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  • #31
    a·cute

    [uh-kyoot]
    adjective 1. sharp or severe in effect; intense: acute sorrow; an acute pain.
    2. extremely great or serious; crucial; critical: an acute shortage of oil.
    3. (of disease) brief and severe ( opposed to chronic ).
    4. sharp or penetrating in intellect, insight, or perception: an acute observer.
    5. extremely sensitive even to slight details or impressions: acute eyesight.
    6. sharp at the end; ending in a point.
    7. Geometry:
    a. (of an angle) less than 90°.
    b. (of a triangle) containing only acute angles.

    8. consisting of, indicated by, or bearing the mark ´, placed over vowel symbols in some languages to show that the vowels or the syllables they are in are pronounced in a certain way, as in French that the quality of an e so marked is close; in Hungarian that the vowel is long; in Spanish that the marked syllable bears the word accent; in Ibo that it is pronounced with high tones; or in classical Greek, where the mark originated, that the syllable bears the word accent and is pronounced, according to the ancient grammarians, with raised pitch ( opposed to grave ): the acute accent; an acute e.

    *courtesy of dictionary.com

    It seems to be one of our Euclidean friends. Able to place a person in as an acute angle (< 90
    ° or days?) until they become a chronic angle (> 90° or days?). Very good for categorizing simple shapes, not so good for us complex, fractal folks.

    But, as you say, people like this stuff.
    Nicholas Marki, P.T.

    Comment


    • #32
      Precisely, though most therapists seem not to know that it's possible to have an acute pain recurrently within a chronic complaint.

      To me, it exposes the confusion that reigns when recent and persistent complaints of pain are categorized as fundamentally different and deserving of specific care.
      Barrett L. Dorko

      Comment


      • #33
        Finally, origin.

        Let's start with this essay.

        A good start?
        Barrett L. Dorko

        Comment


        • #34
          Certainly.

          It seems that we can make our lives simpler with moving towards the origins of pain rather than focusing on specific diagnoses.

          Mechanical origin - movement as treatment. (where we specialize)

          Chemical origin - medication/time/diet as treatment. (time would really be the only part that we could treat, more of a prognosticator I would say)

          Neuropathic origin - medication as treatment. (can we treat this?)

          Under each umbrella there are certainly different subgroups, but ultimately it seems simple.

          Thoughts?
          Nicholas Marki, P.T.

          Comment


          • #35
            Originally posted by nickmPT View Post
            Neuropathic origin - medication as treatment. (can we treat this?)
            I think, based on the revised definition, we can and do.
            Diane
            www.dermoneuromodulation.com
            SensibleSolutionsPhysiotherapy
            HumanAntiGravitySuit blog
            Neurotonics PT Teamblog
            Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
            Canadian Physiotherapy Association Pain Science Division Facebook page
            @PainPhysiosCan
            WCPT PhysiotherapyPainNetwork on Facebook
            @WCPTPTPN
            Neuroscience and Pain Science for Manual PTs Facebook page

            @dfjpt
            SomaSimple on Facebook
            @somasimple

            "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

            “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

            “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

            "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

            "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

            Comment


            • #36
              Thank you, Diane.

              You added another tool to my toolbox.

              I mean realistically we can work with all pains utilizing pain education and counseling/support.

              Your link seems to be about sensory stimulation and mapping that is highly creative on the part of the patient, which appears to be rewarding with pain reduction and/or management.
              Nicholas Marki, P.T.

              Comment


              • #37
                Yeah, well... half the problem seems to be about externalizing and objectifying pain somehow, so the patient doesn't feel so in its grip/so in the grip of something intangible and without language.
                Diane
                www.dermoneuromodulation.com
                SensibleSolutionsPhysiotherapy
                HumanAntiGravitySuit blog
                Neurotonics PT Teamblog
                Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
                Canadian Physiotherapy Association Pain Science Division Facebook page
                @PainPhysiosCan
                WCPT PhysiotherapyPainNetwork on Facebook
                @WCPTPTPN
                Neuroscience and Pain Science for Manual PTs Facebook page

                @dfjpt
                SomaSimple on Facebook
                @somasimple

                "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

                “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

                “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

                "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

                "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

                Comment

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