Pain is an abhorrent feeling and emotional experience associated with tissue damage. The pain classifications allow the body to react and prevent tissue damage. When a person feels pain, at that time our nerve fibers transmit signals to the brain for interpretation. The way of experiencing or feeling pain is different for every person, it varies from person to person. These variations sometimes make it challenging to describe and heal the pain.
Pain can also be short- or long-term and stay in one place or scattered throughout the body. Pain also be physical pain or emotional pain. Physical pain means that pain we can feel physically on our bodies like the harp, cutting, burning, or tearing and can be permanent or throbbing in nature. The emotional pain refers to nervousness, restlessness, anxiety, and also depression.
So here in this article, we will discuss the causes and classification of Pain.
Causes of Pain
People experience pain when specific nerves, called nociceptors, detect tissue damage and disseminate information about damage to the brain with the spinal cord.
For example, when we touch a hot surface will send a message by a reflex arc to the spinal cord and make a quick contraction of the muscle. This contraction will force us to away from the hot surface to restricting more damage.
This reflex happens so fast that the message does not even reach the brain. But, the pain message continues to the brain. Once it arrives, it will cause a person to feel an unpleasant sensation – pain. The brain’s analysis of these signals and the efficiency of the communication channel between the nociceptors and the brain deliver how an individual experiences pain.
Pain Classifications :
1. Acute pain
Acute pain is short-term pain that happens suddenly and has a particular cause, normally a tissue injury. Usually, it does less than six months and it resolves when the underlying condition of pain is healed or treated. Acute pain begins slowly or intensifies before correction.
Main causes of Acute Pain
- Injured bones
- Dental work
- Labor and childbirth
2. Chronic pain
Pain that does for more than six months after the initial injury has healed is recognized as chronic pain. Chronic pain can persist for years and vary from mild to severe on any given day. And it affects adults with an estimated 50 million sources in the United States. Mostly past injuries or damage leads to chronic pain, and also sometimes there is no obvious cause.
If we do not properly care chronic pain can also begin to strike to the quality of life. As a conclusion, most of the people who are facing chronic pain may produce symptoms of anxiety or depression.
Symptoms of Chronic Pain:
- Tense muscles
- loss of energy
- limited mobility
Examples of chronic pain:
- Sudden headaches
- Nerve injury pain
- Low back pain
- Osteoarthritis pain
- Fibromyalgia pain
3. Nociceptive Pain
This pain is the most usual type of pain. It is caused by the stimulation of nociceptors that are the pain receptors for tissue damage. There are nociceptors throughout our body, particularly in our skin and internal organs. When they are stimulated by potential damage, such as a cut or other damage, they send an electrical signal to our brain that causes us to feel pain.
This type of pain you normally feel when you have any kind of injury or swelling. Nociceptive pain can be both acute or chronic. Moreover, It can be categorized as both visceral or somatic.
4. Visceral pain
Visceral pain occurs as a result of injuries or damage to your internal organs. You can observe it in the trunk area of your body like your chest, abdomen, and pelvis. It is usually difficult to find the exact location of intestinal pain.
Symptoms of Visceral pain
You may also feel these symptoms also:
- nausea or vomiting
- Quick changes in body temperature, heartbeat, or blood pressure.
5. Somatic Pain
Somatic pain arises from the stimulation of pain receptors in your tissues rather than our internal organs. This covers our skin, muscles, joints, connective tissue, and bones. It is often easier to find the location of somatic pain rather than intestinal pain. Somatic pain usually feels like constant pain or fainting sensation.
For example, a tear in a muscle will cause intense physical pain, while an injury on our internal analysis causes superficial pain in the throat.
Examples of somatic pain:
- Bone cracks
- Forced muscles
- Connective tissue disorders, such as osteoporosis
- Cancer that affects the skin or bones
- Skin injuries, scrapes, and wounds
- Joint pain, including arthritis pain
6. Neuropathic pain
Neuropathic pain is the result of damage or dysfunction of your nervous system. This leads to missing pain signals in damaged or loose veins. This pain originates from anywhere, rather than in response to particular damage or injury. You can also observe mild pain in response to things that are not normally painful like chilly air or clothes against your skin.
Neuropathic pain is characterized as:
- Electric shocks
Diabetes is a general problem of neuropathic pain. Other sources of nerve injury or dysfunction can also cause neuropathic pain:
- Chronic alcohol consumption
- Facial nerve problems
- Spinal nerve swelling or compression
- Carpal tunnel syndrome
- Central nervous system disorders, such as multiple sclerosis Parkinson’s disease
- Chemotherapy drugs
7. Radicular pain
Radicular pain in humans is a highly specific kind of pain that can happen when peoples spinal nerve becomes inflamed or compressed. It reflects from the hip and back into individual legs from the way of the spine or spinal nerve root. Those individuals who suffer from radicular pain can also experience numbness, tingling, and weakness in the muscle. Although the pain which radiates from the back and goes into the leg is known as radiculopathy.
This is generally known as sciatica because the pain is caused by the sciatic nerve that is being affected. This kind of pain is usually steady, and people can observe it deep into their legs. Therefore sitting, walking, and a few other activities may create sciatica worse. However, it is one of the most basic types of forms of radicular pain.
