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What DOES correlate with pain?
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What DOES correlate with pain? - July 4, 2007 4:21:20 PM
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allenbr4
Posts: 19
Joined: February 14, 2007
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I've seen a number of posts shooting down outdated notions about what correlates with pain in patients--obesity, abdominal strength (or any muscle testing in isolation), spinal curves, "core stability", TA function, etc.
While this all makes sense, I'm left wondering what does truly correlate with pain? Do we just try to alleviate pain when it comes on? Or are there any accurate predictors?
Thanks!
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RE: What DOES correlate with pain? - July 5, 2007 1:20:50 PM
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Dr.Wagner
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Joined: January 24, 2003
From: Indianapolis
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You are asking a complex question as "pain" is subjective. It is safe to say Fractures correlate with pain...but once again, this is subjective. Clearly healthy living and exercise may be a preventetive measure in the avoidance of disease, morbidity and obesity...but pain is relative.
_____________________________
Dr. Wagner DO
Moderator of Medical Complexity Forum
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RE: What DOES correlate with pain? - July 5, 2007 8:19:09 PM
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ginger
Posts: 665
Joined: February 26, 2005
From: Melbourne Victoria
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Positive corelations with pain that are well documented are few, as mentioned by Dr wagner, many tramatic evenets may not be painfull , depending on the severity, location , and other factors inherent in the psycho/neural/somatic pathways associated with pain. I use (reported ) pain associated with the hypomobility and resistance present in facet joints as a useful guide for progress and assessment of spinal joint function . I find that there is a certainty to pain being felt when overpressures are met with resistance by increased tone around facet joints. I aslo find that the report of pain lessens incrementaly as tone decreases and movement improves. So I can say with confidenece , that in my experiences with spinal treatments , that pain has a positive corelationship with facet hypomobility, when overpressures are exerted during manual mobilisation treatments and assessments. That is not to say the person with a spinal condition requiring such treatment will report pain without such overpressures, often they will not.
The essential feature of humankind in its vast array of situations , presentations and individual differences make it a very difficult task indeed to have a one to one relationship between reports of pain and any single phenomenon, apart from perhaps , grief or a tax audit.
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