Chronic Pain - Treatment and Psychological Effects
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Questions and Answers

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

  • Two months
  • Three years
  • Six months
  • Three months (correct)
  • The effects of chronic pain in an individual are numerous, including:

  • Deconditioning
  • Cognitive impairment
  • Dysfunctional relationships
  • All of the above (correct)
  • The categorization of pain by physiopathological pathway divides it in:

  • Cardiogenic, neurogenic, visceral
  • Nociceptive, neuropathic, nociplastic (correct)
  • Primary, secondary, tertiary
  • Diabetic, endocrine, musculoskeletal
  • 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:

    <p>Neuropathic pain</p> Signup and view all the answers

    The following treatment is used for nociceptive pain:

    <p>All of the above</p> Signup and view all the answers

    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:

    <p>Nociplastic</p> Signup and view all the answers

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

    <p>Nociplastic</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>Nociceptive pain</p> Signup and view all the answers

    Pain can be inferred exclusively from the sensory neurons activity.

    <p>False</p> Signup and view all the answers

    Common indications of surgical treatment for pain include:

    <p>B and C are correct</p> Signup and view all the answers

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