Beruflich Dokumente
Kultur Dokumente
Moderator: Mrs.Kavitha.Vishal
Presented by : Ms. Rajitha.A
Overview….
Introduction
Painmodels
Physiotherapy management
Psychological management
Medical management
Surgical management
Introduction….
Pain is defined by international association
study of pain as unpleasant sensory and
emotional response to a stimulus associated
with actual or potential damage or described
in terms of such damage.
To perceive pain there must be:-
◦ A specific form of energy which activates a sense
organ
◦ The connection within the spinal cord and brain
must be so arranged that the activity becomes
conscious
Classification……
Acute :-
◦ Caused by tissue damage or irritating stimulation in
relation to bodily insult or disease.
Chronic:-
◦ Described as a persistent pain that is not amenable
to treatments based on specific remedies or to
routine methods of pain control
◦ It does not serve as a biologic purpose indicative of
tissue damage or irritation.
Other types :
Radiating
Non radiating
Subjective classification ..
Dull ache – discomfort during activity
Slight pain – awareness of pain without
distress
More than – pain that distracts attention
Biomedical model.
Linear bottom up model.
Top down model.
Biopyschosocial model.
Fear and avoidance.
Biomedical model….
Disability and impairment reflection of
underlying tissue and system pathology.
Biophyschosocial model..
Seven stages:
1.pain and deconditioning
2.fear and avoidance
3. depression , anxiety and frustration
4. iatrogenic
5. family
6.socioeconomic
7. occupational factors
Factors influencing pain perception
and pain behaviour…….
1. Personality
2. Social context
3. Culture
4. Attitudes and behaviour of health
professionals
5. Past experience
6. State of mind
7. Avoidance behaviour and cognitive
processes
Pain modulation…..
Pain is modulated by two primary types of
drugs:
1. analgesic
2. anesthesia
Neural circuits that modulate the pain:
1. gate control theory
2.biochemical theory
3. neuromatrix theory
Physical therapy management
for pain ……
Various forms of modalities and techniques
are available:
Modalities: TENS, IFT , US , ELECTRICAL
STIMULATION, TRACTION .
Therapeutic exercise
TENS….
Works on the principles of pain gate theory.
Large myelinated A-beta fibres act as the
SWD
MWD
IRR
Cold therapy…
Circulatory effects
Neural effects
Contrast bath:
circulatory effect modulates the pain.
Therapeutic exercise…
Prescribed to correct a specific abnormal
condition , is often used to treat the acute as
well as chronic painful conditions.
Recent studies report that therapeutic
Efeects:
To decrease pain