Wednesday, June 25, 2008

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Pain is an unpleasant feeling that is conveyed to the brain by sensory neurons. Pain discomfort signals actual or potential injury to the body. However, Pain is more than a sensation, or the physical awareness of Pain; it also includes perception, the subjective interpretation of the discomfort. Perception gives information on the pain's location, intensity, and something about its nature. The various conscious and unconscious responses to both sensation and perception, including the emotional response, add further definition to the overall concept of Pain.

Pain Description:

Pain arises from any number of situations. Injury is a major cause of Pain, but pain may also arise from an illness. Pain may accompany a psychological condition, such as depression, or pain may even occur in the absence of a recognizable trigger.

Acute pain:

Acute pain often results from tissue damage, such as a skin burn or broken bone. Acute pain can also be associated with headaches or muscle cramps. This type of Pain usually goes away as the injury heals or the cause of the Pain (stimulus) is removed.

To understand Acute Pain, it is necessary to understand the nerves that support Pain. Nerve cells, or neurons, perform many functions in the body. Although their general purpose, providing an interface between the brain and the body, remains constant, their capabilities vary widely. Certain types of neurons are capable of transmitting a pain signal to the brain.

As a group, these pain-sensing neurons are called nociceptors, and virtually every surface and organ of the body is wired with them. The central part of these cells is located in the spine, and they send threadlike projections to every part of the body. Nociceptors are classified according to the stimulus that prompts them to transmit a pain signal. Thermoreceptive nociceptors are stimulated by temperatures that are potentially tissue damaging. Mechanoreceptive nociceptors respond to a pressure stimulus that may cause injury. Polymodal nociceptors are the most sensitive and can respond to temperature and pressure. Polymodal nociceptors also respond to chemicals released by the cells in the area from which the pain originates.

Nerve cell endings, or receptors, are at the front end of pain sensation. A stimulus at this part of the nociceptor unleashes a cascade of neurotransmitters (chemicals that transmit information within the nervous system) in the spine. Each neurotransmitter has a purpose. For example, substance P relays the pain message to nerves leading to the spinal cord and brain. These neurotransmitters may also stimulate nerves leading back to the site of the injury. This response prompts cells in the injured area to release chemicals that not only trigger an immune response, but also influence the intensity and duration of the pain.

Chronic and Abnormal Pain:

Chronic Pain refers to pain that persists after an injury heals, cancer pain, pain related to a persistent or degenerative disease, and long-term pain from an unidentifiable cause. It is estimated that one in three people in the United States will experience Chronic Pain at some point in their lives. Of these people, approximately 50 million are either partially or completely disabled.

Chronic pain may be caused by the body's response to acute pain. In the presence of continued stimulation of nociceptors, changes occur within the nervous system. Changes at the molecular level are dramatic and may include alterations in genetic transcription of neurotransmitters and receptors. These changes may also occur in the absence of an identifiable cause; one of the frustrating aspects of chronic pain is that the stimulus may be unknown. For example, the stimulus cannot be identified in as many as 85% of individuals suffering lower back pain.

Other types of abnormal pain include allodynia, hyperalgesia, and phantom limb pain. These types of pain often arise from some damage to the nervous system (neuropathic). Allodynia refers to a feeling of pain in response to a normally harmless stimulus. For example, some individuals who have suffered nerve damage as a result of viral infection experience unbearable pain from just the light weight of their clothing. Hyperalgesia is somewhat related to allodynia in that the response to a painful stimulus is extreme. In this case, a mild pain stimulus, such as a pin prick, causes a maximum pain response. Phantom limb pain occurs after a limb is amputated; although an individual may be missing the limb, the nervous system continues to perceive pain originating from the area

The medical profession describes Pain as an unpleasant sensory and emotional experience, associated with tissue damage. Pain is a very personal experience that only the individual undergoing it can experience. Pain relief is dealt by the discipline of Pain Management. It is a field that is gaining lot of recognition and importance. The pain experienced can be eliminated by medication Rx , Buy Rx Pain Relief under the guidance of trained physicians.

Acute pain, that is a result of trauma, is often reversible and may require measures for correction of the underlying problem. On the contrary, chronic pain often results from conditions that are difficult to diagnose as well as cure and may take a long time to reverse. These include cancer, neuropathy and referred pain. In such conditions, the pain management is dealt with separately. The pain is considered to be a symptom of the disease itself.

Pain management is generally benefited from a multidisciplinary approach. This involves the use of analgesics and Rx pain Relief narcotics, including intervention procedures and physical therapy. It also involves psychological measures that involve biofeedback and cognitive therapy. Pain management practitioners are experts from the various fields of medicine. Generally, pain fellowship trained physicians, anesthesiologists, neurologists and psychiatrists. They are proficient in Pain Management and use Rx Pharmacological Pain Management that involves trying to alleviate pain by the use of Rx drugs. Others use intervention pain management for the same objective.

Pain relief Rx and management is a major area of medical care that has the attention of health care providers and nursing personnel. Pain management is found to be the central focus in the treatment of diseases, like cancer, tumors and serious accidents. It is the responsibility of nurses, health Care providers and other pain management practitioners to educate Patients on the assessment and Pain management of pain relief Rx in their specific cases.



Tuesday, June 24, 2008

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