Pathophysiology-Journal Reflection/Question Set Wk 3

Instructions

DescriptionThe journal reflection and question set is designed to help students make connections between concepts from module to module.  Often, in order to make these connections, it is necessary to look at emerging research in the field of pathophysiology.InstructionsRead the article Therapeutic Basis of Clinical Pain Modulation (https://ascpt.onlinelibrary.wiley.com/doi/full/10.1111/cts.12282) (Kirkpatrick, et al., 2015) and complete the question set. Question SetThere is no minimum or maximum length expectation for this portion of the assignment.  I expect you to communicate as concisely as possible, and recognize that this will require different lengths of responses for each individual.1. You hit your head on the cabinet while getting something out of it, and begin to rub your head on the area where you hit it.  The authors state that this behavior is unsurprising (Kirkpatrick, et al., 2015) in the context of gate control theory.  What is the gate control theory and why might rubbing the area help with pain modulation according to this theory?2. Chronic pain is particularly difficult to treat; until recently many patients with chronic pain were treated with opioid pain medications.  Using the article, and other sources as needed, explain why use of opioid pain medications may not be a good first choice for chronic pain, such as low back pain.3. Exercise is widely recognized as an effective therapy for pain.  Using what you know about the effect of exercise on the brain, and information in the article, hypothesize the mechanism for pain modulation in exercise.  Use and cite additional resources if needed.Reflection Prompt:After reading this article, what new insights have you gained about pain transmission and the way we treat pain?  What new questions have you uncovered? Respond to the reflection prompt in one to two paragraphs.

Answer

Question 1The Gate control theory of pain theory states that when once receives a pain stimuli, the nerve channels for painful input are closed by the non-painful stimuli, thus hindering the central nervous system from perceiving the painful stimuli. The gate control theory outlines how the painful sensations can be overridden by the non-painful sensations, thus interfering with the propagation of pain impulses (Treede, 2016). Based on this theory, there are nerve gates at the spinal cord level. The pain signals must go through the nerve gates before accessing the central nervous system. The way the pain signals are perceived at the nerve gates is independent on a variety of factors. One of the factors is the intensity of the pain signals. One hypothesis postulates that pain transmission i...

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