Pain

Question 1

What is pain?

Answer 1

Both objective and subjective experience
- We have some pain everyday we dont pay attention too
- Hard to measure pain objectively though
- A protector and not a predictor of tissue health

Question 2

What can affect pain and experiences?

Answer 2

• Context
• Culture
• Previous experiences of pain or similar pain

Question 3

What types of pain is there?

Answer 3

• Chronic pain; doesnt decrease with time or treatment, can give psychological distress
• Acute pain; sudden injury

Question 4

How many who seek care for pain develop chronic pain?

Answer 4

5-10%

Question 5

Twin Peaks model

Answer 5

• Two mountains
• Tissue tolerance and protect by pain, the threshold for both is lower in the second mountain
• What happens when body has learned pain?

Question 6

Who develops chronic pain?

Answer 6

• Alot of people
• 25% of the population has it. , more has experienced it

Question 7

How does healthcare tackle chronic pain?

Answer 7

Often not good
- Failed to prevent it, chronic pain is complex and multi-faceted
- We need several perspectives on this area
- Too small effects with interventions, some improve and others dont

Question 8

What are some interventions for chronic pain?

Answer 8

-Psychoeducation
- Stop listening too much
- Accept the pain
- Relaxation and mindfulness
- Goal setting
- Communication

Question 9

Does psychological/multimodal interventions work?

Answer 9

Associated with
- Better function
- Decreased depression and catastrophizing
- Slight decrease in pain intensity, not much