On the relation of injury to pain the John J. Bonica Lecture

Patrick D. Wall

Pain · 1979 · 358 citations · 5 references

Concepts

TL;DR

Pain is an awareness of a need‑state rather than a sensation, more akin to hunger and thirst, and serves primarily to promote healing; the post‑injury period is divided into immediate, acute, and chronic stages. In each stage, pain shows only a weak connection to injury but a strong connection to the body state.

Abstract

Pain is better classified as an awareness of a need-state than as a sensation. It serves more to promote healing than to avoid injury. It has more in common with the phenomena of hunger and thirst than it has with seeing or hearing. The period after injury is divided into the immediate, acute and chronic stages. In each stage it is shown that pain has only a weak connection to injury but a strong connection to the body state.

References

5