scholarly journals MODERN VIEW OF DIAGNOSIS AND APPROACHES TO THE TREATMENT OF CHRONIC PAIN IN CHILDREN WITH PARALYTIC SYNDROMES (LITERATURE REVIEW)

2021 ◽  
Vol 11 (4(42)) ◽  
pp. 60-67
Author(s):  
N. Orlova ◽  
O. Riga
Keyword(s):  
Chronic Pain ◽  
Tissue Damage ◽  
Cultural Context ◽  
Medical Condition ◽  
International Association ◽  
Emotional Experience ◽  
Recovery Period ◽  
Medical Science ◽  
The Body ◽  
Pain Mechanisms

Over the past decades, more and more attention in medical science has been paid to the diagnosis and study of pain mechanisms in the pediatric population. According to experts in the field of chronic pain in children, it occurs in 12% of all pediatric patients, which negatively affects the quality of children’s life and life of their families. Today, a particularly important problem in most countries of the world is pain in children with paralytic syndromes of III - V level according to GMFCS. About 20-35% of children with paralytic syndromes suffer from chronic pain. Although there are means and knowledge on how to treat pain, children's pain is often not recognized, ignored, or even denied. More than 50% of children with paralytic syndromes suffer from moderate to severe pain daily and in several parts of the body. The International Association for the Study of Pain (IASP) defines pain as “an unpleasant, sensual, and emotional experience associated with actual or potential tissue damage or perceived tissue damage. The inability to communicate verbally does not negate the possibility that the individual is in pain and needs appropriate analgesic treatment. Pain is always subjective ... ". Determining the type of pain helps to identify its cause, which can guide the choice of treatment. The main cause of pain in children includes acute nociceptive pain (ie pain caused by activation of peripheral nerve endings, including somatic and visceral pain), neuropathic pain (ie due to damage or dysfunction of the somatosensory system), psychosocial - spiritual - emotional pain. Chronic pain is a continuous or intermittent pain that lasts longer than the expected normal recovery period. Chronic pain can also occur and persist in the absence of a specific pathophysiology or medical condition. The expression of pain depends on a child's age, cognitive development and socio-cultural context.

scholarly journals GABA RECEPTORS AND PAIN REGULATION

2012 ◽  
Author(s):  
Valerio Magnaghi ◽  
Marcella Motta
Keyword(s):  
Chronic Pain ◽  
Acute Pain ◽  
Tissue Damage ◽  
Gaba Receptors ◽  
International Association ◽  
Emotional Experience ◽  
The Body ◽  
Tissue Injuries ◽  
Pain Regulation

Pain is an adaptive sensation that normally appears as a warning, activated in response to a damage of the organism. Pain serves to protect the organism to further tissue injuries. The International Association for the Study of Pain (IASP) defined pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (see definition on the IASP homepage at www.iasp-pain.org). Pain can be generally divided into two categories, acute and chronic pain: acute pain is properly a sudden warning pain which signals that something is wrong in the body. If the cause is not removed acute pain may develop in chronic pain, which is persistent and debilitating.

scholarly journals Manajemen Nyeri Kronis pada Kehamilan

2020 ◽  
Vol 2 (1) ◽  
pp. 48-62
Author(s):  
Budi Yulianto Sarim ◽  
Bambang Suryono
Keyword(s):  
Chronic Pain ◽  
Tissue Damage ◽  
International Association ◽  
Emotional Experience ◽  
Opioid Analgesics ◽  
Pelvic Girdle ◽  
Pelvic Girdle Pain ◽  
Pharmacological Management ◽  
Mechanical Factors ◽  
In Pregnancy

