Proving Pain

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



ProvingPain

Dr. David Berbrayer*

TheInternationalSociety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interms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

componentsInordertoexaminetheexistenceofpainthephysician

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

inammationstatesandpostnerveinjuryandrelatestheexistenceof

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

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

Inabroadsensetheunderlyingcausesofpaincanbeviewed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

 MDBScMedMCFPCFRCPCDABPMRFAAPMRIstheheadoftheDivision

ofRehabilitationatSunnybrookHealthSciencesCentreHeisacertiedspecialist

inPhysicalMedicineandRehabilitationbytheRoyalCollegeofPhysiciansandthe

AmericanBoardofMedicalSpecialtiesHeisaHarvardMacyScholar

 OnlinewwwiasppainorgAMTemplatecfmSectionGeneralResource

LinksTemplateCMHTMLDisplaycfmContentIDPain

 Onlinehpmedicalmerriamwebstercommedicalpain