Psychogenic Pain Disorder

Pain is the signs and symptoms of a disease. If the pain itself becomes a problem, has been discussed for DSM-III, namely (Called at that time "psychogenic pain disorder") since 1980, from pain disorders.

Persistent somatoform pain disorder (F45.4) is characterized by the clinical diagnostic guidelines for ICD-10 with the following features:

Dominant complaint is persistent pain, severe and excruciating.

The pain is caused by a physiological process or a physical disorder is not fully understood.

The pain occurs in association with emotional conflict or psychosocial problems.

Conflicts and problems should be so severe that they can be regarded as a decisive causal influence.

The pain usually has the care or medical attention or personal results are significant.

According to the ICD-10 research criteria are somatoform pain disorder lasts defined by the following two features [27]:

A. There are at least six months, constantly, constantly in almost every day, heavy and burdensome pain in the body that can not be adequately described by a physiological process or a physical disorder, and attention is directed eternal gravity concerned.

B. The disturbance does not occur exclusively during the period or certain other diseases (schizophrenia or related disorders, affective disorders, somatization disorder, undifferentiated somatization disorder, hypochondriacal disorders).

As the term "related" (synonym) applies in the following designations ICD-10: psychalgia, back psychogenic or somatoform pain disorder headache. Pain due to known or suspected psychophysiological mechanisms, such as muscle tension, pain or migraine that "may psychogenic" according to ICD-10, not part of somatoform pain disorder, but the F54 code ("psychological factors and behavioral factors in other diseases classified elsewhere ") and by using an additional code from other areas of the ICD-10 (eg, migraine G43) to classify.

Tension headache (G44.2), back pain unspecified (M54.9) and unspecified acute or chronic pain (R52) which, according to the ICD-10 guidelines somatoform pain disorder is not constant. Presumably, psychogenic pain during depression or schizophrenia should not be included in the diagnosis as well. The most common pain that psychological factors play a role, which is a lot of headaches and backaches are not considered somatoform pain disorder, but as the pain in which psychological factors and behavioral factors play a role (F54).

Psychophysiological mechanisms such as the functional muscle tension (eg headaches due to muscle contraction) may therefore on somatoform pain disorder is not available, since this is the event of nociceptive pain, even if the tension was initially triggered by psychosocial stress factors.

Criteria of time (at least six months duration) and a continued focus on patient care is required on pain symptoms - in the ICD-10 research criteria - unlike in the clinical diagnostic guidelines. It was decided to criteria serious emotional conflict or psychosocial problems as "determining the causal influence" on the pain, it will throw exclusion criteria for certain mental disorders. Thus, sustained pain other somatoform pain disorder can be calculated if the "inadequate" (according to the guidelines of "complete") can be explained by organic factors.

Published only after the clinical diagnostic criteria of ICD-10 research guidelines - such as the DSM-IV - throw with emotional and conflict assessment of psychosocial factors as important causal influence. The pain may simply can not be explained purely organic. Examiner does not have to leave the problematic assessment, therefore, whether the degree of pain exceeds the expected also in accordance with the degree of physiological findings.

Natural Medicine and Psychotherapy | Breast Pain Blog

Valerian Root

Conditional breast piercing nerve responds well to regular use of prescription medicinal plants, on the one hand calms the nervous system, on the other hand has the effect of strengthening the heart. Herbal teas are made from hawthorn flower, valerian root, lemon balm, rosemary and arnica flower meet these requirements and provide Ritual at certain times than the rest in the nervous system can be switched to rest. Agents as also used in ointments for external application. Once again, already therapy (with affection and calmness) ordinary effects of breast rubbing himself. Homeopathic remedies used in low potency, for example Coffea (coffee), Convallaria (Lily) or Valeriana (valerian).

Treatment with biofeedback to help a lot of people to independently affect low neurological disorders, such as breathing techniques, imagery, meditation or inner Suggestionen.Werden suspected deeper problems, for example, can be processed by modern hypnotherapy, while combined with a relaxed and refreshing image. Alternatively or additional, particularly systemic therapy or psychodynamic method recommended. 

NERVOUS AND BREAST psychosomatic prick | Breast Pain

Nervous heart complaints relate mainly to the increased activity of the heart, but also palpitations, feeling of pressure and pain in the chest is one of the symptoms. Behind it there is a problem of heart performance, but increased excitability. Heart is also controlled in function primarily by the autonomic nervous system and reacts very well to the imbalance resulting from the interaction between body and soul. Often, there are other vegeative symptoms such as anxiety, sleep disorders, bladder pressure or irritable bowel syndrome.

All situations and conflicts that can lead to stress the individual (eg, excessive job demands, interpersonal stress or internal conflict) came as a reinforcement of these symptoms. If the internal conflicts that exist on a subconscious level is permanent, so it -in the sense Psychosomatik- be at the physical level, for example, expressed as a "pain in the chest." For people who feel the sting even physically, it takes a long time until they can usually accept this statement alone. This defense can be understood from the point of self-organizing organism, which seems more like symptoms run with fear and therefore may tend to occur in the foreground. In this case, the symptoms have a protective function, which should not be hastily abandoned.

Therapists who use the interpretations related organs in their work, assume that breast stab of fear for his own heart on each actor must have the same background. When the liver is close by referring to its own rhythm of life, perception, and act out their own feelings, injury (eg, sadness, heartache) in this sense.

Help because this aspect can be, in too rigid application also always the danger for the person concerned to impose an explanation about what can cause resistance to healing.

