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Writer's pictureKatherine De Buisson

What are the Different Pain Types? 

Updated: Jun 21, 2024

Our bodies have a sophisticated way of communicating with us. Pain is one of the most important signals we receive, alerting us to potential harm or injury. This section will explore the 2 different dimensions of pain:


The 1st dimension is physical pain, which originates directly from your body and can be categorized into two main types: Nociceptive pain and Neuropathic pain.


The 2nd dimension of pain the often-overlooked emotional or subconscious pain called Neuoplastic pain.



Two Types of Physical Pain:


Nociceptive Pain: Warning Signal From Your Body

Nociceptive pain is the most common type of pain, and it serves a crucial purpose – to warn us of potential harm. Specialized nerve fibers called nociceptors act like alarms, detecting damage to tissues, inflammation, or extreme temperatures. This pain can be either:


Acute: This is the sharp, sudden pain you experience right after an accident, like a deep cut, muscle strain, the sting from a burn or the throbbing discomfort after a fall that bruises your knee. It's a clear signal to take action and protect yourself from further damage.


Chronic: Chronic nociceptive pain persists for longer periods, often associated with ongoing conditions like:


  • Musculoskeletal conditions: Back pain, neck pain, arthritis, osteoporosis, fibromyalgia, tendonitis, bursitis.

  • Headaches: Chronic headaches like migraines and tension headaches.

  • Endometriosis: This condition, where endometrial tissue grows outside the uterus, can cause ongoing pelvic pain.



Neuropathic Pain: Nervous System Misfire

The second type of physical pain is neuropathic pain. This arises from dysfunction within the nervous system itself. Damaged or irritated nerves misfire, sending abnormal pain signals even without ongoing tissue damage. Unlike nociceptive pain, neuropathic pain can be much more intense and persistent, often described as burning, sharp, or jolting sensations, sometimes likened to lightning bolts.


Here are some common examples of neuropathic pain:


  • Carpal tunnel syndrome: This condition can cause tingling, numbness, or burning pain in the thumb and fingers, often worse at night.

  • Persistent pain after surgery: Sometimes, surgery can irritate nerves, leading to constant aches, sharp shooting pains, or increased sensitivity to touch in the surgical area.

  • Shingles: This viral infection affects the nerves, causing a burning, blistering rash and often intense neuropathic pain.

  • Diabetic neuropathy: This condition affects people with diabetes and can cause pain, numbness, tingling, or burning sensations in the hands and feet.


Chronic Neuropathic Pain: Neuropathic pain is typically chronic, meaning it persists for a long time.



Emotional/Subconscious Pain:


Neuroplastic Pain: A Deeper Discomfort

Now that we've explored the physical aspects of pain, nociceptive and neuropathic, let's delve into the second dimension: Neuroplastic pain. This complex type of pain doesn't always fit neatly into the categories of tissue damage or nervous system dysfunction. It can arise seemingly out of the blue, without a clear physical injury, and might be significantly influenced by psychological factors like stress or anxiety.


Neuroplastic pain refers to the discomfort that originates from our mind, emotions, and subconscious beliefs. Unlike physical pain with a clear physical source, emotional pain can feel just as real and linger even in the absence of any injury. Our subconscious mind can become conditioned by negative thoughts, anxieties, and past experiences. The anticipation of pain itself can manifest as physical tension, further amplifying the discomfort. Fear, anxiety, negative beliefs about pain itself, and even absorbing negativity from others' experiences can all contribute to the creation of emotional pain.


Here are some indicators that you might be experiencing emotional or neuroplastic pain:


  • Past experiences of childhood adversity or trauma can leave a lasting imprint, influencing your pain perception.

  • Pain intensifying during stressful periods suggests a connection between your emotional state and your pain experience.

  • Pain that seems inconsistent or moves around the body can be a sign that the source isn't physical but influenced by emotional factors.

  • Pain appearing without obvious injury further strengthens the possibility of emotional pain being at play.

  • History of widespread pain symptoms in different areas can also point towards emotional or neuroplastic pain.


Understanding all these different types of pain – nociceptive, neuropathic, and emotional/neuroplastic – is crucial for developing a comprehensive treatment plan.

By gaining a better understanding of your specific pain experience, we can work together to find the most effective strategies for relief.



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