What is Pain?

Pain is an unpleasant sensory and emotional experience caused by actual or potential tissue damage.1 Pain can cause anxiety, fear, and hopelessness, especially if you don’t know why it is happening. It is important to remember that your pain is always valid, and seeking treatment for any type of pain can improve the quality of your life and speed up recovery.1

There are three ways to describe the processes behind pain. First is nociceptive pain, a type of pain that responds to harmful stimuli, whether those are external or internal.2 For example, a hand placed on a hot stove can trigger receptors to send a signal to the brain, which creates the experience of pain in the hand. Other examples of nociceptive pain include a broken bone or chest pain during a heart attack.2

The second type of pain is neuropathic, which comes from damage to a nerve or group of nerves from peripheral or central nervous system.3 This can arise from an injury directly to the nerve, such as a pinched nerve or deep cut, or an underlying disease, such as multiple sclerosis, diabetes, or shingles.3 It can be caused by peripheral nerves (eg, from arms or legs), or the central nervous system (brain or spinal cord).3 The pain can be spontaneous, meaning it can occur without any stimulus. Neuropathic type of pain can also become more harmful than helpful, sending signals of pain or sensations long after recovery.4

There can also be a type of pain that happens even without any damage to tissues or nerves, which is called nociplastic pain, such as back pain.5 It might occur in different diseases, such as fibromyalgia and irritable bowel syndrome and can be widespread. Other signs may include hypersensitivity to pain, or sensitivity to touch, sound, and light, or fatigue.5 Nociplastic pain is not as well understood as the other two types, and some healthcare practitioners might use other terms to describe this type of pain.6

Although pain is a useful signal, it can interfere with daily activities, movement, productivity, and can negatively affect mental and emotional health.7 Pain management can help alleviate painful symptoms of a disease or injury until it is healed or manage chronic pain so one can resume their daily activities.

Acute pain is short-lived and lasts for a few moments or hours, or up to several days or weeks. Chronic pain is pain that lasts longer than 3-6 months.7 However, chronic pain is not just acute pain that failed to heal; it can be a disease itself.7 For either types of pain, depending on the intensity or severity, there are several therapies that can provide relief.

References

  1. International Association for the Study of Pain (IASP). Terminology. https://www.iasp-pain.org/resources/terminology
  2. Armstrong SA, Herr MJ. Physiology, Nociception. Last update: May 1, 2023. https://www.ncbi.nlm.nih.gov/books/NBK551562/
  3. Cleveland Clinic. Neuropathic Pain. Last reviewed November 13, 2023. https://my.clevelandclinic.org/health/diseases/15833-neuropathic-pain
  4. Costigan M, et al. Neuropathic pain: A maladaptive response of the nervous system to damage. Annu Rev Neurosci. 2009;32:1-32.
  5. Yoo YM, Kim KH. Current understanding of nociplastic pain. Korean J Pain. 2024;37:107-118.
  6. Bułdyś K, et al. What do we know about nociplastic pain? Healthcare (Basel). 2023;11:1794.
  7. Kawai K, et al. Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study. Fam Pract. 2017;34:656-661.
  8. Tucker-Bartley A, et al. Pain phenotypes in rare musculoskeletal and neuromuscular diseases. Neurosci Biobehav Rev. 2021;124:267-290.
  9. Cleveland Clinic. Acute vs. Chronic Pain. Last reviewed December 8, 2020. https://my.clevelandclinic.org/health/articles/12051-acute-vs-chronic-pain

 All URLs accessed August 23, 2024.

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