PROCEDURE MANUAL

From the point of view of the mechanical point of view, the movement needs to be improved in the chest area. Methods such as osteopathy and Rolfing mentioned above relate this to the whole body and static in the examination and treatment.

This movement of the chest breathing and mobility tested and treated the existing movement restrictions. In addition, chest and structures that are placed in relation to the whole body and check for voltage distribution as a whole organism and treated if necessary. Therefore, for example osteopathy ienen also interesting to see whether the person concerned in addition to pain in the chest above example, temporomandibular joint problems, back pain, leg pain or lump in the throat Klagen- what patients are initially came as an osteopath for pain in the chest, can be confusing.

Direct procedure used for the concept of the fascia (FDM). In this case, also manual, treat straight points and the areas to be tested, which prepares pain affected and treated. Timely in stitches in the chest, it is clear from the FDM interference with bone or bone tendon junction transition band in the sternum. These points are treated by the pressure of the thumb and immediately retested.

JAB IN BREAST

Chest pain is often associated with a heart attack or breast cancer. Often jump, however, occur continuously or occasionally more, but the structural causes were excluded. In addition to the conventional concept in alternative natural medicine and therapy development approach especially relevant functional pain in the chest.

Synonym

Pain in the chest, chest stinging, stitches in the chest, chest seam, chest pain, chest pain, stabbing pain in the chest, sternum Kontinuumdistorsion, triggering chest strap, took place mid thoracic spine, nerve Herzstiche, chest pain.

BREAST SYMPTOMS piercing

Chest pain usually occurs while. Due to vital organs such as the heart and lungs in the chest is, supposedly specialist examination circulatory disorders (angina) and does not include a heart attack. This is especially the case when the panic, anxiety, projection on the left arm, upper arm pain, shortness of breath excessive sweating, nausea and vomiting, or a feeling of impending destruction. In addition, if there is a sting in the chest when breathing or coughing or thickening in the breast area parallel visible. In some people, stings occur in the breast only at night or lying down. Others feel stress, pain in the chest or for example when loaded to run and Gewichtheben- here often in the bench press or to the press arm. Piercing can also emit symptoms such as ear pressure in the head or headache from the back of the head, then will be displayed. Piercing can also pull up behind and rising to chest pain generally.

Often women also complained of pain in the breast during breastfeeding, along with additional hands to sleep (at night) or arm pain.

CAUSE piercing IN BREAST

Of course, especially medical exception that immediately causes such as heart attacks, broken ribs, a narrowing of the blood vessels in the heart and lung disease and structures around them to be removed.

Should stitches in the chest very projecting rib cartilage will be visible, so that one can think Tietze- syndrome.

From the functional point of view, after exclusion of structural causes, there are often dealing with discomfort or irritation of the chest muscle, which runs from the sternum to the shoulder. Especially on the approach to the sternum many people complain about the releasable mechanical harvesting. Because the ribs pull in behind the breastbone to the rear, it's good to understand that even strained back muscle or strength rib joints of the spine sends forward and could trigger a jump.

Also hervorrrufen movement restrictions which may cause stinging in the opinion of body therapies such as Rolfing or osteopathy, old wounds or inflammation caused by pleural adhesions. You Tube there is a video of the highlights of Rolfing therapist Gil Headley, artificially pumping air into the airways fresh preparation and you can observe how greatly expands the lungs and heart and surrounding structures, such as sliding connective tissue (fascia must move together).

It is conceivable that people also bring a lot of sitting and reading and computer activity, this strength in the chest area. Austrian philosopher Ludwig Von Drake Julius Hartmann (1895- 1989) puts it in his book "Dynamic Morphology" logic suggests that our skull principle that the dynamics is characterized by great strength and with a non-which makes a lot of overhead work in humans, continued throughout the body and can cause symptoms.

Chest pain while breastfeeding can also be caused by a forwardly tilted posture. Hand asleep or arm pain can also be caused that the vessels are clamped by the high voltage of the chest muscles, which run down the arm. Obviously playing in this case, not only mechanically but also hormonal factors play a role.

Why are Not All The Symptoms of A Woman's Breasts? | Breast Pain Blog

There are many reasons for this: fluid retention caused by this hormone and hence an increase in the volume of course, not all women are the same. It may be on a different sensitivity of the receptors of the target organs in the chest, lying. Also, do not make all women in the same amount of hormones. But above all, it seems very different women sensitive to pain stretches. Mental processing of pain plays in the perception of pain and the central role here, people are very different.

Women after natural menopause rarely complained of chest pain, unless they take hormones. Later, however, they often suffer less easily avoided.

Other causes of chest pain

In addition to breast infection breast cysts cause pain. Cysts, such as doing a general fluid retention, by the accumulation of secretion of glands in the lobules voltage pain. Once again, women have a very different perception of pain. Some women with cysts of about 10 cm keinerleit complaint, torture small cysts and you can easily help them through Abpunktion fluid.

How can a doctor help?

Experience has shown that often plays anxiety in women with chest pain is more important than the pain itself. Physicians should be removed carefully and sensitive questions illustrate the suffering of patients. To the question: "What are you depressed more: fear, to have something or the pain itself?" respond to the majority of patients, "Fear". These women can be helped by careful examination and convincing conversation. These include breast examination, ultrasound and, depending on age, mammogram. It makes no sense to explore the whole range of diagnostic options, but to make the appropriate tests to personal risk. After the investigation, if it is not found, the risk for women to have breast cancer diagnosed, much lower than before. It soothes the pain of every woman and now can almost always acceptable, "Yes, now I can live without a problem ..."