Tissue Healing Pain 1/13/2019
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 1/13/2019
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 1/13/2019
Pain Is subjective Can be perceived based on: Prior experiences Emotional and psychological state Culture and social values 1/13/2019
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, typically around a knot 1/13/2019
The major goal of rehabilitation is to control pain to allow the best environment for tissue healing to occur! 1/13/2019
How do we determine level of pain? A Pain Assessment tells us: Intensity of pain Effect on musculoskeletal function Impact on daily living Emotional & functional To do this, we need pain scales. 1/13/2019
Numeric and Visual Scales http://walking-on-eggshellz.blogspot.com/2010/09/pain-is-relative.html http://www.bellaonline.com/ArticlesP/art45171.asp 1/13/2019
Verbal Pain Scale http://pain.about.com/od/testingdiagnosis/ig/pain-scales/McGill-Pain-Scale.htm 1/13/2019
Property of CTE Joint Venture 1/13/2019
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 Property of CTE Joint Venture 1/13/2019
What clinician can do to control pain Modality usage Medication Psychological support Property of CTE Joint Venture 1/13/2019
Write it! Examples of modalities, medications and psychological interventions that can be used for pain control. Compare your responses with a partner. Be prepared to share with class! 2. Whiteboards/Slates student writes answer or solution to a question posed by the teacher teacher solicits all students to show at the same time teacher gives feedback to the students