Who Definition Of Pain
4. Concepts, discussions, and initial recommendations – During early discussions among the task force members, consensus was achieved regarding certain basic premises. The definition should be valid for acute and chronic pain and apply to all pain conditions, regardless of their pathophysiology (e.g., nociceptive, neuropathic, and nociplastic),
- Secondly, the definition of pain should be applicable to humans and non-human animals.
- Thirdly, pain was to be defined whenever possible from the perspective of the one experiencing the pain, rather than an external observer.
- The goal was to develop a clear, concise, and unambiguous statement that describes the varied experiences of pain, while recognizing its diversity and complexity,
The task force acknowledged from its early deliberations that the note section would benefit from revision. The task force members agreed that the note was not meant to be a treatise on the biology of pain, nor the diagnostic criteria for pain, but should emphasize important aspects of the complexity of pain that were difficult to capture in a brief definition.
Considerable discussion centered on whether to include the social aspects of pain in the definition. Although task force members appreciated how important social aspects of both the acute and chronic pain experience are, the majority opinion was that they were worthy of highlighting in the note but not an essential component of the definition.
One argument made was that the influence of the social context was not unique to pain, but was shared by other sensory experiences, including vision and hearing. Rolf-Detlef Treede rhetorically questioned in his commentary, “Can a person alone on a desert island not experience pain?”,
The use of the phrase “associated with” to express the relationship between the experience and tissue damage in the current definition has also been criticized as lacking in clarity, The phrase “typically caused by” was considered as a replacement to clarify this relationship between tissue damage and the experience of pain.
A major concern regarding the current definition related to the phrase “described in terms of such damage.” Several potential replacements for this phrase, which implies a requirement for verbal communication, were debated. Alternative verbs that were considered in an effort to encompass nonverbal behaviors by humans and animals included “expressed,” “perceived,” “interpreted,” “inferred,” and “apprehended.” In the early deliberations, a majority of task force members preferred the verb “perceived.” An early definition proposed by the task force was thus, “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or perceived as such damage.” However, this initial preference for the phrase “perceived as such damage” as a replacement for “described in terms of such damage” was subsequently criticized as problematic and potentially having the unintended consequence of excluding the same groups of individuals that the task force was attempting to include in its revision (neonates, people with severe developmental and intellectual disabilities, and most non-human animals).
Contents
What is pain definition classification?
Pain is defined as ‘ an unpleasant sensory and emotional experience associated with actual or potential tissue. damage, or described in terms of such damage.’
What is the International Association for the Study of Pain definition of neuropathic pain?
4.1. Chronic neuropathic pain – Chronic neuropathic pain is chronic pain caused by a lesion or disease of the somatosensory nervous system.16 The pain may be spontaneous or evoked, as an increased response to a painful stimulus (hyperalgesia) or a painful response to a normally nonpainful stimulus (allodynia).
- The diagnosis of chronic neuropathic pain requires a history of nervous system injury or disease and a neuroanatomically plausible distribution of the pain.
- Negative (e.g., decreased or loss of sensation) and positive sensory symptoms or signs (e.g., allodynia or hyperalgesia) indicating the involvement of the somatosensory nervous system must be compatible with the innervation territory of the affected nervous structure.
These criteria apply to all diagnostic entities of chronic neuropathic pain.
How do you categorize pain?
Pain Classifications and Causes: Nerve Pain, Muscle Pain, and More Medically Reviewed by on January 12, 2023 It’s safe to say most of us are not big fans of pain. But it is one of the body’s most important communication tools. Think about what would happen if you felt nothing when you put your hand on a hot stove. Pain is one way the body tells you something’s wrong and needs attention. But pain – whether it comes from a bee sting, a broken bone, or a long-term illness – is also something that feels bad both physically and emotionally. It has many causes, and people respond to it in many different ways. The pain you push your way through might be unbearable to someone else.
- Even though the experience of pain is different from one person to the next, it is possible to group the types of pain.
- Here’s an overview of the types of pain and what makes them different from one another.
- There are several ways to classify pain.
- One is to separate it into acute pain and chronic (long-term) pain.
Acute pain usually comes on suddenly and lasts for a limited time. Some type of damage to tissue – such as bone, muscle, or organs – often causes it. When it happens, it can cause anxiety or other emotional issues. lasts longer than acute pain. It generally can somewhat resist medical treatment.
It’s usually linked to a long-term illness, such as osteoarthritis. In some cases, such as with fibromyalgia, pain is one of the main traits of the condition. Chronic pain can be the result of damaged tissue. But very often, nerve damage is behind it. Both acute and chronic pain can be overwhelming. And both can affect and be affected by a person’s state of mind.
