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             Pain is more that a physical hurt, it can cause fear and emotional suffering.  The experience of pain is a very personal one, it is different for each individual.  Pain is very difficult to define, and it is one of those conditions that is poorly understood by medical science.  One person might report an experience of pain that is characterized by unbearable physical pain, while another individual reports one that is unbearable emotional pain that is no less excruciating.  One person's report may have to do with a urgent medical condition, while another person might be complaining of the pain of missing a loved one.

          Pain sensors.  Pain sensors connect us to the outside world.  They tells us that we are in danger or that we have been harmed.  People with repressed, or absent pain sensors tend to suffer great injuries.  Life is not a very comfortable experience for them. 

          The function of pain is protective it aids in the healing process.  When we an injury, for instance, the accompanying sensation of pain causes us to protect it until the pain goes away.  When an underlying condition is causing the pain then it becomes necessary to treat the condition to eliminate the pain.  Sometimes pain sensors ago awry and the pain continues even after healing.  The problem with intractable pain is that it is difficult to treat and more importantly, it gets in the way of the ability to get on with life. 

          The patient's description of pain is essential to the doctor's ability to diagnose. 

          What Does Your Pain Feel Like?

          Below is a list of words that might describe your present pain. Use this list in conjunction with an Anatomical Chart  to describe your pain. Also include in such descriptions the Intensity and Duration of your pain, see below for rating scales.

Click here to go to Pain Map below

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Flickering   Jumping    Pricking    Sharp  
Quivering    Flashing    Boring    Cutting  
Pulsing   Shooting   Drilling    Lacerating  
Throbbing   Electric like   Stabbing     
Pinching   Tugging   Hot   Tingling  
Pressing   Pulling   Burning   Itchy  
Gnawing   Wrenching    Scalding    Smarting  
Cramping   Searing   Stinging   
Dull   Tender   Tiring   Sickening  
Sore   Taut   Exhausting   Suffocating  
Hurting    Rasping      
Aching    Splitting      
Fearful    Punishing   Wretched   Annoying  
Frightening   Grueling   Blinding   Troublesome  
Terrifying   Cruel   Miserable    
  Vicious   Intense    
  Killing   Unbearable    
Spreading   Tight    Cool   Nagging   
Radiating   Numb   Cold   Nauseating  
Penetrating   Drawing   Freezing   Agonizing   
Piercing   Squeezing   Dreadful  
Tearing   Torturing  

Intensity Ratings
1. Mild - but does not interfere with activities.
5. Moderate - present and interferes with activities but not disabling.
10. Severe - disabling. Unable to function.

Instructions -- Pain Analysis And Mapping 
1. Refer to an Anatomical Chart, list each different location of your pain.
2. For each location, indicate the date on which you first noticed the pain.
3. Pain description.  Use the list above to describe what your pain feels like.
4. Pain intensity. Use the intensity ratings scale above to rate your pain. 
5. Overall interference of pain with life: 
Work  School  Social Activities
Childcare  Relationships Sports and Exercise
Sex Household responsibilities Other
Refer to the intensity ratings scale above to rate this category. 
6. Describe things that increase your pain such as physical activities.
7. Describe things that decrease your pain, such as lying down, heating pad, medication, etc. 
source:  Kresch Pain Map & Analysis

American Chronic Pain Association -- P.O. Box 850, Rocklin, CA. 95677  916-632-0922.   Information, referrals  and support groups
 The Chronic Pain page on the Health Communication Resources site at Emerson College/Tufts University School of  Medicine has a comprehensive section on chronic pain that provides useful short descriptions and links to relevant Internet sites in the areas of disease awareness campaigns, support for patients, facts and research, organizations, and publications. url:  http://www.emerson.edu/
Bill Levinger, M.D.- Pain Management, 10 years in Family Practice and E.R. Medicine, and then Anesthesia training and Board Certification. 780 S. 14th St, Boise, ID 83702, Telephone: 208- 880-6058
Dr. H. Hooshmand, M.D., Neurological Assoc Pain Management Ctr and Assoc, 1255 37th Street, Suite B, Vero Beach, Florida 32960 - Speciality  Chronic Pain, and Lightning Strike and Electric Shock injuries - Phone: 772-770-9339 - Fax: 772-770-5660 - url: http://www.rsdrx.com/electrical_injuries.htm
Center for Neurology, Behavioral Neurology and Pain Management d.b.a. SHCC -- 
email:  info@siddiqui.neurohub.net -- url: http://siddiqui.neurohub.net/welcome.html
Pain Control, on the Healthtouch site provides the complete text of  lay education publications from the National  Institute of Neurological Diseases and Stroke on topics related to chronic pain, cancer pain treatment, pain control after surgery,  headaches and migraines, and back pain. url:  http://www.healthtouch.com/
Headache -- Information on and links to resources -- url:  http://www.headinjury.com/linksha.htm 
Vision --  Information on and links to resources -- url:   http://www.headinjury.com/vision.htm 

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