General types of “pain”
Somatic pain arises from the stimulation of your pain receptors either from the surface of your body or from your muscles and bones. After you have undergone any surgical procedure in your muscle or bone, the pain that you experience is a good example of somatic pain. More often than not, it is described as dull or aching, andit is usually aggravated by activity or movement and relieved by rest or inactivity.
Somatic pain usually occurs in the shoulder, hip, and hand, including the lower back and buttocks, and it is usually caused by the combination of several factors, such as inflammation, repetitive injury, and excessive activity.
When there is a problem in one or more of your internal organs, you might be able to experience pain. When this takes place, this can be classified as visceral pain.It is the most common among the general types of pain, and it is caused by the stimulation of the pain receptors in your chest, abdomen, and pelvic area. Thus, the problem could be in the heart, intestine, liver, uterus, or ovary—to mention some.
Visceral pain is characterized as vague, and it does not clearly indicate its source. It is further described as pressure-like, deep squeezing, dull or diffuse. You will experience this pain when there is obstruction or perforation of your intestine, or when any one of your abdominal organs is inflamed. If you have this problem, aside from the pain, you may experience feeling of vomiting, body weakness, and/or fever.
Neuropathic pain originates from the spinal cord and peripheral nerves which are injured or malfunctioning.It is described as burning, tingling, shooting, stinging, and with “pins and needles” sensation. Others describe it as stabbing, piercing, cutting, or drilling pain. It occurs within a period of days, weeks, or months of the injury, and it varies in frequency and intensity. It is wide-spread, and it usually occurs at the level or below the level of the injury. This type of pain is very common in the legs, back, feet, thighs, and toes. In some instances, however, it can also take place in the buttocks, hips, upper back, arms, fingers, abdomen, or neck .
Management of the different types of pain
Prior to knowing the exact nature of the painthat you are experiencing, you may, as the first step, take in analgesic whose action is to increase the level of pain that your body could feel, thereby blocking the unpleasant sensation. The first analgesic that you could take is paracetamol, which is very cheap and safe to use.The maximum dose that you could take is 500 mg tablet every 6 hours. If, after 48 hours, you are not significantly relieved with it, and you believe that you have been suffering from either somatic or neuropathic pain, you can shift to taking the so-called non-steroidal anti-inflammatory drugs (NSAIDs), such as diclofenac, ibuprofen, naproxen, celecoxib, mefenamic acid, etoricoxib, and indomethacin[2,3]. Before you start taking any of these drugs, however, you need to consult a medical doctor who would decide if you really need any one of them. If ever you need to take any one of the NSAIDs, take it for some days only. They are not meant to be taken daily for so long because they could have possible side-effect(s) on the kidneys—which may turn out to be irreversible!
If you believe you have been suffering from visceral pain, you need to take an antispasmodic(an agent that quiets spasm), such as hyoscine-n-butylbromide. If the oral medication could not stop your abdominal pain, then you need to consult a medical doctor who could administer the injectable medication.
(To be continued)
RehabTeamSite, Other complications of spinal cord injury: pain: types of pain.
 NSAID (List of non-steroidal anti-inflammatories).
 eMedExpert, Non-steroidal anti-inflammatory drugs comparison.
Stedman’s Medical Dictionary, Thomas Lathrop Stedman (Dec. 06, 2005).