fibro and BPS model Flashcards
(37 cards)
Nociceptive Pain is often due to what
an MSK injury
Nociceptive Pain - where is the pain localized
one area
Nociceptive Pain - what is Pain intensity associated with
mechanical load
Nociceptive Pain - Pain intensity modulated by what
cortical and brain-stem pathways
what is Neuropathic Pain
Something is affecting the nerve itself - they are irritated - Mechanical or metabolic injury to a nerve
Chronic pain that is not associated with mechanical load
Neuropathic Pain - chronic pain example
Spine: lumbar radiculopathy
Neuropathic Pain - irritant to the nerve example
Diabetic neuropathy
Phantom limb pain
What is nociplastic Pain
Chronic pain with no clear evidence of tissue damage or activation of peripheral nociceptors
Alteration of nociceptive processing w/in CNS
Nociplastic Pain other name
Substitute for the term “central sensitization”
what is anesthesia
numb - no sensation
what is hyperesthesia
pain to a non-painful stimulus
what is allodynia
extreme pain that is out of proportion
why is it important to take care of peri pain
because if it is not addressed then it can become central pain (chronic pain)
4 Steps of Nociception
Transduction
Stimulation of nociceptors triggers nerve impulses
Anything that converts one kind of energy to another
Transmission
- Sensory afferents transmit impulses to spinal cord
Modulation
- Impulses can be amplified, suppressed or transformed
by brainstem nuclei and higher centers
Perception
- Thalamus directs impulses to cortical centers = “Pain”
most pain is transduced through what pathway
spinothalamic
Sensory-Discriminative type of pain
the cortex know s where the pain is coming from
Affective-Motivational type of pain
Once the emotional centers are active
Autonomic-Sympathetic type of pain
This is the fibromyalgia pt – a lot a responses to pain
what is a hallmark fibro
Bilat sym pain is a hallmark of fibro
Central Sensitization
An augmented response by the CNS to a variety of sensory stimuli
They are a sensitive person in general
Can we prevent Central Sensitization (CS)?
Treating acute nociceptive pain early and properly to prevent the transition to chronic nociplastic pain
what is the bio part of the BPS model
BIO: pain generator
what is the psych part of the BPS model
PSYCHO: the patient’s mood, emotions, beliefs
what is the social part of the BPS model
SOCIAL: the patient’s family, work, and personal issues