Menurut IASP ( International Association of the Study of Pain) nyeri didefinisikan sebagai “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or describe interm of such damage”. Nyeri adalah rasa inderawi dan pengalaman emosional yang tidak menyenangkan akibat adanya kerusakan jaringan yang nyata atau yang berpotensi rusak atau sesuatu yang tergambarkan seperti itu.Kelainan muskuloskeletal yang sering dialami oleh wanita hamil adalah berupa nyeri lumbopelvis pada kehamilan (pelvic girdle pain) dan nyeri kronis lumbal (low back pain).Adapun yang menyebabnya adalah faktor hormonal, faktor mekanis dan vaskuler. Manajemen untuk nyeri kronis pada wanita hamil dapat dilakukan melalui manajemen non farmakologis dan manajemen farmakologis. Manajemen non farmakologis dapat dikerjakan dengan cara fisioterapi, terapi distraksi, terapi musik, guided imaginary dan relaksasi. Untuk manajemen farmakologis, obat – obatan yang dapat diberikan adalah asetaminofen, NSAID dan analgesik opioid.   Management Chronic Pain in Pregnancy Abstract According to the IASP (International Association of the Study of Pain) pain is defined as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage or describe the interim of such damage". Pain is a sensation and or emotional experience unpleasant and disturbing as a result of tissue damage, or potential tissue damage. Musculoskeletal disorders are often experienced by pregnant women is pelvic girdle pain and chronic pain lumbar. The etiology of that is the hormonal factor, mechanical factors and vascular factors. Management of chronic pain in pregnancy can be done through non-pharmacological management and pharmacological management. Non pharmacological management can be done by means of physiotherapy, distraction therapy, music therapy, guided imaginary and relaxation. For pharmacological management can be given is acetaminophen, NSAIDs and opioid analgesics.

What Is a Pain in a Body Part?

2019 ◽  
Vol 50 (2) ◽  
pp. 143-158
Author(s):  
Murat Aydede
Keyword(s):  
Tissue Damage ◽  
Subjective Experience ◽  
International Association ◽  
Emotional Experience ◽  
Body Part ◽  
The Body ◽  
Body Parts ◽  
Truth Conditions ◽  
Bodily Sensations ◽  
Definition Of

AbstractThe International Association for the Study of Pain’s (IASP) definition of “pain” defines it as a subjective experience. The Note accompanying the definition emphasizes that, as such, pains are not to be identified with objective conditions of body parts (such as actual or potential tissue damage). Nevertheless, it goes on to state that a pain “is unquestionably a sensation in a part or parts of the body, but it is also always unpleasant and therefore also an emotional experience.” This generates a puzzle that philosophers have been well familiar with: how to understand our utterances and judgments attributing pain to body parts. (The puzzle is, of course, general extending to all sensations routinely located in body parts.) This work tackles this puzzle. I go over various options specifying the truth-conditions for pain-attributing judgments and, at the end, make my own recommendation which is an adverbialist, qualia-friendly proposal with completely naturalistic credentials that is also compatible with forms of weak intentionalism. The results are generalizable to other bodily sensations and can be used to illustrate, quite generally, the viability of a qualia-friendly adverbialist (but naturalist and weakly intentionalist) account of perception.

scholarly journals Co-Players in Chronic Pain: Neuroinflammation and the Tryptophan-Kynurenine Metabolic Pathway

2021 ◽  
Author(s):  
Masaru Tanaka ◽  
Nóra Török ◽  
Fanni Tóth ◽  
László Vécsei
Keyword(s):  
Chronic Pain ◽  
Social Factors ◽  
Tissue Damage ◽  
Task Force ◽  
International Association ◽  
Emotional Experience ◽  
World Health ◽  
Peripheral Sensitization ◽  
Systematic Classification

