Pain - Guest Lecture

Question 1

chronic pain:

Answer 1

3 months or longer; exceeds normal healing time

Question 2

pain:

Answer 2

unpleasant sensory/emotional experience with actual/potential tissue damage

Question 3

fibromyalgia:

Answer 3

non-articular rheumatism, widespread pain, cognitive rigidity and paresthesia, IBS, fluctuations in pain

Question 4

biological factors of pain:

Answer 4

nervous system changes - sensitization to turn noxious signals up; tissue changes - noxious signals and inflammation; total body inflammation; poor sleep; smoking; obesity; kinetic chain function

Question 5

psychosocial factors:

Answer 5

comorbid mental illness - increased brain activity; catastrophizing; hyper vigilance; fear avoidance; social barriers (money, family, sleep, work, education)

Question 6

chronic pain assessment:

Answer 6

understand tolerances, look at whole body movements, site-specific assessment

Question 7

exercise and pain:

Answer 7

avoid pain is pain is new, unbearable or an acute injury; push into pain if tolerable, increasing range of movement, lack of motivation