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1

The Pathos of Time: Chronic Pain and Temporality

100%

Geniusas S.

Dialogue and Universalism

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2015

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issue 3

25-38

EN

The paper offers a phenomenological interpretation of the temporality of chronic pain. First, I maintain that the field of presence constitutes the exhaustive horizon within which chronic pain is lived. Secondly, I argue that chronic pain is a form of depersonal-ization in that it cuts the field of presence from the past and the future. Thirdly, drawing on some recent phenomenological and neurological findings, I argue that the past and the future, despite their apparent irreality, continue to affect the present “behinds its back”: either through implicit bodily memory, or through implicit bodily anticipation. Thus despite its depersonalizing effects, chronic pain is a deeply personal experience. In my conclusion, I turn to the therapeutic significance of such a phenomenology of tem-porality. I maintain that if chronic pain is nested in implicit temporality, then to confront it, one must become conscious of its effects and, if possible, neutralize their meaning.

2

Neuropathic pain and chronic pain as an underestimated interdisciplinary problem

86%

Szewczyk A. K., Jamroz-Wiśniewska A., Haratym N., Rejdak K.

International Journal of Occupational Medicine and Environmental Health

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2022

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vol. 35

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issue 3

249-264

EN

Neuropathic pain and chronic pain constitute an interdisciplinary problem on the border of medicine, psychology, sociology and economics. While it seems to be underestimated, the scale of this problem will continue to increase due to the population aging and the growing incidence of lifestyle disorders. People employed in various occupational sectors may also wrestle with these disease units, which affect the quality of their life, mental health and work productivity. A narrative review provided an overview of neuropathic pain and chronic pain, and their relationship to such factors as job type, work absenteeism and productivity decline, as well mental well-being. A systematic literature search was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to identify appropriate literature by searching the electronic databases: PubMed/MEDLINE, Pain Journal and the Cochrane Database of Systematic Reviews. Studies were published in Polish, English and French. Research shows an increasing number of musculoskeletal diseases in professionally active people, which lead to disability or provoke work absences. However, sickness presenteeism and/or absenteeism caused by pain not only leads to economic burdens, but also to burnout, fatigue and depression syndromes in employees. These disorders may require specialized effective interventions to support the return to work or maintaining employment despite experiencing pain. Every patient with chronic or neuropathic pain should be correctly assessed to determine the best method of treatment and its effectiveness.

3

Leczenie bólu w gabinecie lekarza rodzinnego

51%

Liczner G.

Gabinet Prywatny

|

2022

|

vol. 286

|

issue 6

36-45

PL

Ból definiowany jest przez Międzynarodowe Towarzystwo Badania Bólu jako subiektywne, przykre i nieprzyjemne, a tym samym negatywne wrażenie czuciowe i emocjonalne, które związane jest z rzeczywistym lub potencjalnym uszkodzeniem tkanek. Z odczuwaniem i uświadamianiem bólu wiąże się nocycepcja – wieloetapowy proces obejmujący transdukcję, przewodzenie, modulację i percepcję pierwotnego bodźca. Transdukcja polega na przekształceniu bodźca chemicznego, termicznego lub mechanicznego w impuls elektryczny, który przekazywany jest z obwodowych zakończeń nerwowych nocyceptorów do zwojów nerwów rdzeniowych, a następnie do rogów tylnych rdzenia kręgowego.Uszkodzenie tkanek związane jest z uwalnianiem wielu mediatorów (substancji P, bradykininy, histaminy, serotoniny, prostanoidów, cytokin), odpowiedzialnych za stan zapalny, który rozwija się w miejscu zadziałania urazu. Tkanka objęta stanem zapalnym jest wówczas silnie bolesna (hiperalgezja wywołana odsłonięciem lub podrażnieniem zakończeń nerwowych), zaczerwieniona (zwiększony przepływ krwi przez poszerzone łożysko naczyniowe) i obrzęknięta (nadmierna przepuszczalność naczyń krwionośnych), co wynika między innymi z bezpośredniego działania uwolnionych wskutek urazu amin biogennych i cytokin.

EN

Pain is one of the most common symptoms observed in medicine and plays a fundamental role in human and animal life. Living organisms' ability to feel pain sensations allows them to develop defense mechanisms to survive and minimize the risk of tissue damage. The appearance of pain is perceived primarily as a warning signal, which may be a harbinger of an illness or a result of an injury. From the dawn of time, man has tried to relieve pain, often without knowing its cause, mechanism of formation or origin. Currently, pain management is causal and symptomatic. As a rule, it focuses on identifying the causative agent and eliminating its negative effects on tissues as soon as possible. Although the history of pain treatment dates back to ancient times, the 19th century was undoubtedly a turning point in this field. The isolation of morphine from opium and the discovery of aspirin were the foundations of the pharmaceutical industry and initiated a new era in human life – a period of constant search for a golden mean in the treatment of pain. We currently have many analgesics of natural and synthetic origin, which are more or less effective in the treatment of pain associated with cancer or the musculoskeletal system. Several of them deserve special attention.

Refine search results

1 Dialogue and Universalism

1 Gabinet Prywatny

1 International Journal of Occupational Medicine and Environmental Health

1 Geniusas S.

1 Haratym N.

1 Jamroz-Wiśniewska A.

1 Liczner G.

1 Rejdak K.

1 Szewczyk A. K.

1 2023

1 2022

1 2015

The Pathos of Time: Chronic Pain and Temporality

Neuropathic pain and chronic pain as an underestimated interdisciplinary problem

Leczenie bólu w gabinecie lekarza rodzinnego