PAIN

PAIN
An unpleasant localised sensation that can range from mild discomfort to sever agony. Mostly, pain results from stimulation of special sensory nerve receptors in the skin or within the body by tissue injury or disease or by stretching or spasm of muscle. The sensation of pain has the important role of drawing attention to the fact that something is wrong forcing the sufferer to look for and correct the cause. Usually the scene, nature and intensity of pain offer an indication of its cause and importance. The perception of pain varies, both between people and in the same person at the different times.
refered pain is observed in areas other than the damaged part of the body. Phantom pain feels as if it comes from a limb or part that has been amputated,because that is the way the brain interprets impulses from nerves in the stump.
Some common particular pain syndromes ;
Neck and shoulder
 acute cervical sprain :
 Pain and stiffness over neck and upper thoracic vertebrae , often first noticed when rising in the morning.
 Physical Evaluation :
 Pain with tilting head.
 Muscle spasm often palpable.
 cervical radiculopathy :
 Pain and stiffness of cervical spine, usually with radiation to upper back and arm. Occasionally manifests solely as  pain between spine and scapula.
 Physical Evaluation :
 Radicular symptoms can be reproduced with manipulation of cervical spine.
 impingement syndrome :
 Pain inferior to acromioclavicular joint.
 Physical Evaluation : 
 Tenderness inferior to acromioclavicular joint.
 Pain with passively raising should while preventing, shrugging.
 rotator cuff tear :
 Pain similar to impingement syndrome. Occurs after injury in younger patients, often spontaneous in older patients.
 Physical Evaluation : 
 Weakness in abduction.
 Patient resists downward force to an internally rotated,anteriorly stretched arm.
Elbow
 lateral and medial epicondylitis :
 Pain over tendon insertion on medial and lateral epicondyl.
 Physical Evaluation : 
 Tenderness at site of pain.
 Exacerbated with wrist flexion(medial) or extension(lateral).
 olecranon bursitis :
 Pain over olecranon bursa.
 Physical Evaluation : 
 Tenderness and swelling over the olecrenon bursa.
Hand
 dequervain tenosynovitis :
 Pain at the lateral base of the thumb.
 Physical Evaluation : 
 Worse with pincer grasp.
 Positive ulnar deviation of wrist with fingers curled over thumb.
Hip
 trochanter burritos :
 Pain over bursa, often feels when lying on area at night.
 Physical Evaluation : 
 Tenderness over bursa.
 meralgia paresthetica :
 Pain or numbness over lateral thigh, often after weight gain or loss.
 Physical Evaluation : 
 Neuropathic type pain.
 Abnormal sensation over lateral femoral cutaneous nerve distribution.
Knee
 patellofemoral syndrome :
 Anterior knee pain, often worse climbing or descending stairs.
 Physical Evaluation : 
 Crepitus beneath patella.
 meniscal and ligamentous injuries :
 Ligament injuries tend to be traumatic, associated with the knee giving way. Meniscal injuries may be traumatic or degenerative. Knee locking is classic.
 Physical Evaluation : 
 Ligament injuries will manifest as laxity on exam.
 Meniscal injuries as a click.
Foot and ankle 
 Achilles tendonitis :
 Pain over distal tendon and stiffness worse after inactivity.
 Physical Evaluation : 
 Tenderness over insertion of tendon.
 plantar fascists :
 Pain anterior to heel, worse with first standing.
 Physical Evaluation : 
 Usually heel spur.
 morton neuroma :
 Pain between the second and third or  fourth metatarsal heads.
 Physical Evaluation : 
 Tenderness at the area of pain.
Polyperiarticular 
 fibromyalgia :
 Diffuse pain syndrome often nonrestorative sleep.
 Physical Evaluation : 
 Tenderness at 11 or more specific locations.
 polymyalgia rheumatica :
 Pain and disability of large muscles of should and hips.
 Physical Evaluation : 
 Disease is often associated with signs of inflammatory disease,anemia,raised c-reactive protein and erythrocyte sedimentation rate.
 The syndromes of Pain may effectively be overcome through SuJok which itself is a new stage in the development of Oriental medicine. Highly effective for treatment, easy and accessible to learn, simple to apply, SuJok methods have attracted much attention to and interest in this system.  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, preinfarctions, 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 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 patient’s cure quicker.
 Therefore, application of SuJok therapy in combination with color, seeds,  byol magnets or therapy with acupuncture in miniature form of hands or feet allows to enhance the effectiveness of traditional therapies and get longer remission periods in pain syndromes.
 your smile thought; originsmile.wordpress.com ‘Dr.Dinesh kapur’
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