  Pain may also be psychogenic, caused by certain psychological issues.  Unfortunately, doctors too often ascribe chronic pain to a psychological causes when organic pathology is not apparent; the correct description in this case, however, should be idiopathic pain (i.e. pain of unknown origin).

 

 

Pain Management Signs & Symptoms

 

Because pain is predominantly a subjective experience, the best reflection of the existence and severity of the condition is within the list of words commonly used to describe pain.  These words, compiled by psychological researchers Melzack and Torgerson, are classified into three separate catagories [4]:

  • Sensory Pain: throbbing, pounding, shooting, pricking, sharp, stabbing, pinching, pressing, gnawing, crushing, burning, searing, stinging, smarting, wrenching, etc.
     

  • Affective or Emotional Pain: sore, tender, sickening, blinding, etc.
     

  • Evaluative Pain: excruciating, intense, unbearable, etc.

 

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