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Pain disorderor psychogenic pain is when a patient experiences chronic and constant pain in one or more areas, with no evidence of physical causes, and which is thought to be caused by psychological stress. The pain is often so severe that it disables the patient from proper functioning. It can last as short as a few days, to as long as many years.
The disorder may begin at any age, and more women than men seem to experience it (APA, 2000). This disorder often occurs after an accident or during an illness that has caused genuine pain, which then takes a life of its own.
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Pain and nociception
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| Head and neck
| Jaw and mouth (Odynophagia ) • Ear (otalgia, otitis media, otitis externa) • Eye (glaucoma) • Head (headache, migraine, tension headache, cluster headache, cerebral aneurysm, sinusitis, meningitis) • Neck (atypical myocardial infarction)
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| Thorax
| Back (upper back, lower back, spinal disc herniation, degenerative disc disease, coccydynia) • Breast (perimenstrual, breast cancer) • Chest (myocardial infarction, gastroesophageal reflux disease, pancreatitis, hiatus hernia, aortic dissection, asymptomatic pulmonary embolism, Tietze's syndrome) • Shoulder (right side - cholecystitis)
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| Abdominal
| Left and right upper quadrant (peptic ulcer disease, gastroenteritis, hepatitis, pancreatitis, cholecystitis, atypical myocardial infarction, abdominal aortic aneurysm, asymptomatic gastric cancer) • Left and right lower quadrant (appendicitis, ulcerative colitis, Crohn's disease, ectopic pregnancy, endometriosis, pelvic inflammatory disease, diverticulitis, urolithiasis, pyelonephritis, colorectal cancer)
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| Limbs
| Arm (myocardial infarction, left arm) • Leg (deep vein thrombosis, peripheral artery occlusive disease, claudication, spinal disc herniation, sciatica)
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| Joints (arthralgia)
| Small joints (osteoarthritis, rheumatoid arthritis, systemic lupus erythematosis, gout, pseudogout • Large joints (osteoarthritis, septic arthritis, hemarthrosis, osteonecrosis) • Back joints (ankylosing spondylitis, inflammatory bowel disease) • Other (psoriatic arthritis, Reiter's syndrome)
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| Musculoskeletal
| Delayed onset muscle soreness, myalgia, physical trauma
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| Other/unspecified
| cold pressor test, congenital insensitivity to pain, dolorimeter, HSAN (Type I, II congenital sensory neuropathy, III familial dysautonomia, IV congenital insensitivity to pain with anhidrosis, V congenital insensitivity to pain with partial anhidrosis), neuralgia, pain asymbolia, pain disorder, paroxysmal extreme pain disorder • Allodynia, breakthrough pain, chronic pain, hyperalgesia, hypoalgesia, hyperpathia, phantom pain, referred pain
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| Related concepts
| Anterolateral system, gate control theory of pain, pain management (anesthesia, cordotomy), pain scale, pain threshold, pain tolerance, posteromarginal nucleus, substance P, suffering, OPQRST
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