Research Paper on Pain Management


                                                         HEALING TOUCH ACUPRESSURE

RESEARCH PAPER;PAIN MANAGEMENT

REFERRED BY;MR. S.C. SHARMA

PRESENTED BY: MR  VINAY GUPTA

Q.1)WHAT IS PAIN? 

Ans.Pain is the major&common problem for whose a patient comes to you,whether it is cervical pain,lumbar pain,sciatica pain,knee pain,abdominal pain or any type of problem you will see 80%of people suffered from a pain.                                                                                                                                  Pain as a chapter or as a topic we define pain as an unpleasant feeling which is important for us as likewise fever who alarms us that something unusual happening inside our body.Another example under pain is if a pin hurts you the immediate reaction is to far away the hand from the pin.This symptom guides you to survive by giving alarm that something is hurting you.Pain can be physical or emotionally.

[EMOTIONAL PAIN ACUPRESSURE TREATMENT: P6 TONE]


Q.2)HOW WE GET THE SENSATION OF PAIN?

Ans.There are different types of sense receptors in our body which gives us sense of pain.Fot example there are receptors for heat sensation,receptor for touch sensation,receptor for pressure sensation these all give sensation of pain.                                                                                                                            A practical example is that if there is excess heat in body&creates pain and there is too much pressure if we apply on body it gives severe pain.                                                                                                       Nerve endings in the body are the receptors of pain sensation to understand the stimuli with the body.For example if i touch something who gives sensation of touch,it is done by the nerve endings in the hands who takes stimuli of touch brings to the spine and then to the brain at micro seconds. 

https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/sensory-nerve-ending

(Link for diagram of Nerve Endings)

    TWO PARTS OF BRAIN WHO ARE ANALYSIS THE PAIN : THALAMUS+CEREBAL CORTEX 

      Nociceptor are the sensory receptors who gives sensation of pain to us.

      A nociceptor ("pain receptor" from Latin nocere 'to harm or hurt') is a sensory neuron that responds to damaging or potentially damaging stimuli by sending "possible threat" signals[1][2][3] to the spinal cord and the brain. The brain creates the sensation of pain to direct attention to the body part, so the threat can be mitigated; this process is called nociception.

(LINK FOR DIAGRAMS):

https://www.dovepress.com/nociceptors-their-role-in-bodys-defenses-tissue-specific-variations-an-peer-reviewed-fulltext-article-JPR

      These nociceptors are found in skin,muscles,tissues,joints&also deep inside in the body in the scattered form.These nociceptors from the *Afferent Nerve fiber take the impulse to the spine(specially to the dorsal horn or prosterior horn)goes to spine and then moving up through a pathway called "spinothalamic  tract"&through this tract goes to THALAMUS.After going to the THALAMUS it goes to the cortex.

                                                          FLOWCHART REPRESENTATION 
                                                                        
                                                                    FIRST GOES TO SPINE
                                                                                |
                                                              FROM SPINE GOES TO *THALAMUS
                                                                                |
                                                                THALAMUS TO *CORTEX
                                                                                |
                                                               COMES BACK TO THE AREA
(*Thalamus and Cortex  together analysis the affected area with the intensity of pain).

There are different types of RECEPTORS IN BODY
  • FREE NERVE ENDINGS: Free nerve endings are unencapsulated and have no complex sensory structures.They are the most common type of nerve ending,and are most frequently found in the dermis around the base of hair follicles and close to the  surface of the skin(epidermis)where the hair emerges from the skin..These are also called as Pain Receptors  
https://en.wikipedia.org/wiki/Free_nerve_ending
  
(Link of Diagram of Free Nerve ending)
  • ENCAPSULATED NERVE ENDING:Encapsulated nerve endings have brush borders that increase the specificity of nerve impulse transmission.They can also be fluid-filled sacs that can form encapsulations. Ruffini endings and Meissner's corpuscles are mechanoreceptors that contain encapsulated nerve endings.
https://slideplayer.com/slide/15159322/ 

(Link for Diagram of Encapsulated Nerve Endings)
  • SENSORY CELL:Sensory receptors are present throughout the body externally as well as in the internal organs. Sensory receptors detect changes in the internal as well as external environment.

    Sensory receptors comprise specialised cells close to neurons or neuron endings, which are a part of the afferent neurons and send signals to the central nervous system and brain for processing and integration.

