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Nociceptive Pain

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Newsletter Articles
Guides Newsletter (2023) 28 (1): 16–30.
Published: 01 January 2023
... nociceptive pain, with a decreased responsiveness to peripherally directed therapies such as anti-inflammatory drugs and opioids, surgery, or injections.” 8 If invasive treatment is being requested for chronic pain, and invasive treatment has the risk of significant potential complications...
Newsletter Articles
Guides Newsletter (2005) 10 (3): 1–3, 10-12.
Published: 01 May 2005
... and nociception are neither necessary nor sufficient for pain,” suggesting that psychological factors are nearly always present and obviating the use of Chapter 18. A potential solution would be to ask, “Is the presentation of pain consistent with any mental illness as defined in the American Psychiatric...
Newsletter Articles
Guides Newsletter (2022) 27 (4): 1–17.
Published: 01 July 2022
... less weight for the diagnosis of neuropathic pain, as these are also seen in inflammatory state pain (nociceptive pain), anxiety, and sleep deprivation, stress, and negative emotions. They do not mention opioid-induced hyperalgesia, but they should have, as opioid-induced hyperalgesia is real...
Newsletter Articles
Guides Newsletter (2022) 27 (6): 1–15.
Published: 01 November 2022
... pain patients, or that the nerve ablation procedures were ineffective. In 2018, Lancet published a multi-authored international expert review 9 of low-back pain. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 3–12.
Published: 01 September 2021
... medical therapy has been maximized? There are patients with a clear injury to a specific nerve with persisting neuropathic pain, or with a vertebral compression fracture with deformity and nociceptive pain. Some are on stable low-dose opioid therapy (<50 mg morphine equivalent) and are back...
Newsletter Articles
Guides Newsletter (2005) 10 (4): 4–7.
Published: 01 July 2005
... and pain complaints, and of the lack of correlation between tissue damage/nociception and pain complaints. Because of such considerations, an impairment evaluator will always be well advised to perform a thorough, competent, and scientifically credible mental health consultation in such cases. Any...
Newsletter Articles
Guides Newsletter (2005) 10 (1): 1–3, 10-11.
Published: 01 January 2005
... “is always a psychological state” and “activity induced in the nociceptor and nociceptive pathways by a noxious stimulus is NOT pain” (emphasis added). 17 Similarly, the APA's primary textbook offers the conclusion that “current definitions of pain accept the primacy of psychological factors...
Newsletter Articles
Guides Newsletter (2015) 20 (6): 6–12.
Published: 01 November 2015
... on reversing or eliminating nociception, the pain generator, and is more cure focused. The biomedical model ignores or minimizes psychosocial factors and the more complex central changes in the nervous system (ie, sensitization of tissue and pathways and neurochemical changes related to affective distress...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 4–7.
Published: 01 November 2006
... rely on production of pain in the groin (typically), clicking, and/or locking with passive or active hip motions. Diagnostic tests or procedures rely on x-rays, conventional arthrography, computerized tomography, magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and hip...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 3–11.
Published: 01 November 2019
... infections, 46 - 49 Disc nociception (motion and loading of the degenerated disc becomes painful because of nerve fiber growth into the outer annulus), and Instability (degeneration leads to abnormally increased movement of a spinal motion segment and resultant pain). A 2003 study stated...
Newsletter Articles
Guides Newsletter (2022) 27 (5): 1–37.
Published: 01 September 2022
... by Talmage et al. 4 Symptoms of long COVID are frequent. The most frequent cardiovascular symptoms include shortness of breath, chest pain and pressure, palpitations, fatigue, and exercise intolerance. There is a low possibility of persistent and new onset of: arrhythmias, chest pain...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 3–14.
Published: 01 November 2021
...: chronification of back pain shifts brain representation from nociceptive to emotional circuits . Brain. 2013 ; 136 ( pt 9 ): 2751 – 2768 . doi: 10.1093/brain/awt211 . 104. Hughes A , Kumari M , McMunn A , et al . Unemployment and inflammatory markers in England, Wales and Scotland, 1998...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
... people with resultant rewards). These learning processes contribute to the formation of powerful pain memories “on all levels of the nervous system” that, for chronic pain sufferers, maintain pain in the absence of peripheral nociceptive input. All of this psychodynamic learning leads...