Pain


PAIN
Pain ; Physical pain is a common occurrence for many, one of the most common symptoms complained of by the patient. Apart from a thorough understanding of the diagnosis symptoms and signs, the nature and location of the pain must be observed thoroughly. Differentiation of nature of the pain is significant for deducing its etiology, while identification of the locality of the pain helps find diseased organs and meridians;
Acupuncture for Pain – is being studied for its efficacy in alleviating many kinds of pain. There are promising findings in most of the conditions. Pain is a feeling that triggered in the nervous system. It may be sharp or dull, off-and-on or steady, localized (such as back pain) or all over (such as muscle aches from the flu). Sometimes, pain alerts us to injuries and illnesses that need attention. Although pain usually goes away once the underlying problem is addressed, it can last for weeks, months, or even years. Chronic pain may be due to an ongoing condition (such as arthritis) or to abnormal activity in pain-sensing regions of the brain, or the cause may not be known.
Acupuncture has been studied for a range of pain conditions, such as postoperative dental pain, carpal tunnel syndrome, fibromyalgia, headache, low-back pain, menstrual cramps, myofascial pain, osteoarthritis, and tennis elbow and more. 
Nature of the pain;
Distending pain: Distending pain manifesting as severe distension, mild pain and moving from one place to another place, organ or place of the body is a typical sign of energy stagnation. It most of the time occurs in the chest, epigastric, hypochondriac and abdominal regions. But if having headache with a distending sensation in the head is due to up disturbance by fire and heat.
Pricking pain: Pricking pain, sharp  and fixed in place, a sign of stagnation of blood. It usually occurs in the chest, epigastric, hypochondriac and lower abdominal regions.
Weighty pain: It occurs with a heavy sensation in the body is a sign of damp blocking energy and blood, as damp is characterized by heaviness. It is often present in the head, four limbs and lumbar region.
Colicky pain: Colicky pain is a sign of abrupt obstruction of the energy by real pathogenic factors.
Pulling pain: Pulling pain which is considered to be spasmodic and short in duration often relates to the disorders of the liver. It is normally caused by the meridian liver.
Burning pain: Pain with a burning sensation and preference for coolness often occurs in the hypochondriac regions on both sides and epigastric region. It results from invasion of the collaterals by pathogenic fire and heat or from excessive yang heat due to yin deficiency.
Cold pain: Such pain with a cold sensation and preference for warmth often occurs in the head, lumbar, epigastric and abdominal regions. It is caused by pathogenic cold blocking the collaterals or lack of warmth and nourishment in the Yin-Yang organs and meridians due to deficiency of yang energy.
Dull pain: Such pains are not so severe. It is considered to  be bearable lingering and may last for a long time. It is usually present in cold syndromes of deficiency type.
Hollow pain: Pain with a hollow sensation is caused by deficiency of blood leading to emptiness of vessels and retardation of blood circulation.
Neuropathic: Pain caused by damage to or malfunction of the nerves themselves. The peripheral nerve system includes all the nerves that lead to and from the spinal cord. These nerves send pain signals to the brain. If they’re injured, neuropathic pain may develop—pain caused by injury to the nerves themselves.
Nociceptive: Nociceptors are the receptors in the nervous system that get activated when there’s an injury. If there isn’t an injury from outside the nervous system, the nociceptors aren’t active. Nociceptive pain, then, is pain caused by an injury to something other than the nerves. In chronic pain, though, the nociceptors may still be sending pain messages long after the original injury has healed. The various types of chronic nociceptive pain are:
Somatic – Soma means “body,” so somatic pain comes from injuries to the outer body—skin, muscles, ligaments, tendons, joints, bones, etc. It’s generally easy to find where somatic pain comes from, and the pain can be sharp or throbbing (depends on what part of your body is injured).
Bone pain is a somatic pain. Bones can ache. If the bones have been weakened by another condition, such as cancer or osteoporosis, then you can have a very achy and very intense dull pain. Bone pain can also be acute: if you break a bone, such as, that is acute pain. If the bone heals but you still have a throbbing pain (it may be constant or it may come and go), that can be considered chronic bone pain. Muscle pain is a somatic pain. Chronic muscle pain is more than a strained muscle. Your muscles may have a chronic muscle spasm that causes them to be tense. This form of muscle overload can cause long-lasting pain, especially in the back. Muscle pain can also develop as part of certain chronic conditions, such as fibromyalgia.
