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Related Concept Videos

Pain01:20

Pain

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Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Nociception01:44

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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Factors Affecting Perception01:25

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Perception is influenced by perceptual set, context, motivation, and emotion. Perceptual set, or perceptual expectancy, refers to the tendency to perceive things in a particular way, influenced by previous experiences and expectations. This phenomenon affects the interpretation of stimuli, creating a set of mental tendencies and assumptions that impact sensory perceptions of sound, taste, touch, and sight.
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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Problematic pain - redefining how we view pain?

Chris Barker1, Ann Taylor2, Martin Johnson3

  • 1Community Pain Service, Ainsdale Centre for Health and Wellbeing, Southport and Ormskirk NHS Trust, Ainsdale, UK ; Primary and Community Care Special Interest Group, British Pain Society, London, UK.

British Journal of Pain
|October 31, 2015
PubMed
Summary
This summary is machine-generated.

Problematic pain is a new concept debated by clinicians. This review explores its definition, assessment using screening tools, and new UK initiatives for managing this complex pain condition.

Keywords:
Problematic painchronic painearly interventionriskscreening toolssub-acute pain

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Area of Science:

  • Pain Medicine
  • Primary Care
  • Clinical Assessment

Background:

  • The concept of 'problematic pain' is emerging and subject to debate.
  • Understanding problematic pain is crucial for primary and community care pain clinicians.
  • Differentiating problematic pain from acute, sub-acute, and chronic pain is essential.

Purpose of the Study:

  • To review the concept and definition of problematic pain.
  • To examine methods for assessing the risk of pain chronicity.
  • To propose a novel ultra-short screening tool for problematic pain assessment.

Main Methods:

  • Literature review of problematic pain concepts and chronicity risk assessment.
  • Evaluation of existing ultra-short screening tools.
  • Proposal of a new screening tool for problematic pain.

Main Results:

  • Problematic pain requires clear definition within the pain continuum.
  • Current data and screening tools offer partial assessment of chronicity risk.
  • A new ultra-short screening tool is proposed for rapid assessment.

Conclusions:

  • A clear framework for understanding and assessing problematic pain is needed.
  • Novel screening tools can aid timely assessment in short consultations.
  • New UK initiatives are underway to address problematic pain management.