Chronic pain is an unpleasant sensory and emotional experience that persists or recurs more than three months and may extend beyond the expected time of healing. Recently nociplastic pain has been introduced as a descriptor of mechanism of pain, which is due to disturbance of neural processing without actual or potential tissue damage, appearing to replace a concept of psychogenic pain. An interdisciplinary task force of the International Association for the Study of Pain (IASP) compiled a systematic classification of clinical conditions associated with chronic pain, which was published in 2018 and will officially come into effect in 2022 in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) by the World Health Organization. ICD-11 offers the option for recording the presence of psychological or social factors in chronic pain; however, cognitive, emotional, and social dimensions in the pathogenesis of chronic pain are missing. Earlier pain disorder was defined as a condition with chronic pain associated with psychological factors, but it was replaced with somatic symptom disorder with predominant pain in Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) in 2013. Recently clinical nosology is trending toward highlighting neurological pathology of chronic pain, discounting psychological or social factors in the pathogenesis of pain. This review article discusses components of the pain pathway, the component-based mechanisms of pain, central and peripheral sensitization, roles of chronic inflammation, and the involvement of tryptophan-kynurenine pathway metabolites, exploring participations of psychosocial and behavioral factors in central sensitization of diseases progressing into development of chronic pain, comorbid diseases that commonly present a symptom of chronic pain, and psychiatric disorders that manifest chronic pain without obvious actual or potential tissue damage.

scholarly journals Co-Players in Chronic Pain: Neuroinflammation and the Tryptophan-Kynurenine Metabolic Pathway

Biomedicines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 897
Author(s):  
Masaru Tanaka ◽  
Nóra Török ◽  
Fanni Tóth ◽  
Ágnes Szabó ◽  
László Vécsei
Keyword(s):  
Chronic Pain ◽  
Social Factors ◽  
Tissue Damage ◽  
Task Force ◽  
International Association ◽  
Emotional Experience ◽  
World Health ◽  
Peripheral Sensitization ◽  
Systematic Classification

Chronic pain is an unpleasant sensory and emotional experience that persists or recurs more than three months and may extend beyond the expected time of healing. Recently, nociplastic pain has been introduced as a descriptor of the mechanism of pain, which is due to the disturbance of neural processing without actual or potential tissue damage, appearing to replace a concept of psychogenic pain. An interdisciplinary task force of the International Association for the Study of Pain (IASP) compiled a systematic classification of clinical conditions associated with chronic pain, which was published in 2018 and will officially come into effect in 2022 in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) by the World Health Organization. ICD-11 offers the option for recording the presence of psychological or social factors in chronic pain; however, cognitive, emotional, and social dimensions in the pathogenesis of chronic pain are missing. Earlier pain disorder was defined as a condition with chronic pain associated with psychological factors, but it was replaced with somatic symptom disorder with predominant pain in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) in 2013. Recently clinical nosology is trending toward highlighting neurological pathology of chronic pain, discounting psychological or social factors in the pathogenesis of pain. This review article discusses components of the pain pathway, the component-based mechanisms of pain, central and peripheral sensitization, roles of chronic inflammation, and the involvement of tryptophan-kynurenine pathway metabolites, exploring the participation of psychosocial and behavioral factors in central sensitization of diseases progressing into the development of chronic pain, comorbid diseases that commonly present a symptom of chronic pain, and psychiatric disorders that manifest chronic pain without obvious actual or potential tissue damage.

What is Chronic Pain?

2017 ◽  
Author(s):  
Judy Foreman
Keyword(s):  
Chronic Pain ◽  
Tissue Damage ◽  
International Association ◽  
Emotional Experience ◽  
Pain Research ◽  
Definition Of

What is pain? The official definition of pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” This comes from the International Association for the Study of Pain, the world’s top pain research...

scholarly journals The Challenge of Chronic Pain Management by PM&R Specialist

2018 ◽  
Vol 7 (01) ◽  
pp. 1
Author(s):  
Maria Regina Rachmawati
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
International Association ◽  
Emotional Experience ◽  
Rehabilitation Medicine ◽  
Low Back ◽  
Chronic Pain Management ◽  
Prevalence Of Pain ◽  
Sedentary Life ◽  
Sedentary Life Style

According to the definition from international association for the study of pain (IASP), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Besides, there are many term of unpleasant sensory that complaint by patient as a pain, such as allodynia, hyperalgesia, and hyperesthesia. The pain is one of the most cases that came to seeking a doctor. The data from Indonesian National Health Insurance (JKN) from 2014-2017 have revealed that pain cases were the most frequent in Rehabilitation Medicine Services, i.e. low back pain, knee pain, and shoulder pain. The prevalence of pain is increasing along with ageing, sedentary life style, obesity and chronic diseases.

