What is non-organic symptoms?
Non-organic symptoms and signs are not lie-detectors, but observations of normal human behavior in illness. They do not necessarily mean that the patient is acting, faking or malingering. Most illness behavior occurs in pain patients who have no claim for compensation or any question of secondary gain.
What is a non-organic pain behavior?
Tenderness—superficial, nonanatomic, or both: Tenderness to superficial light touch that would not normally result in pain is a nonorganic finding. Similarly, tenderness over an area that does not have an anatomical basis, such as a dermatome or specific nerve distribution, is a positive Waddell sign.
What is non-organic in medical terms?
A non-organic disease is typically referred to as being functional, meaning that there are symptoms of illness but no clear measures by which to make a diagnosis. In the past, functional disorders were largely considered psychosomatic.
What is organic pain?
Organic pain beliefs cause patients to perceive pain as a noxious and uncontrollable condition that is associated with a catastrophising effect, which may affect functional disability.
Does positive Waddell test mean?
A common method of testing for exaggeration of faking is the use of Waddell's signs. These signs include: Positive Waddell's sign for tenderness- if there is deep tenderness over a wide area, that is a positive sign. Stimulation – downward pressure on the head causes low back pain is a positive sign.
What is organic low back pain?
Organic pain can be caused by disease, such as spinal cancer or aortic aneurism. Mechanical means the spine receives forces that damage tissues resulting in pain.
What is organic and non-organic?
What's the difference between organic and non-organic foods? The difference between organic and non-organic (conventional) food has to do with how food is produced. For example, organic foods like vegetables, fruit, eggs, milk and meat are produced without: Synthetic (human-made) pesticides, herbicides and fertilizers.
What is the difference between inorganic and non-organic?
The primary difference between organic vs. inorganic compounds is that organic compounds always contain carbon while most inorganic compounds do not contain carbon.
What does back pain Nos mean?
Not otherwise specified (NOS)
What is non organic headache?
Tension-type headache, the most common form of headache, is a nonspecific headache, which is not vascular or migrainous, and is not related to organic disease.
What are the types of pain?
The five most common types of pain are:Acute pain.Chronic pain.Neuropathic pain.Nociceptive pain.Radicular pain.
What is it called when you feel pain that isn't there?
This phenomenon is called psychogenic pain, and it occurs when your pain is related to underlying psychological, emotional, or behavioral factors.
What is meant by organic cause?
(ōr-gan'ik di-zēz') A disease with anatomic or pathophysiologic changes in some bodily tissue or organ, in contrast to a disorder of psychogenic origin.
What does functional pain mean?
Functional pain syndromes (FPS) characterize a subset of individuals who experience pain and related symptoms and disability without clear structural or disease etiology. In the pediatric population, FPS hold high clinical importance due to significant prevalence rates and potential to persist into adulthood.
What does non organic etiology mean?
While organic illnesses are characterized by physical and biochemical signs, non-organic disorders manifest only distressing experiences (as pains or anxiety) or undesirable behaviour (as abuse of alcohol)--phenomena that are inseparable from normal sensation, emotion, intentions and actions.
What referred pain examples?
Referred pain is when the pain you feel in one part of your body is actually caused by pain or injury in another part of your body. For example, an injured pancreas could be causing pain in your back, or a heart attack could be triggering pain in your jaw.
What is non-anatomic tenderness?
Non-anatomic tenderness This is deep tenderness over a wide area that crosses musculoskeletal
Why do I feel pain when I do a simulated test?
When you carry out a certain movement on formal examination, the patient reports pain. You then simulate the movement but it is not really taking place. If the patient still reports pain on the simulated test, this is due to expectation of pain rather than actual movement. The wording is important and you must avoid suggestion. You should ask, "What do you feel when I do that?" and not "Is that painful?"
What is the tenderness of the lumbar area?
Superficial tenderness The lumbar skin is tender to light pinch over a wide area. Nerve irritation can cause a local band of tenderness in the distribution of the posterior primary ramus, which is physical.
Is low back pain behavioral?
that they stay in the same plane (Fig. 10.10). There is no rotation taking place in the spine and any low back pain is behavioral. If the patient has nerve irritation, this test can produce nerve root pain, which is physical.
Does pain get worse after an exam?
your examination may already have made the pain worse. Remember that at this stage you are simply observing their pattern of response and behavior and must not overinterpret its possible cause.
Can axial loading cause lower back pain?
This often produces neck pain, which is physical, but to test the lower back you can then repeat the test on the shoulders. Low back pain on axial loading is surprisingly rare even in the presence of serious spinal pathology. If axial loading produces low back pain in a patient with ordinary backache or root pain, it is behavioral.
Can you localize physical tenderness?
You often cannot localize physical tenderness exactly but in most clinical practice you can usually find some kind of musculoskeletal pattern. Non-organic tenderness is widespread, spreading far beyond any musculoskeletal anatomy. It may be superficial or non-anatomic (Fig. 10.8).
Is pain real or organic?
The theoretical background is in accordance with Freud's statement about the real versus the intrapsychic origin of a perception: A perception (in our case, a pain) is real (of organic origin) if it can be made to disappear (to change in intensity and/or quality) by means of a motoric action of the subject (i.e. of the patient).
Is pain organic or psychogenic?
The differentiation between the organic and psychogenic origin of pain is often difficult to establish. One helpful characteristic for the detection of the organicity of a pain syndrome is its consistent change in intensity and/or quality as a function of the motoric behavior of the patient, which can be assessed while taking the history. This observation is illustrated by means of four clinical vignettes. The theoretical background is in accordance with Freud's statement about the real versus the intrapsychic origin of a perception: A perception (in our case, a pain) is real (of organic origin) if it can be made to disappear (to change in intensity and/or quality) by means of a motoric action of the subject (i.e. of the patient).
What is neuropathic pain?
Neuropathic pain results from damage to or dysfunction of your nervous system. This results in damaged or dysfunctional nerves misfiring pain signals. This pain seems to come out of nowhere, rather than in response to any specific injury.
What is the sensation of pain?
The sensation of pain involves communication between your nerves, spinal cord, and brain. There are different types of pain, depending on the underlying cause.
What does somatic pain feel like?
Somatic pain usually feels like a constant aching or gnawing sensation.
What is the most common type of pain?
Nociceptive pain is the most common type of pain. It’s caused by stimulation of nociceptors, which are pain receptors for tissue injury.
How long does acute pain last?
Acute pain is short-term pain that comes on suddenly and has a specific cause, usually tissue injury. Generally, it lasts for fewer than six months and goes away once the underlying cause is treated.
Can past injuries cause chronic pain?
While past injuries or damage can cause chronic pain, sometimes there’s no apparent cause.
What is organic disease?
They can be localized (meaning they affect a specific part of the body) or systemic (affecting multiple organ systems). They can be inherited or caused by external or environmental forces. Some organic diseases are communicable, passed from one person to the next, while others are non-communicable.
How do functional symptoms differ from psychosomatic symptoms?
Functional symptoms differ from psychosomatic ones in that the removal of the emotional stress may lessen the severity of symptoms but not entirely erase them.
Is a functional disorder psychosomatic?
In the past, functional disorders were largely considered psychosomatic. Today, we recognize that many of these conditions have distinctive characteristics that define them irrespective of a person's emotional state. Pruritus (itching) is one such example of a functional symptom.
Is pririta a physical or biochemical change?
Pruritus (itching) is one such example of a functional symptom. On its own, it is associated with neither a physical or biochemical change but remains a very real and tangible sensation. The same applies to fatigue, chronic headaches, or insomnia.
