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Pain Disorder - Pain Disorder Symptom, Cause, Treatment
Pain Disorder is when a patient presents with actual pain, and the pain causes significant distress or impairment. Many of these patients have depressive illnesses, and in some of them major depression may be the root cause Psychological factors are judged to play an important role in the onset, severity, exacerbation, or maintenance of the pain. This definition addresses the complex nature of pain and moves away from the earlier dualistic idea that pain is either psychogenic (of mental origin) or somatogenic (of physical origin). Pain disorder associated with psychological factors and a general medical condition: Both the psychological factors and the general medical condition have important roles in the onset, severity, exacerbation, or maintenance of the pain. The diagnosis is further differentiated by subtype; subtype is assigned depending on whether or not pain primarily is accounted for by psychological factors or in combination with a general medical condition, and whether the pain is acute (less than six months) or chronic (six months or more).Family influences affect the degree of disability caused by pain, ie, dysfunction due to pain is more pronounced in some families as a result of modeling and positive reinforcement of the sick role. The classification of pain states is important since the effectiveness of treatment depends on the aptness of the diagnosis of pain disorder and its type.
Symptom of Pain Disorder
Some are common Symptom of Pain Disorder :
- increased pain requiring clinical intervention
- disrupted social relationships at home, work, or school
- Psychological factors are judged to have an important role in the onset, severity, exacerbation, or maintenance of the pain.
- The symptom or deficit is not intentionally produced or feigned (as in Factitious Disorder or Malingering).
- Heart palpitations (rapid heartbeats).
- Abdominal bloating.
- Weakness
- This pain usually develops 30 to 90 minutes after a meal, and is often relieved by antacids.
- Your face and mouth may swell on the affected side.
Causes of Pain Disorder
The common Causes of Pain Disorder :
- Adoption studies have found somatization disorders to be 5-10 times more common in first-degree relatives of probands with somatization than in the general population.
- In families and cultures in which psychological problems are stigmatized, the individual may communicate distress through a somatic symptom.
- Physical pain may play such a role, and the onset of the pain may be seen in these patients when things seem to be going otherwise unexpectedly well in their lives.
- Increasingly, however, evidence indicates that fluctuations in important hormones and brain chemicals may be important in PMS.
- For example, fibromyalgia (a pain syndrome involving fibromuscular tissue), skeletal damage, pathology of an internal organ, migraine headache, and peptic ulcer all have characteristic patterns of pain and a particular set of causes.
- The constant pounding on the joint causes the pain.
- An association between physical abuse, psychological abuse, or both and somatization has been well documented.
Treatment of Pain Disorder
- Medical care for physical illness must be appropriate for the diagnosed medical problems and requires judicious use of analgesics.
- Dealing successfully with anxiety generated by pain
- Although patients with conversion disorder are suggestible, reassurance that symptoms will go away is rarely effective; this reassurance does not help probe the psychological source of the symptoms.
- You can make your own heating pack by either wetting a washcloth or towel and microwaving it, or putting rice in a tube sock and microwave that.
- Avoid hard, crunchy foods (raw vegetables, chips, nuts), chewy foods (hard rolls, gum), and large foods that force you to open your mouth wide (hamburgers, big sandwiches, hot dogs, etc)
- Some patients may resent the idea that their pain has a psychological component and may refuse treatment by a mental health professional.
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