Facial Pain 1 Flashcards
1
Q
What is Pain?
A
International Association for the Study of Pain
- an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage
2
Q
Assessment of Pain
A
- Physical symptoms: PAIN scores (McGill)
- Emotional: Psychological scores (HAD)
- QOL scores (OHIP)
Quality of Life
3
Q
How do we feel pain?
A
- nociception
- peripheral nerve transmission
- spinal modulation
- central appreciation
4
Q
Sensory nerve supply
A
Somatic
- Trigeminal V nerve
- 5, 7, 9, 10, Cervical 1-3
Autonomic
- sympathetic
- parasympathetic
5
Q
Facial Nerve Branches
A
6
Q
Referred Pain
A
7
Q
Autonomic Nerve Supply
A
8
Q
Where does autonomic referred pain go to?
A
- pain up to neck, jaw and teeth
- right shoulder
- below ribs
- left shoulder
- under breast bone
- down arm
9
Q
Somatic Reflex Arc
A
10
Q
Peripheral Nociception
A
11
Q
Peripheral Sensitisation
A
12
Q
Gate control of chronic pain
A
13
Q
Neuronal Plasticity
A
14
Q
Pain Sensitisation
A
15
Q
What is chronic regional pain?
A
- delocalised pain
- spreads around anatomical boundaries
- bilateral
- gripping, tight, burning
- feeling of swealing and heat
- colour change in overlying skin
- autonomic changes
- significantly disabling