But the nature of chronic pain – the fact that it’s ongoing and in some cases seems almost constant – can make you more likely to get mental health issues such as depression and anxiety. At the same time, these issues can make the pain worse. About 70% of people who take medication for chronic pain have what’s called breakthrough pain.
Those are flare-ups of pain that happen even when you’re taking your pain meds regularly. Sometimes breakthrough pain can come out of the blue. Or it can be set off by something that seems unimportant, such as rolling over in bed. And sometimes it may happen when pain medication wears off before it’s time for the next dose.
A NEW definition of pain
Pain is most often grouped by the kind of damage that causes it. The two main types are pain caused by tissue damage (also called nociceptive pain) and pain caused by nerve damage (also called neuropathic pain). A third category is psychogenic pain, which is pain that is affected by psychological factors.
Psychogenic pain most often has a physical origin either in tissue damage or nerve damage. But the pain gets worse or lasts longer because of things like fear, depression, stress, or anxiety. In some cases, pain comes from a psychological condition. Pain is also classified by the type of tissue that’s involved or by the part of the body that’s affected.
For example, pain may be referred to as muscle pain or joint pain. Or a doctor may ask you about chest pain or back pain. Certain types of pain are referred to as syndromes. For instance, myofascial pain syndrome refers to pain that starts in trigger points in the body’s muscles.
- Is an example.
- Most pain comes from tissue damage – when your body’s tissues are injured.
- The injury can be to bone, soft tissue, or organs.
- It can come from a disease such as cancer.
- Or it can come from a physical injury, like a cut or a broken bone.
- The pain you feel may be an ache, a sharp stabbing, or a throbbing.
It could come and go, or it could be constant. You may feel the pain get worse when you move or laugh. Sometimes, breathing deeply might make it feel especially strong. Pain from tissue damage can be acute. For example, sports injuries like a sprained ankle or turf toe often happen when soft tissue is damaged.
Or it can be chronic, such as arthritis or chronic headaches. And certain medical treatments, such as radiation for cancer, can also cause tissue damage that causes pain. Nerves work like electric cables sending signals – including pain signals – to and from the brain. Damage to nerves can interfere with the way those signals are sent.
That can cause pain signals that don’t work the way they are supposed to. For instance, you may feel like your hand or whatever is burning, even though there’s no heat. Diseases such as diabetes can damage nerves. Or an injury can damage them. Certain drugs may cause nerve damage.
Nerves can also be damaged by a stroke or an HIV infection, among other things. Pain could be from damage to the central nervous system (CNS), which is made up of the brain and spinal cord. Or it could come from damage to peripheral nerves, those nerves in the rest of the body that send signals to the CNS.
Pain caused by nerve damage, neuropathic pain, is often described as burning or prickling. Some people describe it as an electrical shock. Others say it’s like pins and needles or a stabbing feeling. Some people with nerve damage are often very sensitive to temperature and to touch.
- Just a light touch, like brushing against a bed sheet, can set off the pain.
- A lot of neuropathic pain is chronic.
- Examples of pain caused by damaged nerves include: Central pain syndrome.
- This chronic pain starts with damage to the central nervous system.
- The damage can be from a, multiple sclerosis, tumors, or several other conditions.
The pain – which is usually constant and may be very bad – can affect a large part of the body or smaller areas, such as the hands or feet. Movement, touch, emotions, and temperature changes can often make the pain worse. Complex regional pain syndrome.
- This is a chronic pain syndrome that can follow a serious injury.
- It’s described as constant burning.
- And you might have unusual sweating, changes in skin color, or swelling where the pain is.
- Diabetic peripheral neuropathic pain,
- Diabetes causes nerve damage that affects the feet, legs, hands, or arms.
It might feel like burning, stabbing, or tingling. Shingles and postherpetic neuralgia. The same virus that causes chickenpox causes, It’s a localized infection with a rash and pain that can be very bad. It happens on one side of the body along the pathway of a nerve.
Postherpetic neuralgia is a common problem that comes up, in which the pain from shingles lasts more than a month. Trigeminal neuralgia. Inflammation of a nerve in the face causes pain described as very serious and lightning-like. It can happen in the lips, scalp, forehead, eye, nose, gums, cheek, and chin on one side of the face.
Touching certain areas or even slight motion can set off the pain. © 2022 WebMD, LLC. All rights reserved. : Pain Classifications and Causes: Nerve Pain, Muscle Pain, and More
What is pain classified by etiology?
Etiology of pain – Etiology means cause or set of causes. Etiology of pain refers to the cause or origin of the pain, which can be classified as one of three distinct categories: nociceptive, neuropathic, and idiopathic.
WHO definition of neuropathic pain?
Neuropathic pain can be defined as a process occurring after a primary lesion or disease of the somatosensory nervous system.