McGill Pain Index
McGill Pain Index is used by doctors and hospitals globally and is considered a very valuable tool when looking at chronic pain.
It is considered to be a valid, reliable, consistent,
and above all, a preferred tool.
The McGill Pain Questionnaire, also known as McGill Pain Index, is a scale of rating pain developed at McGill University by Melzack and Torgerson in 1971. It is a self-report questionnaire that allows individuals to give their doctor a good description of the quality and intensity of pain that they are experiencing.
There is an abundance of information on the McGill Pain Questionnaire. I’m going to try to give it a summary.
The McGill Pain Questionnaire (MPQ) is a three-part pain assessment tool. It actually requires a bit of time to take the full questionnaire. So a mini version was made. And then eventually an infographic.
It’s the best known scale to measure several dimensions of the patient’s pain experience.
P A I N
“Because pain is a private, personal experience, it is impossible for us to know precisely what someone else’s pain feels like. No man can possibly know what it is like to have menstrual cramps or labor pain. Nor can a psychologically healthy person know what a psychotic patient is feeling when he says he has excruciating pain…There is a remarkable consistency in the choice of words by patients suffering the same or similar pain syndromes”
–Wall, P. D. And Melzack, R. (1994), Textbook of Pain, Churchhill Livingstone, New York, pp. 339-345.
What is trigeminal neuralgia?
Trigeminal neuralgia (TN), also called tic douloureux, is a chronic pain condition that affects the trigeminal or 5th cranial nerve, one of the most widely distributed nerves in the head. TN is a form of neuropathic pain (pain associated with nerve injury or nerve lesion.) The intensity of pain can be physically and mentally incapacitating.
The trigeminal nerve is one of 12 pairs of nerves that are attached to the brain. The nerve has three branches that conduct sensations from the upper, middle, and lower portions of the face, as well as the oral cavity, to the brain. The ophthalmic, or upper, branch supplies sensation to most of the scalp, forehead, and front of the head. The maxillary, or middle, branch stimulates the cheek, upper jaw, top lip, teeth and gums, and to the side of the nose. The mandibular, or lower, branch supplies nerves to the lower jaw, teeth and gums, and bottom lip. More than one nerve branch can be affected by the disorder. Rarely, both sides of the face may be affected at different times in an individual, or even more rarely at the same time (called bilateral TN).
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There are several effective ways to alleviate the pain, including a variety of medications.
- Carbamazepine, an anticonvulsant drug, is the most common medication that doctors use to treat trigeminal neuralgia.
- Baclofen is a muscle relaxant. Its effectiveness may increase when it is used with either carbamazepine or phenytoin.
- Phenytoin, an anticonvulsant medication, was the first medication used to treat trigeminal neuralgia.
- Oxcarbazepine, a newer medication, has been used more recently as the first line of treatment.
Talk to your Dr about what medication is right for you.
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Health & Wellness Coaching – Specialties: Chronic Pain & Trigeminal Neuralgia | SOS Lifestyle
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