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The Neuroscience of Physical Pain (Perceiving Pain (How is our perceived…
The Neuroscience of Physical Pain
Management
What are the most common forms of pain management?
Pharmacological Treatments
Endogenous Opiates
Alternative Methods
Placebo Effect
Locus of Control
In what ways does pain management differ cross-culturally?
What are the pros and cons to using Alternative non-pharmacological methods such as drugs for pain reduction?
Have acupuncture or other non-pharmacological methods proven to successfully decrease pain?
Classifying Pain
In what categorical ways can pain be classified? What Defines Each Category?
Phantom pain - pain felt in a part of the body that has been amputated, or from which the brain no longer receives signals. It is a type of neuropathic pain
Psychogenic pain - pain caused, increased, or prolonged by mental, emotional, or behavioral factors.
Breakthrough pain - transitory pain that comes on suddenly and is not alleviated by the patient's regular pain management.
Inflammatory pain - associated with tissue damage and the infiltration of immune cells
Pathological pain - a disease state caused by damage to the nervous system or by its abnormal function (e.g. fibromyalgia, peripheral neuropathy, tension type headache, etc.).
Nociceptive pain - caused by stimulation of sensory nerve fibers that respond to stimuli approaching or exceeding harmful intensity (nociceptors), and may be classified according to the mode of noxious stimulation.
Allodynia pain - pain experienced in response to a normally painless stimulus :
Neuropathic pain - damage or disease affecting any part of the nervous system involved in bodily feelings (the somatosensory system)
What tools are used to classify pain?
How does pain caused by tissue or nerve damage differ from external physical pain?
What marks the difference between acute and chronic pain?
Can one's pain overlap two classifications? Can they experience both tissue and nerve damage as a result of one event?
Can acute and chronic pain exist simultanrously?
Perceiving Pain
Is pain a mental weakness?
Does physically seeing the event happen alter one's perceived severity of their pain?
How is our perceived pain communicated to the central nervous system (CNS)? What path does it take?
Contact with stimulus -- Stimuli can be mechanical (pressure, punctures and cuts) or chemical (burns)
Reception -- A nerve ending senses the stimulus
Transmission -- A nerve sends the signal to the central nervous system. The relay of information usually involves several neurons within the central nervous system
Pain center reception -- The brain receives the information for further processing and action
What roles does the first and second pain play? Are they codependent?
How does the perception of pain (noiception) differ from the perception of other stimuli (such as light, pressure or temperature)? Are the same neural pathways used?
Do we perceive pain the same way throughout our entire body? If so, how do the mechanisms and paths used change?
Is one's pain more psychogenic than physical? Does the brain augment the intensity of the pain we perceive?
Does one's neurological makeup change how painful events are perceived?
Can one become immune to the chronic pain they experience?
Activities/ Live Experiences
Microbiology of Pain - Nobel Conference Guy
Occupational Therapy Shadow Experience
St. Elizabeth Hospital (Ascension)
Pediatric/In-patient/Out-patient
Charlie's Therapists - Occupational Therapy (Horse Therapy) - Physical Therapy
Conferences on Pain - 2019 American Pain Society Scientific Meeting (April 3-6 Milwaukee WI) - 2018 IPPS Annual Scientific Meeting (Oct. 18-21 Chicago IL) - Midwest Pain Society (Nov. 9-10 Chicago IL)
Tara Snow (Hospice)
Dr. Newton (Family Doctor)
Acupuncturist (VNS Parent?)
Rebecca Berringer (Homeopath)
Dr. Brenton Meier (Pain Management Specialist)
Psychological Aspects of Physical Pain
How prominent is psychology in the management and/or perception of pain?
Does our psychological response to our pain determine the success of our recovery?
Can recovery be affected by fear of an adverse outcome (such as pain) or fear of further injury?
Is one's pain more psychogenic than physical?
Does the brain augment the intensity of the pain we perceive?
Is seeing believing?
Is the intensity of the pain we experience greatly influenced by our sensory perceptions such as sight?
Can our mindsets be separated from our direct experiences?
Dualism! Mind/Body!
Is there truth in the attached statements?
“Pain is inevitable, suffering is optional.” - Buddhist Proverb
“Chronic pain is a manifestation of imbalance, typically physical, but also mental, emotional and spiritual.” - Adapted from Pain Recovery: How to Find Balance and Reduce Suffering from Chronic Pain
“Pain is a mental weakness.” - Unknown
How does pain exert power over humankind?
Non-Written Product
Nociceptor Simulation