This type of PAIN means .....

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So much literature including posts on PA end with "and determine if the pain is sharp, dull, ......".
I would greatly appreciate a reference (or more) to enlighten me on what the differently perceived 'pains' indicate.
Thanks to all the PA contributors and all the best for the rest of your lives (not just 2011), mark

 

Mark, as I recall Maitland gives a very nice description of the different "pains" in:
http://www.amazon.co.uk/Maitlands-Peripheral-Manipulation-4th-Edn/dp/0750655984

Here's an historical:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2056645/pdf/brmedj03870-0003.pdf

 

I've had discussions with more than one classic Plantar Fasciitis patient where in the history I used the term "Ache" and had them respond immediately. "OH it's not like a TOOTH ACHE".
Amazing how one descriptive term can be linked to one condition.

Peter Grover Greaves

 

Just read the Ganado (BMJ 1945) article, thankyou.
Is 'radiation' of deep tissue injury pain as potentially misleading in the lower limb as it appears to be in the trunk?

 

Mark,

I went through a phase a few years ago of being fascinated by pain and our perception of it, and the book I found which enlightened me the most was Explain Pain by Butler and Moseley. (It seems very difficult to source for a reasonable price nowadays I'm afraid). I also regularly looked at David Butlers blog, but he didn't seem to keep it up unfortunately.

IG

 

You have to be careful with describing pain as one person's stab may be another person's ache. Things get even more difficult when there is a translator involved. I once had a patient who was mute with his father as translator in sign. I got that it hurt in certain places where I touched him, but I had a hard time getting how much it hurt. I once had a spanish speaking patient who the translator related that symptom she was having felt like water running down my leg. I took that to mean a radiating tingling pain, but I'm still not sure. I'm much happier if they can tell me when and where the pain is.

Eric

 

Dear Eric
That Spanish patient's explanation of 'water running down inside of my leg' is not such an uncommon sensation in patients with moderately severe canal stenosis.
Regards in legs11
Paul Conneely