The basic understanding of pain allows us to better assess the pain complaint. Pain is an unpleasant sensory and emotional experience with actual or potential tissue damage or described in such terms, with a key feature being it is subjective. The source of the pain experience is from; tissue tenderness (pain generators), how the brain processes tissue sensations and prior experiences(emotional).
The NP3 has been developed to measure these responses, looking at various physiologic responses to a pain stimulus(autonomic; eg. fight or flight), comparing a symptomatic site, with pain, and a control site, without pain. These physiologic responses then allow us to determine if there is:
Physical -Sensory Pain – Pain response with triggered pain stimulus, identifying the regions of physically sensitive to pain.
Associative Neural Biologic Pain – The brain processing creates a response that augments the physical sensation and pain experience
Sociodynamic pain – Discrepancies in physiologic responses would suggest that the pain experience is influenced by psychological memories.
Population studies, neuroscientific studies, and experience with the full NP3 proves that more than 65% of all patients have varying combinations of myofascial pain, emotional, and sociodynamic factors creating and maintaining their pain experience. Identifying these factors early in the treatment process allows physicians, patients, and others to understand the patient’s pain-related needs. This knowledge greatly reduces Medical Over diagnosis and unnecessary aggressive treatments, while improving outcomes and reducing costs.