what is pain
Am giving this link (subject to copyright)not
to endorse the private hospital simply because the descriptions are short and to the point (although the writing is a little small).
Descriptions are given of the following:
Inflammatory and chemical pain
Regarding breakthrough pain
my understanding is this is unanticipated / aggravation or worsening of pre-existing chronic pain. A 'flare-up' I suppose? To improve breakthrough pain possibly re-adjusting meds, looking again at pacing and multi-disciplinary approaches to pain management through the many aspects already discussed all over the site could assist in its management. This is different to Acute Pain. The pharmicist on the pain management course I attended did say it doesn't mean it doesn't hurt as much as Acute Pain though!
I guess all this is the reason why its difficult to assimilate information on pain but that is how it was explained to me. Acute pain therefore is usually a response to an injury - in its simplest form I suppose pricking ones finger with a needle could be described as Acute and the pain following an operation can be Acute but Acute pain does go away. So in us as Rosie alludes in her post above Acute pain could be the pain felt immediately after a bad dislocation/sublux? A muscle spasm could be described as breakthrough pain as the result of ongoing chronic pain exacerbated by lack of use or conversly over-use due to pain and poor muscle tone due to de-conditioned muscles??? Our stretchy collagen letting us know whats what I suppose!
(charity) This site gives helpful assessment tools, describes the pain gate theory well and has general tips on managing flare ups etc.
Another here (copyright protected) hence the link - is a dictionary of pain terminology.
Hope the links are at least a little helpful.
Now the next bit is me waffling on as ever and you may have guessed my opinion on pain at the minute!! Lets hope that nickb's recent talk at the national rheumatologists conference helps somewhat in the understanding of the complexity of pain in the hmser. I am most thankful to her.
To be honest I am an hmser who is a little fed up at the minute of well intentioned gp's saying to me - the thing is with your condition is something that would be nothing to a normal person seems immense to you (pain wise). I am sure this means they have read a little on the condition and are trying to be helpful but it just gets my goat!! Perhaps if they lived with the intractable pain of hms with its different manifestations they would understand it is a pretty patronising thing to say! Well meant but maddening.
I found the pharmacist the most helpful at the pain management course I attended in his understanding of the 'impact' of pain and whilst he did believe in pacing, distraction alternative therapy etc. he also firmly believed in appropriate medication something which the psychotherpist did not. Which is all fine and dandy but I will put my hand on my heart and say I am sorry but with the best will in the world I cannot manage my pain without medication! I try my hardest and I mean my hardest to distract, relax, understand my pain gates and shut them off, meditate, cognitively talk myself out of it all but at the end of the day - pain does hurt! I know this because of the lengthy explanations I received on it and all about my spine, messages down it from my brain etc...
As Professor Grahame says on the home pages of the site - more research is needed as to 'why' the hms patient seems to suffer with more pain than the average and why medication is often innefective. We are not nuts but we do need understanding on the pain front. I entirely agree with Rosie when she describes pain management and hms - its not that we are extra special in any way but some days the pain is intolerable but we are a brave and stubborn lot who refuse to give in.
If you have got this far - I am amazed frankly but do feel free to disagree, put me right when I am wrong, as I have only put my
understanding of pain and generally discuss.
Although I would say this thread is not
intended as one where it turns into oh my hip,leg, knee,back, neck, ankle, shoulder etc hurts today more of an information exchange
for current concepts, theories etc.. to assist peeps to understand pain and therefore help each other to manage our pain