Talk:Pain wind-up

How accurate is this article?

• Is there consensus regarding the mechanism behind wind-up? If not, what are the competing views and who supports them?

-the mechanism is thought to be temporal summation. — Preceding unsigned comment added by 142.157.26.144 (talk) 20:15, 30 October 2013 (UTC)

• This article says hyperactivity of C fibers causes sensitization of dorsal horn interneurons leading to progressively increasing electrical response in the corresponding posterior horn neurons. Is this the current consensus?

Anthony (talk) 07:24, 18 February 2010 (UTC)

Please don't include the word "perceived" to describe pain. I took it out, but it is important to point out why.

It is both unnecessary and insulting. Whatever level of pain a person feels (perceives) is the level of pain they have. Just because someone feels pain over things others do not does not make the pain any less real. They are NOT just perceiving it as that level of pain, it is that level of pain.

When a doctor uses the word perceives when discussing a patients pain, 9 times it off 10 it is a euphemism to tactfully say it isn't real. Sometimes they do it not so tactfully.

I saw a lot of doctors in the years before discovering I had an extremely rare disease (literally had a better chance of winning the lottery). Many doctors would come to a conclusion much like this "I'm a doctor been to school and everything. Your just a patient, you might have gone to school for something else, but you don't have the word doctor in front of your name do you? And being the doctor and unable to come up with a diagnosis, it is clear that there isn't really anything wrong with you. So Mister Not A Doctor, you only "perceive" that you have pain, it's in your head." And then prescribe me some kind of antidepressant. Not all doctors, many were smart enough to realize that just cause they can't figure it out doesn't mean there isn't something there. But just as many seemed to have ego's unable to consider that possibility.

Turned out after I had a diagnosis from the leading expert on the disease, that most doctors I would talk to had never even heard of Dercum's Disease (this was about 10 years ago, now at least half the medical professionals it comes up with have heard of it).

So my point is using the word "perceived" in describing how someone feels pain will insult pretty much anyone that has to live with chronic, pain. Especially those of us who never get a day off from it.

The pain you "perceive" is the pain you have. Sajiky (talk) 04:58, 17 March 2019 (UTC)

I realize that kinda came off as a rant. But leaving it anyway, because rant or no I meant every word.

Maybe this is just my way of venting a decade after the fact about the years of frustration I went through to find out what was wrong with me.

On the other hand words create perception, and the often used phrase, "perceived pain" helps generate the perception that some pain is more real than others. And that can be a very damaging perception. Sajiky (talk) 05:03, 17 March 2019 (UTC)

For those who would like a more concise argument.

If you are discussing some issue or philosophy with someone and they say. "Well, that's your perception". Do you think that means they think your viewpoint is accurate? If course not.

I wish every doctor I saw who treated (medically I mean) me in that manner, would be forced to spend one day in my body. Not out of spite, but because it would make them better doctors.

I realize I'm beating this to death, but it's an attitude I ran into over and over, for years before being diagnosed. And even occasionally since although much less often. This goes way beyond a petty peeve for me. It's like the Blues Brothers "mission from God".

I don't want that word reappearing here heh. Sajiky (talk) 05:31, 17 March 2019 (UTC)

Painful stimulus needed?

I see someone changed the text to read "non-painful" instead of "painful". I've taken it out for now, but does pain wind-up only come from painful stimuli? --Slashme (talk) 23:49, 14 September 2015 (UTC)