Pain that waxes and wanes and is exacerbated by physical exertion is likely related to which of the following?

• A. Chronic neuropathic pain
• B. Musculoskeletal stress
• C. Psychogenic pain disorder
• D. Acute visceral pain

Answer: (B)

Verified step by step guidance

1. Step 1: Understand the characteristics of the pain described: it 'waxes and wanes' and is 'exacerbated by physical exertion.' This suggests the pain fluctuates in intensity and is influenced by movement or activity.
2. Step 2: Review the typical features of each pain type: Chronic neuropathic pain usually involves nerve damage and is often described as burning or shooting, not necessarily linked to physical exertion.
3. Step 3: Consider musculoskeletal stress pain, which commonly worsens with physical activity and can vary in intensity, matching the description of waxing and waning pain.
4. Step 4: Psychogenic pain disorder involves pain influenced by psychological factors, but it is less likely to be directly worsened by physical exertion in a predictable pattern.
5. Step 5: Acute visceral pain is usually steady and severe, often related to internal organ issues, and does not typically fluctuate with physical activity in the way described.