Pain disorder

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Pain disorder Classification and external resources
MeSH	D013001

Pain disorder is when a patient experiences chronic pain in one or more areas, and 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. ^[1]

Sub-diagnoses

The DSM-4 specifies two coded subdiagnoses of (1) pain disorder associated with psychological factors and (2) pain disorder associated with both psychological factors and general medical condition.

References

^ "ScienceDirect - Comprehensive Psychiatry : Clinical utility of DSM-IV pain disorder". www.sciencedirect.com. Retrieved on 2008-03-27.

v • d • e Pain and nociception

Head and neck	Jaw and mouth pain (Odynophagia , temporal arteritis) • Ear pain (otalgia, otitis media, otitis externa) • Eye pain (glaucoma) • Head pain (headache, migraine, tension headache, cluster headache, cerebral aneurysm, sinusitis, meningitis) • Neck pain (atypical myocardial infarction)

Thorax	Back pain (upper back pain, lower back pain, spinal disc herniation, degenerative disc disease, coccydynia) • Breast pain (perimenstrual, breast cancer) • Chest pain (myocardial infarction, gastroesophageal reflux disease, pancreatitis, hiatus hernia, aortic dissection, asymptomatic pulmonary embolism, Tietze's syndrome) • Shoulder pain (right side - cholecystitis)

Abdominal pain	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)

Limbs	Arms (myocardial infarction, left arm) • Legs (deep vein thrombosis, peripheral artery occlusive disease, claudication, spinal disc herniation, sciatica)

Joints (arthralgia)	Small joints (osteoarthritis, rheumatoid arthritis, systemic lupus erythematosis, gout, pseudogout • Large joints (septic arthritis, hemarthrosis, osteonecrosis) • Back joints (ankylosing spondylitis, inflammatory bowel disease) • Other (psoriatic arthritis, Reiter's syndrome)

Musculoskeletal	Delayed onset muscle soreness, Myalgia, Physical trauma

Other/unspecified pain	Allodynia, breakthrough pain, chronic pain, congenital insensitivity to pain, congenital insensitivity to pain with anhidrosis, hyperalgesia, hyperpathia, neuralgia, pain asymbolia, pain disorder, paroxysmal extreme pain disorder, phantom pain, referred pain

Related concepts	Anterolateral system, gate control theory of pain, pain management (anesthesia, cordotomy), pain scale, pain threshold, posteromarginal nucleus, substance P, OPQRST

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