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types of pains and their exact interpretation

Hello Evocationer,simone,fitness,kadwa,nawazsahab,rishimba,akshay mohla !!
When a patient comes to us ,generally his language is not english. Also, he describes his pains which are sometimes very difficult to translate. For eg. I find it difficult to imagine the pains and their difference whic are as follows:
(1)Pressing pain
(2)Drawing pain
(3)Draging pain
(4)Boring pain
etc.

I know the meaning of all these pains but cant actually imagine it .
Like some pains can be eaisly imagined like hammering,stitching,radiating,lightning,burning etc.
(again lightning and shocking are confusing to differentiate)

So,please through some light on this topic with some examples so that it would be easy to imagine the feel of pain .
[message edited by bapu4 on Sat, 12 Jul 2014 08:06:57 BST]
 
  bapu4 on 2014-07-12
This is just a forum. Assume posts are not from medical professionals.
Don't try to imagine yourself what pain the patient is describing. This is a sure way to choose the wrong rubric. Ask them to describe it with an image. OR even better, get them to show you with a gesture what they are describing. I find this is the most reliable way to get the exact sensation.

Very often, if this sensation is important in the totality, they will use this same gesture when talking about apparently unrelated things.
 
Evocationer 9 years ago

[message deleted by ubuntu1234 on Sun, 13 Jul 2014 07:36:52 BST]
 
ubuntu1234 9 years ago
Hi Bapu-

If you want to Imagine yourself what these words mean-

1. Pressing pain-could be a feeling like someone has stuck
a brick onto your body or in your body and is pressing into you- or a person
has fallen asleep on top of you

2. Drawing pain- can be like a pulling inward or outward,
like you have a tube ( think of blood being drawn) sucking, pulling
something out, or sucking something in you into another direction-
when you say someone's face looks drawn - it looks like there is no
fullness in the skin.

3.Dragging pain- Think of a anchor being dragged along the ocean floor
or a farm machine dragging over the soil and translate this to dragging
over or in your body.

4.Boring pain-Think of the dentist drilling into your tooth, or having
some drill like object just slowly boring into an organ or a bone-
in the dentist example the dentist can drill Slow or fast-
the dentist drill has vibration, but boring into can feel like suddenly an object
is already there and trying to get in further, or as if someone
put a spike into your heel and left it there.

I know you are trying to 'imagine' what these words mean for you.
Patients can use the wrong words,so it is best that they go into
a description and asking them to use an image is a much
more accurate way to understand what they really mean.
[message edited by simone717 on Sun, 13 Jul 2014 16:11:30 BST]
 
simone717 9 years ago
Thanks a lot Simone and Dr.Evocationer,
So what I used to think about pains was generally on the same line as simone expressed but I was lill less confident.Thanks again simone
 
bapu4 9 years ago
Always make sure you ask what the patient means though, don't try to translate it yourself. I cannot count the times in practice where a patient has said one thing, and when I explored it with them they surprised me by meaning something different to what I assumed.
 
Evocationer 9 years ago
Evocationer
I agree with what you say but I had problem with repertory and not with patient.
I had sent you a mail 3-4 days back,could you see it?
Bapu4
[message edited by ubuntu1234 on Tue, 15 Jul 2014 07:40:12 BST]
 
ubuntu1234 9 years ago
I have been getting a lot of emails from people on the forum, and have been trying to discourage them from contacting me that way - I am not sure if I saw yours or not.
 
Evocationer 9 years ago

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