Tissue Healing Pain
Objectives Understand key terminology related to pain and pain control Utilize pain scales to help determine the severity of pain Analyze various pain theories and methods of pain control
Terminology Pain- a symptom or signal that warns of a problem within the body Referred pain- pain that occurs away from site of injury/irritation Endorphins- body’s natural painkillers that are released from the brain Modality- therapeutic agent or tool that can enhance the healing process
Pain Is subjective Can be perceived based on: Culture and social values Prior experiences Emotional and psychological state https://www.youtube.com/watch?v=I7wfDenj6CQ
Pain Types Acute Pain- pain lasting less than 6 months Chronic Pain- pain lasting 6 months or more Referred Pain- could be injury or illness Trigger Point Pain- hypersensitive muscle fibers
Major goal of rehabilitation is to control pain to allow the best environment for tissue healing to occur!
How do we determine level of pain? Pain Assessment Intensity of pain Effect on musculoskeletal function Impact on emotional daily living Pain Scales
Numeric and Visual Scales http://walking-on-eggshellz.blogspot.com/2010/09/pain-is-relative.html http://www.bellaonline.com/ArticlesP/art45171.asp
Verbal Pain Scale http://pain.about.com/od/testingdiagnosis/ig/pain-scales/McGill-Pain-Scale.htm
Pain Control Theories Gate Control Central Biasing Endorphin Release Non-painful stimulus can block the pain message Central Biasing Brain determines pain through previous experiences, emotions, and sensory perception Endorphin Release Pain message transmission triggers endorphin release https://www.youtube.com/watch?v=_wLrGkH6dI4
What clinicians can do to control pain Modality usage Manual therapy Medication Psychological support More cowbell?