National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) Practice Exam

Somatic pain typically arises from damage or injury to body tissues, and is often localized, distinct, and well-defined. In the case of appendicitis, the pain is generally more visceral in nature, associated with internal organs, and typically presents as deep, cramping abdominal pain that may not be easily pinpointed. This pain can radiate and be affected by factors such as movement or pressure, making it less likely to be classified strictly as somatic pain.

In contrast, myofascial pain syndrome involves trigger points in muscles and can result in somatic pain, as it is related to tension, injury, or inflammation within musculoskeletal tissues. Similarly, fibromyalgia is characterized by widespread somatic pain, including tender points throughout the body and systemic symptoms. Osteoarthritis also demonstrates somatic pain, as it is a degenerative joint disease leading to pain in specific joints due to wear and tear on joint cartilage, resulting in localized discomfort that aligns well with the definition of somatic pain.

Thus, among the given conditions, appendicitis is least likely to demonstrate somatic pain due to its visceral nature.