### symptom | pain:

Physical pain
* Most physical pain causes health problems.
* hinders the body's ability to deal with stress.
* is also a source of stress, and inadequate pain control can be very demoralizing
  - an unpleasant feeling that comes with physical injury, damage or disease
  - used as a substitute for emotional pain
* leads to anxiety, insomnia, hostility can be present, loneliness, and then depression.
* reduces as the body heals.
* requires treatment and a change in lifestyle.

Postoperative pain
* can be a significant deterrent to dental treatment
  - present due to a nerve being clipped
* is one of the major challenges in ambulatory anesthesia practice.

Sciatic pain
* Much sciatic pain is caused by the piriformis, as well as restless leg syndrome.
* extends down the buttock into the back of the leg and foot.
* is felt in the lower back with radiation down a leg.
* occurs when the disk presses one of the nerves that form the sciatic nerve.

Sciatica
* Most sciatica is due to prolapse of a lumbar intervertebral disc.
* is pain

Severe pain
* can cause extreme reactions in some patients.
* causes a desire to dies.
* has the same impact both physically and psychologically.
* is caused by adduction of the arm across the chest
  - recognized as a common symptom of most forms of cancer
  - the single most common indication for rheumatic surgery
* occurs during swallowing.
* radiating down the left arm classic sign of heart attack.
* responds consistently to narcotic anagesics such as morphine.

Shoulder pain
* Most shoulder pain occurs when soft tissues in the shoulder are injured or over-used.
* can also flare up due to the 'one- sidedness' of some sports
  - lead to parasitic strokes
  - be'referred from a nerve pinched in the neck
  - originate from the cervical spine, internal organs or the shoulder area itself

Significant pain
* is usually the first symptom of a kidney stone.
* sign that the procedure is being done improperly.

Smart
* are companies
  - division
* way of thinking and can usually be improved with brain training.

### symptom | pain | smart:

Smart marketing
* combination of creating desire and responding to consumer demand and needs.
* is often the thing a business needs most and does last
  - the entire planning process required to produce, promote and price a commodity
* means developing media smarts.

Somatic pain
* is the pain felt on the skin, in joints and muscles.
* starts in the skin, muscles and bone and is usually localized.

### symptom | pain | soreness:

Muscle soreness
* can occur when any new activity is performed.
* is an indication of muscle growth
  - inevitable during training and conditioning
  - more common than with polymyositis
  - the result of microscopic tears in the muscle fibers

Spinal pain
* can occur due to a trauma in the form of a spinal fracture.
* common problem in western societies and has been described by some as an epidemic.

Stump pain
* is due to a damaged nerve in the stump region.
* occurs at the site of the surgical scar, several months to years after surgery.

Testicular pain
* can be due to trauma or infection.
* symptom of torsion.

Toothache
* Most toothaches are temporary and due to a sensitive tooth.
* are aches
  - diseases
* can produce severe headache.
* is an ache

Undertreated pain
* destroys the quality of life.
* is also a comfort and compassion issue and affects patient satisfaction.
* major public health problem.