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Dawn Sandalcidi Spotlight 5 

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Explore if the pain is psychological

Assume that the pain is physiologic

Remember that growing pains are common in children

Explore if the pain is attention seeking or avoidance behaviour

Pain start point

To reduce pain intensity

To improve function

To change how the brain processes pain

All of the above

Pain Neuroscience

By affecting the release of neurotransmitters and hormones

By affecting the release of enzymes

By affecting the release of oxygen

By affecting the release of water

gut-brain axis

It prevents the absorption of serotonin from the gut

It causes pain

People become anxious about managing their bowel movements in social situations

People need to spend longer on the toilet which interrupts exercise, sleep and social participation