Hi all, again here I am, for those readers who are in the middle of a crisis I send a soft hug with my love and my support and for those who have already overcome their fibro crisis, I congratulate them and I am glad that they have won a battle more.
Today I’m going to talk about pain, Moni again 
? yes, but with a technical approach on the one hand but necessary to know it, and on the other hand, resorting to free explanations to digest this information (all medical terminology can get dizzy), I hope it will be useful.
First define the pain, according to the dictionary pain is a term that comes from Latin and that indicates an annoying, afflictive, and usually unpleasant in body or spirit. It can be, therefore, a sensory and objective experience (physical pain) or emotional and subjective (psychic pain). A medical definition of pain is a sensation triggered by the nervous system. The pain can be acute or dull. It can be intermittent or constant.
A lot of bibliography has been written about the types of pain, but today we distinguish two of them that in turn group other pain subtypes (I will refer to some later), one is spontaneous pain and two is the pain provoked ; the first is the one that the patient experiences without applying any stimulus or performing any type of maneuver, the second is the pain that appears in response to stimuli applied to a certain area or after performing a certain exploratory maneuver. (see IASP, international association for the study of pain in its acronym in English).
As I said there are many subtypes of pain but I will only focus on those that, until now, are related to fibromyalgia.
Types of pain in fibromyalgia.
- Hyperalgesia: Abnormal increase in painful sensation, that is, a normally painful stimulus is even more painful. For example, you tap your arm slightly but you feel as if the blow has been too strong than it actually was.Alodynia: It is the abnormal perception of pain, that is, a general painless stimulus becomes very painful; for example when you are going to take the tension with the tensiometer and this as you are doing pressure on your arm you are feeling the pain crescendo, under normal conditions this should not give you any pain or discomfort but the fibromyalgia itself.Paresthesia with pain or dysesthesia: The most frequent paresthesia is the tingling sensation that is felt when compressing a nerve, noticing a body area numb, painful paresthesia or dysesthesia is the abnormal sensation unpleasant (with pain), regardless of whether it is spontaneous or provoked. For example, this type of pain is felt when we “sleep” an arm as a result of staying for a long time lying on it and change the position we feel as if a bat of ants climbed the length of the arm, however we feel this tingling with pain as if on the legs of these ants they had fire.
Pungitive or pungent: As the name suggests, refers to the sensation that produces pain, as if it originated at the rate of some sharp object that puncture a part of our body; It is usually of variable intensity and not lasting over time. The pain of colon in the cases of irritable colon, is an example of this type of pain.
Pulsatile: Painful heartbeat, this type of pain is more common in cases of migraine (also present in a large number of patients with fibromyalgia), in the head you feel a rhythmic pain with the pulsation of the arteries, it is as if your heart is It will lodge in your head and with an intense pain respond to each beat it gives, in the case of migraine it can be disabling.
Fulgurante: pain of short duration but of great intensity, it feels as if a ray was discharged on you, this type of pain I have felt it at the beginning of my migraine, I feel as if a ray pierced my head, this indicates to me that it is of a migraine and not of a simple headache, then the pulsatile pain described above settles.
Urente: the one that is perceived as stinging, burning, burning or burning sensation. This emits a type of uncomfortable burning sensation that can become unbearable, the pain produced by cystitis is an example.
Colic: this pain is more recognized by women, is characterized by an abdominal pain that varies in intensity over time, from very intense, oppressive (cramping or writhing) to almost disappear, to increase intensity again. They can be menstrual or abdominal.
Oppressive or gravative: Sensation of pressure or weight. In fibromyalgia this type of pain is more annoying than intense, and most commonly occurs in the chest or shoulders, when it is in the chest this feeling is similar to someone sitting on your chest cutting or hindering your breathing When it is in the shoulders you feel as if you carry a weight in them and because of this they can give you some spasms.
Fuzzy: A diffuse pain is a pain difficult to locate because it is not clear and extends to different parts of the body. This type of pain is often a telltale sign of fibromyalgia. Fibromyalgia is difficult to diagnose because the patient does not always describe the pain he feels. In addition, blood tests and other tests usually do not reveal any abnormality.
Deaf: The one that without being very intense is insidious or continuous and, generally, it is difficult to describe or locate. In fibromyalgia is the constant and permanent pain sensation that we have to live with daily, this pain as a matter of habit is becoming “landscape”, that is, we take it with us always and try to make life despite its presence.
The list is endless but I think these roughly define the types of pain that patients suffer with Fibro, if you know the name of other types of pain please share it, so we can all make good use of their descriptions and complete the picture of types of pain.
