Pain

"Potentially injury-causing stimuli (noxious stimuli) are detected by specialized nerves that are found in the skin, muscle and viscera. These damage-sensing neurons, nociceptors, respond to tissue damage and can cause a sensation of pain when they are activated.

Tissue damage is detected by sensory neurons that relay messages to the central nervous system. A torrent of information is emerging about the molecular control of these cells, and is opening exciting new opportunities for pharmaceutical development."
Source

The following is a brief list of resources that may have application for clinicians practicing Manual Medicine.

Neuromatrix Theory of Pain

Man Ther. 2003 Aug;8(3):130-40.
A pain neuromatrix approach to patients with chronic pain.
Adv Psychosom Med. 2004;25:78-88.Neurobiology of pain.
Clin J Pain. 2004 Nov-Dec;20(6):469-76.Evidence, mechanisms, and clinical implications of central hypersensitivity in chronic pain after whiplash injury.
Brain. 1998 Sep;121 ( Pt 9):1603-30.The perception of phantom limbs. The D. O. Hebb lecture.

Ronald Melzack - Papers
J Dent Educ. 2001 Dec;65(12):1378-82.Pain and the neuromatrix in the brain.
Pain Pract. 2005 Jun;5(2):85-94.Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the third World Congress of World Institute of Pain, Barcelona 2004.
Anesthesiology. 2005 Jul;103(1):199-202.The McGill pain questionnaire: from description to measurement.
Pain. 1999 Aug;Suppl 6:S121-6.From the gate to the neuromatrix.
Can J Exp Psychol. 1993 Dec;47(4):615-29.Pain: past, present and future.
Ann N Y Acad Sci. 2001 Mar;933:157-74.Central neuroplasticity and pathological pain.
Patol Fiziol Eksp Ter. 1992 Jul-Aug;(4):52-4.Phantom limb pain.


Sunday, February 15, 2009

Spring 2009

Arch Phys Med Rehabil. 2009 Jan;90(1):109-17.
Is the fear avoidance model associated with the reduced level of aerobic fitness in patients with chronic low back pain?
Pain. 2009 Feb;141(3):276-82. Epub 2009 Jan 7.
Examination of the photograph series of daily activities (PHODA) scale in chronic low back pain patients with high and low kinesiophobia.
Int J Nurs Stud. 2008 Dec 30. [Epub ahead of print]
Biopsychosocial factors are associated with low back pain in female nursing students: A cross-sectional study.
Cephalalgia. 2000 Jun;20(5):486-508.
Central sensitization in tension-type headache--possible pathophysiological mechanisms.

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