Proving Pain

• Author: Dr. David Berbrayer
• Pages: 249-251



ProvingPain

Dr. David Berbrayer*

TheInter nationalSo cietyof Pain denespain as an unpleasantsen-

sory and emotional experience ar ising from actual or potentia l tissue

damageor described i nter msofsuch damageWebstersDictionary

denes pain as anunpleasant sensation t hatc an range from mild

localized discomfort to agony Pain has both physical and emotional

com po nen ts In orderto examine theex istenceof pain thephysician

examines pain pathways for acute nociception posttissue injury a nd

inammation statesand postnervei njurya ndrelates theex istenceof

paintoananatomicalsubstratePainmaybeundertreatedovertreated

misunderstoodandevenatoolofmanipulation

In abroad sens ethe u nderlyingcauses of pain ca nb ev iewedas

acutestimulationthermalCCandmechanicaldistortiontis-

sueinjurytraumapostoperativeandarthritisandnerveinjuryphys-

icalandchemicalimmune

Sherringtonrstsuggestedtheconceptofpainpathways

foracutenociceptionHedescribedasfollowsStimulibecomeadequate

asexcitantsof nociceptionwhentheyareofsuchintensity asthreatens

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inPhysicalMedici neandRehabilitat ionbytheRoyalCollegeofPhysician sandthe

AmericanBoardofMed icalSpecialt iesHeisaHarvardMac yScholar

 Onlineww wiasppainorgAMTemplatecfmSectionG eneralResourc e

Links TemplateCMHTM LDisplaycfmCont entID Pain

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