Multidimensional Nature of Pain: Difference between revisions

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*Definition of pain and evidence of the multidimensional nature of the pain experience e.g. social and psychological infleuncing factors
*Definition of pain and evidence of the multidimensional nature of the pain experience e.g. social and psychological infleuncing factors
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Revision as of 00:55, 19 March 2016

Welcome to PPA Pain Project. This page is being developed by participants of a project to populate the Pain section of Physiopedia.  The project is supervised and co-ordinated by the The Physiotherapy Pain Association.
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Define acute and chronic pain terms of a multidimensional pain experience.

  • Anatomical, physiological, and psychological basis of pain and pain relief, including pain as an 'output' from the brain
  • Definition of pain and evidence of the multidimensional nature of the pain experience e.g. social and psychological infleuncing factors

Introduction[edit | edit source]

A definition of pain is provided by the International association for the Study of Pain (IASP) as follows[1]:

"An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage"

Pain is always subjective and everyone learns the use of this word through experiences related to injury in early life.

It is a sensation in a part or parts of the body, but it is also always unpleasant and therefore also emotional

Even in the absence of tissue damage or any likely pathophysiological cause, people still report pain; usually this happens for psychological reasons. In these cases, it is challenging to distinguish whether their experience arise from a damaged tissue or not, based only upon the subjective report[2].

It is important to underline that activity induced in the nociceptor and nociceptive pathways by a noxious stimulus is not pain[2], which is always the output of a widely distributed neural network in the brain rather than one coming directly by sensory input evoked by injury, inflammation, or other pathology[3].

In the following video Karen D. Davis tries to explain why do some people react to the same painful stimulus in different ways.

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References[edit | edit source]

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  1. IASP Taxonomy - IASP [Internet]. [cited 2016 Mar 18]. Available from: http://www.iasp-pain.org/Taxonomy#Pain
  2. 2.0 2.1 Merskey H, Bogduk N. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. IASP Press; 1994. 248 p.
  3. Melzack R. Pain and the neuromatrix in the brain. J Dent Educ. 2001 Dec;65(12):1378–82.