Types of burn pain

Background pain

Background pain can be described as a continuous burning and/or throbbing sensation which is present at rest and is relatively constant. The severity of background pain varies between individuals

It is best treated with regular slow release analgesics to keep plasma drug concentrations steady such as slow release tramadol or, if more severe, a slow release morphine or equivalent.

Procedural pain

Procedural pain is usually more intense. Mechanical stimulation of the injured site during removal of dressings, cleansing and debridement can be a major source of pain which can continue for minutes to hours after the procedure is complete. It is often described as having an intense burning or stinging sensation.

Procedural pain during the acute phase after injury can be mild to excruciating. If the dressing is expected to be painful, additional short acting analgesia 45 minutes before the dressing will ease procedural pain.