There Are Different Types of Pain

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SALES, Yvette Jireh C.

December 7,
2018

DMD – 4E Hospital Dentistry


II

PAIN

The International Association for the Study of Pain (IASP) defines pain as an unpleasant sensory and
emotional experience associated with actual or potential tissue damage. Pain is not just a physical sensation. It is
influenced by attitudes, beliefs, personality and social factors, and can affect emotional and mental wellbeing.
Although two people may have the same pain condition, their experience of living with pain can be vastly different

There are different types of pain:

 ACUTE PAIN starts suddenly and is short-term

 CHRONIC PAIN lasts for a Longer period of time

 BREAKTHROUGH PAIN often happens in between regular, scheduled painkillers

 BONE PAIN happens when cancer is affecting a bone

 SOFT TISSUE PAIN happens when organs, muscles or tissues are damaged or inflamed

 NERVE PAIN happens when a nerve is damaged

 REFERRED PAIN is when pain from one part of your body is felt in another

 PHANTOM PAIN is when there is pain in a part of the body that has been removed

 TOTAL PAIN includes the emotional, social and spiritual factors that affect a person’s pain experience.

PHARMACOLOGIC MANAGEMENT OF PAIN

Pain relievers (analgesics) are common medicines that many people use at some time in their lives. There are two
broad categories of analgesics: 

 Non-opioid – such as aspirin and paracetamol, mainly used for mild to moderate pain
 Opioid – such as morphine and oxycodone, mainly used for severe pain. 

Medications available for the management of pain include: 

 Paracetamol
 Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen – these medicines
also reduce inflammation (redness and swelling)
 Opioid medications, such as codeine and morphine – these medicines treat moderate to severe pain
 Local anaesthetics
 Some antidepressants
 Anti - epileptic medicines.

NON – PHARMACOLOGIC MANAGEMENT OF PAIN

Many non-pharmacological treatments (treatments other than medicines) are available to help you manage
your pain. A combination of treatments and therapies is often more effective than just one. Understanding the causes
of your pain can help reduce your fear and anxiety. Ask your doctor to suggest other pain-management strategies
that might work for you and complement your current pain-management regimen.

Some non-pharmacological pain-management strategies include: 

 Heat or cold – heat packs can aid relief of chronic musculoskeletal injuries and associated pain. An
icepack can be used to help reduce swelling immediately after an injury
 Physical therapies – walking, as well as stretching and strengthening or aerobic exercises, may help
relieve pain, depending on the cause. Physical activity can also help you maintain your mobility and improve your
mood. Ask a physiotherapist or osteopath to design a program specifically for your pain condition
 Massage – this is better suited to soft tissue injuries and should be avoided if the pain originates in the
joints
 Acupuncture – a component of traditional Chinese medicine. Acupuncture involves the insertion of thin
needles into specific points on the skin and is believed to restore balance, encourage the body to heal itself and
release natural pain-relieving compounds (endorphins)
 Relaxation and stress management techniques – including meditation and yoga
 Transcutaneous electrical nerve stimulation (TENS) therapy – a minute electrical current is passed
through the skin via electrodes, prompting a pain-relieving response from the body
 Cognitive behaviour therapy (CBT) – this form of therapy can help you learn to change how you think
and, in turn, how you feel and behave about pain. This is a valuable strategy for learning to self-manage chronic
pain.

Always be guided by your doctor or other healthcare professional and follow their instructions carefully to avoid
making your pain worse.

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