Contributing mechanisms to pain state

Some general guides for interpretation of a comprehensive assessment, with regard to identifying contributions to a pain state from nociceptive and non‐nociceptive domains.

This is not a black and white process so much as a systematic way to assess and interpret your assessment in light of the wider clinical picture

Patterns are consistent with contribution of biological mechanisms (primary nociceptive, nerve root (also dorsal root ganglion‐evoked nociceptive discharge), peripheral neuropathic and central nervous system, immune, autonomic and endocrine contributions).

Psychosocial contributions clearly have their effect on the CNS but are not biological contributions. PCS = Pain catastrophising scale; PKQr = Revised pain knowledge questionnaire; FABQ = Fear avoidance beliefs questionnaire.

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contributing mechanisms to pain flow chart

Some general guides for interpretation of a comprehensive assessment, with regard to identifying contributions to a pain state from nociceptive and non‐nociceptive domains. Patterns are consistent with contribution of biological mechanisms (primary nociceptive, nerve root (also dorsal root ganglion‐evoked nociceptive discharge), peripheral neuropathic and central nervous system, immune, autonomic and endocrine contributions). Psychosocial contributions clearly have their effect on the CNS but are not biological contributions. PCS = Pain catastrophising scale; PKQr = Revised pain knowledge questionnaire; FABQ = Fear avoidance beliefs questionnaire.

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