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Chronic Pain - Treatment and Psychological Effects

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11 Questions

It is generally accepted that pain persisting beyond this healing period can be considered pathological:

Three months

The effects of chronic pain in an individual are numerous, including:

All of the above

The categorization of pain by physiopathological pathway divides it in:

Nociceptive, neuropathic, nociplastic

A 46 year old female had a rear-end MVA, after a week she described having 8/10 lancinating, shooting, electrical-like lower back pain. She says that sometimes it gets exacerbated unexpectedly. An MRI of the lumbar spine showed a disc bulge at L3-L4, with moderate nerve-root compression. The client’s pain is characteristic of:

Neuropathic pain

The following treatment is used for nociceptive pain:

All of the above

This category of pain is maladaptive (it does not provide any evolutionary advantages), involves changes in the nociceptive processing, with central sensitization, and chronic immune system activation. Psychological distress affects most individuals:

Nociplastic

Complex Regional Pain Syndrome (CRPS), Fibromyalgia, and Irritable Bowel Syndrome (IBS) are examples of this category of pain:

Nociplastic

Opioid Pharmacological Treatment is no longer considered first line treatment for any form of chronic pain

True

Nonsteroid anti-inflammatories (NSAIDs), muscle relaxants, and nerve growth factor inhibitors are mostly used for pain relief in this category:

Nociceptive pain

Pain can be inferred exclusively from the sensory neurons activity.

False

Common indications of surgical treatment for pain include:

B and C are correct

Study Notes

Chronic Pain

  • Pain persisting beyond the normal healing period is considered pathological.

Categorization of Pain

  • Pain can be categorized by physiopathological pathway.

Case Study: Lower Back Pain

  • A 46-year-old female experienced 8/10 lancinating, shooting, electrical-like lower back pain after a rear-end MVA.
  • An MRI showed a disc bulge at L3-L4 with moderate nerve-root compression.
  • The pain is characteristic of radiculopathic pain.

Nociceptive Pain Treatment

  • Nociceptive pain is treated with nonsteroid anti-inflammatories (NSAIDs), muscle relaxants, and nerve growth factor inhibitors.

Maladaptive Pain

  • Maladaptive pain is a category of pain that does not provide evolutionary advantages.
  • It involves changes in nociceptive processing, central sensitization, and chronic immune system activation.
  • Examples of maladaptive pain include Complex Regional Pain Syndrome (CRPS), Fibromyalgia, and Irritable Bowel Syndrome (IBS).

Chronic Pain Management

  • Opioid pharmacological treatment is no longer considered first-line treatment for any form of chronic pain.

Surgical Treatment Indications

  • Surgical treatment may be indicated for pain management in certain cases.
  • Common indications for surgical treatment include spinal cord stimulation and intrathecal pumps.

Test your understanding of chronic pain diagnosis and the healing period. Discover how to identify pathological pain and its implications. Explore the boundaries of pain tolerance and its effects on the body. Learn about the medical approach to chronic pain diagnosis.

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