scholarly journals An evolutionary medicine perspective on pain and its disorders

2019 ◽  
Vol 374 (1785) ◽  
pp. 20190288 ◽  
Author(s):  
Randolph M. Nesse ◽  
Jay Schulkin
Keyword(s):  
Chronic Pain ◽  
Tissue Damage ◽  
Mental States ◽  
Preliminary Evidence ◽  
Evolutionary Medicine ◽  
Smoke Detector ◽  
Pain Mechanisms ◽  
Trade Offs ◽  
Pathological Pain ◽  
The Cost

Enormous progress in understanding the mechanisms that mediate pain can be augmented by an evolutionary medicine perspective on how the capacity for pain gives selective advantages, the trade-offs that shaped the mechanisms, and evolutionary explanations for the system's vulnerability to excessive and chronic pain. Syndromes of deficient pain document tragically the utility of pain to motivate escape from and avoidance of situations causing tissue damage. Much apparently excessive pain is actually normal because the cost of more pain is often vastly less than the cost of too little pain (the smoke detector principle). Vulnerability to pathological pain may be explained in part because natural selection has shaped mechanisms that respond adaptively to repeated tissue damage by decreasing the pain threshold and increasing pain salience. The other half of an evolutionary approach describes the phylogeny of pain mechanisms; the apparent independence of different kinds of pain is of special interest. Painful mental states such as anxiety, guilt and low mood may have evolved from physical pain precursors. Preliminary evidence for this is found in anatomic and genetic data. Such insights from evolutionary medicine may help in understanding vulnerability to chronic pain. This article is part of the Theo Murphy meeting issue ‘Evolution of mechanisms and behaviour important for pain’.

scholarly journals Testosterone-Induced Effects on Lipids and Inflammation

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Stella Vodo ◽  
Nicoletta Bechi ◽  
Anna Petroni ◽  
Carolina Muscoli ◽  
Anna Maria Aloisi
Keyword(s):  
Chronic Pain ◽  
Adult Population ◽  
Protective Role ◽  
Gonadal Hormones ◽  
The Body ◽  
Pain Mechanisms ◽  
Proinflammatory Mediators ◽  
General Terms ◽  
Inflammatory Processes ◽  
Report Data

Chronic pain has to be considered in all respects a debilitating disease and 10–20% of the world's adult population is affected by this disease. In the most general terms, pain is symptomatic of some form of dysfunction and (often) the resulting inflammatory processes in the body. In the study of pain, great attention has been paid to the possible involvement of gonadal hormones, especially in recent years. In particular, testosterone, the main androgen, is thought to play a beneficial, protective role in the body. Other important elements to be related to pain, inflammation, and hormones are lipids, heterogenic molecules whose altered metabolism is often accompanied by the release of interleukins, and lipid-derived proinflammatory mediators. Here we report data on interactions often not considered in chronic pain mechanisms.

scholarly journals Pain in Decreased Consciousness Patients

2021 ◽  
Vol 5 (11) ◽  
pp. 1042-1048
Author(s):  
Masita ◽  
Rachman Toyo ◽  
Ika Erna Uly Sirait
Keyword(s):  
Quality Of Life ◽  
Disease Management ◽  
Literature Review ◽  
Treatment Period ◽  
Pain Assessment ◽  
Tissue Damage ◽  
International Association ◽  
Emotional Experience ◽  
Experience Pain

The International Association for the Study of Pain (IASP) defines pain as an unpleasant sensory and emotional experience associated with potential or tissue damage or described in terms of such damage. Pain in patients with decreased consciousness is individual and needs to consider many aspects. Following the expansion pain definition according to the IASP in 2020, the inability to communicate does not exclude the possibility that humans experience pain. Therefore, a good pain assessment in patients with decreased consciousness can increase the value of disease management and improve the patient's quality of life both during the treatment period and after hospitalization. Because of the inability of patients with decreased consciousness to verbally convey their pain, this poses a challenge for the clinician. This literature review was aimed to describe how to understand the pain in decreased consciousness patients.

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