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Define nociceptive pain
Local pain
An "issue with the tissue"
Can be mechanical, inflammatory or ischemic
Define neuropathic pain
Radiating pain
"Issue with a nerve"
Define nociplastic pain
Wide-spread pain
Amplified/ increased excitability of CNS in response to normal input
Abnormal pain processing
This intake form is used as a review of systems to screen for red flags
OSPRO-ROS
Relationship between age and spinal compression fxs
Older people more likely to have spinal compression fxs 2* to age related BMD changes
Is older age typically a red flag for patients?
Yes, over 50 yo increases likelihood of being diagnosed w diseases
Is patient history of cancer a red flag?
Yes
Also having family history of cancer
Acronym for warning signs of cancer
CAUTION
When is weight loss a red flag?
When it's unexpected
5% or more within a month
What type of pain patterns are red flag findings? (4)
Constant pain (doesn't change w position)
Thoracic pain
Severe night pain
Abdominal pain
When is responsiveness to previous therapy a red flag?
When a patient stops responding to conservative treatment
In general, what are "yellow flag" symptoms?
Psychosocial stresses that may affect a patient
What are blue flag symptoms? Black flag?
Blue flag: Beliefs about work
Black flag: Beliefs about systems or contextual obstacles
Meaning of SINSS acronym
Severity
Irritability
Nature
Stage
Stability
Descriptors for severity of condition (3)
Mild
Moderate
Severe
Descriptors for irritability of condition (3)
High irritability
Low irritability
Non-irritable
Define regional interdependence
Dysfunction and impairments in distant regions (extremity and spine) can contribute to patient's primary complaint
Why is regional interdependence important?
We should check spine and extremities for signs of pain (even if that's not the origin)
