Tag: Nociceptive Pain
Mechanical vs Non-Mechanical Pain
I wrote a while back about posting in relation to the “Inverted Pyramid”. The inverted pyramid principle is aimed at keeping what we do simple. I think as a profession we have a tendency to overcomplicate many things and “fluff” around doing and focusing on things that in some cases are of very little importance. Instead […]
Recommended Reading – Pain Classification – July 2015
Sorry for the lack of posts, I am busy with some updates of university lectures. As you can imagine I am a bit OCD about presenting up to date information in my lectures. Given the time constraints at the moment I thought I might post the occasional article I come across in my lecturing preparations […]
Pain, The Brain and Motor Control
I find this topic quite heavy going for my Brain! But I think that it is an important area of growth in knowledge that we should be aware of. I have tried to summarise some of the key points from four of the most recent articles I have read in relation to this topic. The […]
Classification of Central Sensitisation, Nociceptive Pain and Peripheral Neuropathic Pain
Keith Smart and colleagues have published a number of articles, over the past year or two, in relation to classification of Central Sensitisation, Nociceptive Pain and Peripheral Neuropathic Pain. I think their findings are very useful in the clinical setting to guide us in our decision making. Recent articles ,published in Manual Therapy in 2012, identified […]
Subjective Exam – Classifying Nociceptive/Mechanical Pain
The framework I classify patients with Mechanical/Nociceptive pain under is based on the following flow chart taught to me in my postgraduate degree. The first thing to note is that this classification process begins in the subjective exam. It does not end after it. The left side of the chart refers to chemical pain i.e. […]
Clinical Reasoning – Identifying Types of Pain
I think one of the key aspects of our clinical reasoning process is in the identification of the types of pain. Our subjective examination can play significant role in identifying pain type(s). As posted previously Woolf (2004 and 2010) and Costigan et al (2009) divide pain into the following types: Nociceptive Inflammatory Pathological – subdivided into Neuropathic […]
Stimulus-Dependent and Spontaneous Pain
I think that one of the key things we should look for in the patient assessment is the behaviour of pain. Is the pain Stimulus-dependent and/or Spontaneous pain. The “evoking” of pain can be an important aspect to ascertain in the subjective and objective examination. The diagrams at the end of this post (from Costigan […]
Types of Pain
Before writing about my framework for my subjective I think it is important to summarise pain. Recent reflection on my clinical knowledge of pain made me realise how poor my knowledge was. I have since realised the importance, from a diagnosis, management and prognosis aspect, of being able to identify what pain(s) are contributing to […]
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