8. Nociceptive inflammatory pain
Once there has been damage in tissue, then it is very common to get an inflammatory response, although this is a very good point. Because inflammation is known as a coordinated body system response that is intended to help and heal the damage in tissue. This inflammatory response is very well-coordinated, also it involves blood-borne chemicals, a few chemicals that released from specialized nerve fibers, and immune system chemicals too.
All such chemicals can talk to each other so that they can help to coordinate tissue repair. Some examples of nociceptive pain may include non-specific low back pain, a sprained ankle, or neck pain, pulled muscles, or broken bones. Although there can be some signs of such tissue injury like redness, swelling, and later yellowing or purple color of the skin. Also, a limb that looks very distorted, increased sensitivity for movement or to touch.
All those signs are known as or part of tissue healing. You can use the pain self-checks this can help or guide your management. Also, you can get the main findings so that you can discuss them with your health team. Some simple analgesia like non-steroidal anti-inflammatories (NSAIDs) or paracetamol can be very helpful while managing nociceptive inflammatory pain.
It can do so by decreasing the pain and enabling you to get active very early. Although becoming active early, in a sensibly measured way normally means more limited stiffness and pain. Also, it is a quicker return to all the daily tasks. If you experience episodes of pain.
Or even the pain flares that connected with the problem of osteoarthritis or some other nociceptive musculoskeletal pain. Although simple analgesia is one of the modern best practices or approaches toward pain management. In addition, to become engaged and active in your regular day to day activities.
Note: If you experience nociceptive inflammatory pain. Also, if your pain state is Ankylosing Spondylitis or Rheumatoid Arthritis, then the pain medicines which you take will also be simplistic analgesics. Although there are extra and highly specific arthritis medicines, which you will need in order to maintain this chronic disease. Therefore go to your health specialist as soon as possible.
Basically, these medicines are very necessary. Because they are given early then they can prevent the joint destruction, that associated with Rheumatoid Arthritis. The compound of these disease-modifying anti-rheumatic drugs (DMARDs) and simple analgesia can help you to continue moving and stay active. You can search more about Rheumatoid Arthritis and Ankylosing Spondylitis in pain conditions.
Some Important Point About Pain
Correctly explaining your pain can make it more comfortable for your doctor to find the main cause of your pain and prescribe the right treatment. If you are comfortable then write a description of your pain before your appointment to make it as clear as feasible.
Here we discuss some important points that your doctor should know for the proper treatment of your pain.
- How long did you have pain
- How often does your pain
- What brought your pain
- What activities or activities make your pain better or worse.
- Where you particularly feel pain
- Whether your pain is local in one place or spreads out
- Is your pain comes and goes or remains stable all time.
We also recommend keeping a pain diary to track your symptoms that will help you heal as soon as possible or also help your doctor to know about your pain. Note the points:
- When it begins or initial state when you feel pain.
- How long it lasts.
- how it feels
- Where you feel it
- How critical it is on a scale of 1 to 10.
- What caused or triggered the pain.
- What you applied if anything that feels you better.
- Any prescriptions or treatments you used to reduce this pain.
Some Other Classification of Pain
Although the pain is most frequently classified by the type of damage that causes pain. However, the main two categories of pain are caused by some tissue damage, also it is known as nociceptive pain. In addition, the pain caused by some nerve damage is also known as neuropathic pain. Although the third category is known as psychogenic pain, which is very painful, and it is affected by some psychological factors.
Psychogenic pain very frequently has some physical origin either in nerve damage or tissue damage. But the pain is caused by some damage that is increased or continued by a few factors such as depression, fear, anxiety, or stress. In a few cases, pain begins from a psychological situation. Pain is also classified by the kind of tissue which is affected or by the specific part of the body that is affected.
For instance, the pain may be referred to as joint pain, or muscular pain. Besides that, your doctor may ask you regarding your back pain or chest pain. Certain kinds of pain are referred to as some syndromes, for example, myofascial pain syndrome is referred to pain that is set off with some trigger points which are located in the muscles of your body. Fibromyalgia is a suitable example of it.
Pain Due To Tissue Damage
Most pain comes from tissue damage. The stems of pain from some injury to the tissues of the body. The injury may cause to the soft tissue, organs, or bones. The damage to body tissue may occur from some diseases such as cancer or others. Or it can come from physical injuries such as a cut or a broken bone.
The more pain you will feel maybe some ache, a throbbing, or a sharp stabbing. Either it can be started and stop, or it could be constant. You will feel some of the pain more worsen when you laugh or move. Sometimes, breathing deeply can intensify it.
Pain from tissue damage can be acute. For instance, some of the sports injuries such as a turf toe or sprained ankle are often the result of damage to soft tissue. Or it can become chronic, like chronic headaches, or arthritis. Also, several medical treatments, like radiation therapy for cancer, can also create tissue damage which results in pain.
