Chronische pijn.
Inhoudsopgave
1. Onderzoek en behandeling van chronische pijn
2. De rol van de kinesitherapeut
3. Fibromyalgie
1
,2
, 1. Onderzoek en behandeling van chronische pijn
Biopsychosociale pijn onderzoek
- ABCDEFW criteria
- Attitudes and beliefs about pain
- Behaviors
- Compensations issues
- Diagnosis and treatment
- Emotions
- Familial factors
- Work
- PSCEBSM-model
- Pain type
Nociceptief
Pain that arises from actual or threatened damage to non-
neural tissue and is due to the activation of nociceptors.
Local, discrete pain distribution
Pain diminishes according to the natural healing phases.
Intermittent sharp, dull ache or throb at rest
Aggravating and easing factors according to mechanical-
anatomical pattern.
Neuropatisch
Pain caused by a lesion or disease of the somatosensory
nervous system.
Pain in neuro-anatomical (dermatomal or cutaneous) logical
distribution
Temporary vs permanent present Burning, shooting, or
pricking.
Postures-movements that mechanically stress neurogenic
tissue (compression/pressure) cause pain provocation. Pain
can also occur after the stimulus has passed or without an
obvious eliciting stimulus (no stimulus-response pattern).
Nociplastisch
Pain that arises from altered nociception despite no clear
evidence of actual or threatened tissue damage causing the
activation of peripheral nociceptors or evidence for disease
or lesion of the somatosensory system causing the pain.
Regional, diffuse pain distribution
Pain persisting longer than typical for an associated
condition (e.g. >3months)
Vague, dull
Disproportionate aggravating and easing factors
3
Inhoudsopgave
1. Onderzoek en behandeling van chronische pijn
2. De rol van de kinesitherapeut
3. Fibromyalgie
1
,2
, 1. Onderzoek en behandeling van chronische pijn
Biopsychosociale pijn onderzoek
- ABCDEFW criteria
- Attitudes and beliefs about pain
- Behaviors
- Compensations issues
- Diagnosis and treatment
- Emotions
- Familial factors
- Work
- PSCEBSM-model
- Pain type
Nociceptief
Pain that arises from actual or threatened damage to non-
neural tissue and is due to the activation of nociceptors.
Local, discrete pain distribution
Pain diminishes according to the natural healing phases.
Intermittent sharp, dull ache or throb at rest
Aggravating and easing factors according to mechanical-
anatomical pattern.
Neuropatisch
Pain caused by a lesion or disease of the somatosensory
nervous system.
Pain in neuro-anatomical (dermatomal or cutaneous) logical
distribution
Temporary vs permanent present Burning, shooting, or
pricking.
Postures-movements that mechanically stress neurogenic
tissue (compression/pressure) cause pain provocation. Pain
can also occur after the stimulus has passed or without an
obvious eliciting stimulus (no stimulus-response pattern).
Nociplastisch
Pain that arises from altered nociception despite no clear
evidence of actual or threatened tissue damage causing the
activation of peripheral nociceptors or evidence for disease
or lesion of the somatosensory system causing the pain.
Regional, diffuse pain distribution
Pain persisting longer than typical for an associated
condition (e.g. >3months)
Vague, dull
Disproportionate aggravating and easing factors
3
