27/07/2022
What is pain?
The International Society for the Study of Pain (ISSP) defines pain as: “An unpleasant emotional experience which is associated with actual or potential tissue damage.”
What are the six types of pain one can experience?
1. Nerve pain: due to direct pressure or cutting of a nerve i.e., sharp, severe shooting pain.
2. Vascular pain: a deep, constant dull ache, worse on exercise e.g., angina or hamstring tear i.e., due to ischaemia or trauma.
3. Bore or joint pain: a boring, deep ache i.e., toothache and becomes worse with movement e.g., fracture.
4. Visceral pain: spasmodic “colicky”pain with intervals of no pain between spasms. Severe nausea and sweating.
5. Neuropathic pain: i.e., chronic pain from an old nerve injury e.g., ghost pain of amputated limb or severe cancer pain due to cancer invasion of a nerve.
6. Atypical pain syndromes: e.g., Multiple sclerosis, Fibromyalgia and Myalgia Encephalomyelitis (ME). These pain patterns are atypical and occur in patchy areas, worse if stressed or due to lack of sleep.
Pain Triage i.e., active early diagnosis and treatment of pain once one has established the type of pain pattern i.e., nerve, bone, or visceral pain. It is important to confirm the diagnosis and treat the patient aggressively to prevent the pain from becoming chronic i.e., lasting more than 3 months. Early intervention is critical to prevent chronicity, which leads to anxiety and depression due to the chronic pain.
Acute functional pain lasts less than six weeks and protects you from harm e.g., fractured arm by enforcing rest i.e., plaster cast.
Chronic Non-Functional pain is a severe pain which lasts longer than three months. It is associated with lack of sleep, anxiety, and depression.
Feel free to contact us if you have any questions.
Kind regards,
MDC Health Management Services.
081 229 1975 or
namibianpaincentres@gmail.com