Pain Due to Nerve Damage
Your nerves perform like electric wires transmitting electrical signals. But it including pain signals to and from your brain. However, nerve damage can interfere with the process of such signals that are transmitted and produce pain signals that are abnormal. For example, you may observe a burning sensation even if no heat is being put to the area that burns.
Nerves can be destroyed by some diseases also, like diabetes, even they can be injured by trauma. Some chemotherapy medicines may affect damage to the nerve. Nerves can also be destroyed as a result of an HIV infection, or a stroke among other causes.
The pain caused by some nerve damage can be the result of injury to the central nervous system (CNS), which involves the spinal cord, and the brain. Also, it can be the result of harm to peripheral nerves. Those nerves spread in the rest of the body, and it sends signals to the CNS. The pain that is produced by nerve damage is known as neuropathic pain. Also, it is usually described as prickling or burning.
Some people describe it as an electrical shock. Others define it as needles and pins or as some stabbing sensation. Some people with nerve damage are often hypersensitive to temperature and touch. Just a light touch, such as the touch of a bedsheet, can set off the pain. Much neuropathic pain is chronic. Examples of pain caused by damaged nerves include:
Central pain syndrome: This kind of syndrome is identified as chronic pain, which stems from harm to your central nervous system. The injury can be induced by MS, stroke, tumors, and many other conditions. The pain, which is basically constant but can be severe, and may affect a huge part of people’s body or be confined to some smaller areas like the feet or hands. The pain usually can be worse by touch, movement, emotions, and changes in temperature.
Complex regional pain syndrome: This is known as a chronic pain syndrome, which can develop from some serious injury. This is defined as persistent burning. Some abnormalities like changes in skin color, abnormal sweating, or swelling can be noticed in the region of the pain.
Diabetic peripheral neuropathic pain: This kind of pain originates from nerve impairment in the legs, hands, feet, or arms that is caused by diabetes. People with diabetic neuropathy may experience various types of pain that including stabbing, burning, and tingling.
Shingles and postherpetic neuralgia: Shingle is a localized infection caused by the same virus that causes chickenpox. The rash and correlated pain that can be debilitating may happen on either one side of your body along with the path of a nerve. Postherpetic neuralgia is a well-known difficulty in which the pain from shingles can remain more than a month.
Trigeminal neuralgia: This problem can cause pain as a result of inflammation of some facial nerves. The pain is characterized as very intense, and it can happen in the scalp, lips, eye, forehead, gums, nose, cheek, and chin on either one side of the face. The pain can be set off by touching a trigger area or by a slight motion.
How To know The Pain Is Normal or Not?
Basically expressing that pain is an uncomfortable feeling that normally indicates an injury or illness. If commonly expressing pain then it is the body’s tendency of informing you that something is not correct. This is known as the purpose of pain. It is intended to make you annoying so if you are hurt or sick, then you will definitely need to do something or even stop doing something.
Because when you do such a thing that hurts your body, then your brain usually triggers the response of pain. Hence when you touch something hot, then the pain that you observe is your body’s way of reporting that you should end touching the hot item, Also, should take some action to cool the skin. When you walk on a damaged ankle then it hurts, which is again your body informing you to stop.
The experience of pain is different from person to person. Because sometimes people have a broken bone and even they not realize it, while another can feel notable pain from that same damage. Because the pain is mediated by the nerve fibers in the body, and all these nerve fibers did the act of sending pain signals to your brain, and it happens very quickly.
As soon as they get their way to the brain, then the brain begins to make you informed of the pain. Because everyone’s body is different, their brain and their nerve fibers can react differently to the same condition. That can help to explain why pain tolerance and pain perception can vary so much from one person to another.
Most of the pain response normal to injury and it does not need a visit to the doctor. But how can you know that your pain is a sign of a serious thing? when you sleep in an uncomfortable position then you will wake up with neck or back pain, it is very normal. When you get minor burns, then the pain is normal and it does not demand a doctor’s attention.
As a result, when pain only remains for a short time that is expected with cause, then it’s normal. But when your pain is severe and remains longer than you think then it must be for some injury or illness, if you don’t know what is the cause, then you need to call your doctor.
Some causes of normal pain may include A minor burn, A skinned elbow or knee, A tension headache, A pulled or strained muscle, A broken bone, Post-surgical pain at the incision site, tendon, muscle, skin, or bone injury, A minor ankle sprain, Labor and delivery, etc.
Some causes of pain which need medical attention may include Fibromyalgia, Arthritis, A herniated disc in the neck or back, Diabetes, Chronic migraine headaches, Cancer, Sciatica, A compressed or pinched nerve, Heart attack, Chronic fatigue syndrome, Stroke, etc.
As we know pain is a very individual experience that differs from one person to another. One person experiences a lot of pain, only the other may feel mild pain. And the one important factor is your emotional state, overall physical fitness & strength can play a big role in how you deal or feel pain. So, if you feel any internal or external pain, never take it lightly. Notice your symptoms and consult your doctor and take precautions as soon as possible. If you don’t then it may lead to the high damage.
I hope you will understand the cause and classification of pains and also love to read this article. If you have still had any queries related to the pain then please comment on your query in our comment box. We will revert you with your solution as soon as possible.
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