Visceral – viscera are internal organs—specifically those contained in abdomen and chest cavity. The stomach is an example of a visceral organ. Not every organ has nociceptors, so not every internal organ can send pain messages if it’s been injured (the lungs, such as, don’t have nociceptors).
  However, if you injure an organ that has nociceptors, you will probably feel a deep, achy pain, and it will be hard to pinpoint where the pain is coming from. Visceral pain can also have referred pain. That means that the brain can’t distinguish the pain from the organ from pain from another part of your body. For example, if you have a kidney problem, your low back may be painful.
 Figuring out what type of chronic pain you have may be a difficult process, especially since many types of chronic pain may not come from any noticeable injury or disease. Also, since pain is such a subjective experience, you must be thorough in describing your pain to the doctor. Working together, you and the doctor can figure out the best way to deal with your chronic pain.
Chronic pain falls into a couple of broad categories. These categories help doctors treat the pain because every type must be approached and treated differently. The generally accepted forms of chronic pain are: neuropathic pain: Pain caused by damage to or malfunction of the nerves themselves. nociceptive pain: Nociceptors are the receptors in the nervous system that get activated when there’s an injury. If there isn’t an injury from outside the nervous system, the nociceptors aren’t active. Nociceptive pain, then, is pain caused by an injury to something other than the nerves. In chronic pain, though, the nociceptors may still be sending pain messages long after the original injury has healed.
 However, if you injure an organ that has nociceptors, you will probably feel a deep, achy pain, and it will be hard to pinpoint where the pain is coming from. Visceral pain can also have referred pain. That means that the brain can’t distinguish the pain from the organ from pain from another part of your body. For example, if you have a kidney problem, your low back may be painful.
Figuring out what type of chronic pain you have may be a difficult process, especially since many types of chronic pain may not come from any noticeable injury or disease. Also, since pain is such a subjective experience, you must be thorough in describing your pain to the doctor. Working together, you and the doctor can figure out the best way to deal with your chronic pain.
Pain is a very subjective experience, though, so we can’t say something as categorical as “All chronic pain patients will feel this way.” It is possible to say that chronic pain takes on many forms. It can be: throbbing, aching, shooting, electric, burning, sharp, feeling stiff, feeling tight, feeling sore 
Chronic pain can lead to other problems, especially social and emotional ones. Chronic pain may: lead to sleeplessness, drain you of energy, lead to depression, make you not want to do activities you typically enjoy, weaken your immune system because so much of your body’s energy is spent dealing with the pain.  A lot of these other problems build off each other, so you may hear the phrase “vicious cycle” when talking about chronic pain. For example: The pain makes it difficult to sleep at night, so you’re excessively tired the next day. You don’t want to go to work—or do anything else—because you’re so tired. Because you aren’t as active, you lose self-esteem and start to withdraw even more from your social life.
Locality of the pain:
Headache: Head is the meeting place of all the yang meridians and brain is the sea of marrow. Energy and blood of all organs go up into the head. If the pathogenic factors invade the head and block the clear yang, or if stagnation of energy and blood in endogenous diseases blocks the meridians and deprives the brain of the nourishment, headache will ensure. In case of deficiency of energy and blood, head fails to be nourished, and the sea of marrow becomes empty; headache due to this is of deficiency type. Headache due to disturbance of the clear yang by the pathogenic factor is mostly of excess type.
Chest pain: As the heart and lung resides in the chest, chest pain indicates the pathological changes of the heart and lung.
Hypochondriac pain: The hypochondriac region is traversed by the liver and gallbladder meridians. Obstruction or undernourishment of these meridians may produce hypochondriac pain.
Epigastric pain: Epigastric refers to the upper abdomen in which the stomach situated. It is divided into three regions,namely upper,middle and lower. Epigastric pain may result from invasion of the stomach by pathogenic cold,retention of food in the stomach or invasion of the stomach by the liver energy.
Abdominal pain: Abdomen is divided into upper abdomen, lower and sides of the lower abdomen. The upper abdomen refers to the areas above the umbilicus and pertains to the spleen. The area below the umbilicus is the lower abdomen and pertains to the kidney, bladder and large-small intestines and uterus. Both sides of the lower abdomen is traversed by the Liver meridian.
