Pain and the Brain: How Pain Alters the Brain and How Perception Shapes Pain
paintom
Pain & the Brain: How Pain Alters the Brain, & How Perception Shapes Pain
Outline There is strong and convincing evidence that specific brain properties contribute to the risk of developing chronic pain and that the transition to chronic pain involves brain adaptations that, to a large part, construct and mold the state of chronic pain. Psychological and personality factors, socioeconomic status, and brain properties all contribute to chronic pain.
Human neuroimaging studies and complementary animal experiments now identify the gross elements of the brain involved in the chronification of pain. The emotional brain (i.e., the corticolimbic system) plays an important role in the modulation of acute pain and in the prediction and amplification of chronic pain.
The interrelationship between patient-reported outcomes (PROs)and pain ratings, especially in the clinical setting, remains minimally explored. Early work within this purview demonstrates surprising relationships between personality, pain ratings, and clinical pain states.
Desirable Physician Attributes Patient Care [ACGME/ABMS & IOM] Provide care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health Medical Knowledge [ACGME/ABMS] about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care Employ Evidence-based Practice [IOM] Integrate best research with clinical expertise and patient values for optimum care and participate in learning and research activities to the extent feasible