    Sensory receptors along with certain specialsed cells form sense organs. We all are familiar with our five main senses, i.e. hearing, taste, sight, touch and smell but we also perceive many other signals such as pain, pressure, temperature, balance, muscle tens etc.

https://www.dreamstime.com/illustration/sensory-receptors-human-skin.html

(Link for Diagram of Sensory Receptors)
  • PERIPHERAL PROCESSES:Your peripheral nervous system (PNS) is one of two main parts of your body’s nervous system. Your PNS feeds information into your brain from most of your senses. It carries signals that allow you to move your muscles. Your PNS also delivers signals that your brain uses to control vital, unconscious processes like your heartbeat and breathing.
https://www.brainkart.com/article/Afferent-Neurons_18903/

(Diagram of Peripheral Processes Link)

There are different types of STIMULUS OF PAIN/CAUSAL AGENTS OF PAIN:

1.STIMULI FOR PAIN:
  • MECHANICAL
  • THERMAL(Temperature)
  • CHEMICAL:There are different types of chemicals produced by nerve endings:
1.ACETYLCHOLINE
2.HESTAMINE
3.PROSTAGLADIN

Q.3)WHAT ARE THE DIFFERENT TYPES OF PAIN?

Ans. In natural there are two types of pain one is physical and second is mentally.
In biology there are also 2 types of Pain:

1.FAST PAIN: When the body get stimuli fast at an injury in body it is called fast pain.For example a cut or burn or electrical pain  in hand it is called FAST PAIN.

2.DULL PAIN/SLOW PAIN:When the body responds to pain very slow it is called Slow pain.For example:HEADACHE,NECK PAIN(CERVICAL SPONDYLITIS,KNEE PAIN,PAIN IN HEART,ABDOMINAL PAIN,PAIN AT A LIVER LOBE DUE TO CYSIT.  are all dull pain.
    These differences in pain is due to the type of wire who carries the stimulus.As for example the wire of internet connection is not used for electrical supply.

Q.4)HOW A PERSON MANAGES THE PAIN OR HUMAN BODY?

Ans.There is a fantastic body system of body to manage pain it is called "ANALGESIC SYSTEM OF BODY".It is the  managing pain system of the body.The CENTRAL NERVOUS SYSTEM is the part of the human body who manages the pain in the body.There are basically there parts responsible for Managing the pain:
    
1.PERIAQUEDUCTAL GRAY:       ]    (BOTH PRESENT  IN Mid Brain)
2.PERI VENTRICULAR NUCLEI   ]        [*Mesencephalon]

(*Mesen means Middle&Phalon means Brain).

3.RAPHE MAGNUS NUCLEUS:This part of the brain present in (Pons+Medulla)

4.PAIN INHIBITORY COMPLEX:This is present at Dorsal horn of Spinal cord)
These are all present at the back part of the brain including mid brain,spinal cord, pons and medulla are responsible for pain management in body.

Q.4)WHAT IS REFERRED PAIN?

Ans.If you getting hurt at certain part of the body for example your finger getting hurt&you start crying&in addition you also get a head pain due to it.If the area of pain is different from the area which is getting hurt that pain is called REFERRED PAIN.Most common example is Heart Attack or pain in heart someone says that its pain gets to left arm especially to the midile side.This type of pain is called REFERRED PAIN.This pain is due to a connection between the original pain with the other felt pain area.
             For EXAMPLE TAKE FROM ACUPRESSURE:Take LEFT HAND SMALL FINGER

1. AYURVEDIC ACUPRESSURE:This finger relates with Vayu element with Heart&Small Intestine&Denotes Right hand correspondence.

RIGHT HAND SMALL FINGER:Related to Akash element Lungs&Large Intestine and accordance to correspondence this right hand small finger is your left arm.

2.ACCORDANCE TO INSECT CORRESPONDENCE OF  RIGHT HAND SMALL FINGER:
Upper phalange: Face,Middle phalange:Chest& Lower phalange:Abdomen


Referred SOURCES:

    https://youtu.be/K09HZEVnxlI

Mrs CHANCHAL AGGARWAL 
ASPESUS  teacher&Therapist. 
Google for information 


     Associated  with
Mr.S.C.SHARMA
Therapist
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VINAY GUPTA
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