Abdominal pain caused by retention of cold, accumulation of heat, stagnation of energy, blood, retention of food or parasitic diseases is excess , while that caused by deficiency of energy, blood or deficiency of cold is deficiency in nature.
Lumbago: The kidney resides the lumbar region. Lumbago may result from obstruction of the meridians in the local area, besides deficiency of the kidney failing to nourish the lumbar region is often the cause.
Pain in the four limbs: Pain in the four limbs may involve joints, muscles or meridians. It is caused by retardation of energy and blood circulation due to invasion of the exogenous pathogenic factors.
Generally, persistent pain in a recent disease or pain which is aggravated by pressure indicates syndromes of excess type. Intermittent pain in a prolonged illness or pain which is alleviated by pressure often occurs in syndromes of deficiency type.
PAIN – one  shouldn’t ignore
No one wants it, yet it’s the body’s way of getting the attention when something is wrong:
Worst headache Get medical attention immediately. “If having cold, it could be a sinus headache. But possibility of having brain hemorrhage or brain tumor. With any pain, unless you’re sure of what caused it, get it checked out.”
Pain or Discomfort in the Chest, Throat, Jaw, Shoulder, Arm, or Abdomen
Chest pain could be pneumonia or a heart attack. But be aware that heart conditions typically appear as discomfort, not pain. “Don’t wait for pain. “Heart patients talk about pressure. They’ll clinch their fist and put it over their chest or say it’s like an elephant sitting on their chest.” The discomfort associated with heart disease could also be in the upper chest, throat, jaw, left shoulder or arm, or abdomen and might be accompanied by nausea.
Pain in Lower Back or Between Shoulder Blades “Most often its arthritis,” Other possibilities include a heart attack or abdominal problems. “One danger is aortic dissection, which can appear as either a nagging or sudden pain. People who are at risk have conditions that can change the integrity of the vessel wall. These would include high blood pressure, a history of circulation problems, smoking, and diabetes.”
Severe Abdominal Pain, Still have your appendix? Don’t flirt with the possibility of a rupture. Gallbladder and pancreas problems, stomach ulcers, and intestinal blockages are some other possible causes of abdominal pain that need attention.
Calf Pain One of the lesser known dangers is deep vein thrombosis(DVT),a blood clot that can occur in the leg’s deep veins,and it can be life-threatening. “The danger is that a piece of the clot could break loose and cause pulmonary embolism[a clot in the lungs]. Sometimes there’s just swelling without pain,”If you have swelling and pain in your calf muscles, see a doctor immediately.”
Burning Feet or Legs  “In some people who don’t know they have diabetes, peripheral neuropathy could be one of the first signs,”It’s a burning or pins-and-needles sensation in the feet or legs that can show nerve damage.”
Vague, Combined, or Medically Unexplained Pains”Various painful, physical symptoms are common in depression,”Patients will have vague complaints of headaches, abdominal pain, or limb pain, sometimes in combination.”
There’s more to depression than deterioration of the quality of life. “It has to be treated aggressively before it causes structural changes in the brain.”
SuJok acupuncture is a new stage in the development of Oriental medicine. Highly effective for treatment, easy and accessible to diagnose, simple to apply. SuJok methods have attracted much attention to and interest in this system in Russia, one of the important features of this system. That is, the fast-coming effect of the method. SuJok therapy extremely quickly arrests pain syndromes of various etiology. Moreover, there has been gathered a much bulk of observations that the SuJok method quickly copes with critical states – shocks, pre infarctions, preinsults. Under such extreme conditions, needling was not always used. It was enough to massage correspondence points for a victim to become conscious or to remove intolerable pain.  Since the SuJok method has a fast effect, the rate of pain-killing was studied during the treatment session. Within different time periods since the beginning of the session, the patient assessed the percentage of decrease of his pain sensations as compared with the first state which was accepted as 100%.  A fast and effective removal of the pain syndrome makes the treatment period shorter and the patients cure quicker.
One must opt for acupuncture SuJok. The beauty of acupuncture ‘SuJok’ is that each treatment is catered to the needs of an individual patient. Acupuncture’s energy concept on the hand is chosen for the overall well-being with the aim of increasing circulation of the blood and vital energy.
Undoubtedly, one may get positive results in pain syndromes, through the energy concept of acupuncture ‘SuJok’.
write; originsmile.wordpress.com ‘Dr.Dinesh kapur
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