Experiments on Pain Referred From Deep Somatic Tissues

Feinstein, B.; Langton, Josephine; Jameson, R. M.; Schiller, Francis

doi:10.2106/00004623-195436050-00007

Cited by 263 publications

(132 citation statements)

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“…However, radiating pain from the neck is not exclusively an expression of nerve root compression. Muscular pain and connective tissue pathology may induce referred pain, obscuring the clinical picture [23,54,58]. The natural course of the cervico-brachial pain is not always predictable.…”

Section: Introductionmentioning

confidence: 99%

Cervical radiculopathy: Pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar A prospective, controlled study

et al. 1997

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This prospective, randomised study compares the efficacy of surgery, physiotherapy and cervical collar with respect to pain, motor weakness and sensory loss in 81 patients with long-lasting cervical radiculopathy corresponding to a nerve root that was significantly compressed by spondylotic encroachment, with or without an additional bulging disk, as verified by MRI or CT-myelography. Pain intensity was registered on a visual analogue scale (VAS), muscle strength was measured by a hand-held dynamometer, Vigorometer and pinchometer. Sensory loss and paraesthesia were recorded. The measurements were performed before treatment (control 1), 4 months after the start of treatment (control 2) and after a further 12 months (control 3). A healthy control group was used for comparison and to test the reliability of the muscle-strength measurements. The study found that before start of treatment the groups were uniform with respect to pain, motor weakness and sensory loss. At control 2 the surgery group reported less pain, less sensory loss and had better muscle strength, measured as the ratio of the affected side to the non-affected side, compared to the two conservative treatment groups. After a further year (control 3), there were no differences in pain intensity, sensory loss or paraesthesia between the groups. An improvement in muscle strengths, measured as the ratio of the affected to the non-affected side, was seen in the surgery group compared to the physiotherapy group in wrist extension, elbow extension, shoulder abduction and internal rotation, but there were no differences in the ratios between the collar group and the other treatment groups. With respect to absolute muscle strength of the affected sides, there were no differences at control 1. At control 2, the surgery group performed somewhat better than the two other groups but at control 3 there were no differences between the groups. We conclude that pain intensity, muscle weakness and sensory loss can be expected to improve within a few months after surgery, while slow improvement with conservative treatments and recurrent symptoms in the surgery group make the 1-year results about equal.

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Section: Introductionmentioning

confidence: 99%

Cervical radiculopathy: Pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar A prospective, controlled study

et al. 1997

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“…Lumbar dysfunction may also cause abdominal pain. 10,23 From the patient history, however, the physical therapist identified components suggesting that the patient's symptoms might not be mechanical in origin, such as the patient's inability to identify a specific mechanism of injury to the sudden onset of symptoms, the inability to identify any aggravating or easing factors for his symptoms, and night pain with an inability to ease his symptoms with changes in position. Additionally, Sparkes et al 37 developed 2 specific clusters of questions to be used in identifying patients with abdominal pain that is musculoskeletal in origin (TABLE 2).…”

Section: Clinical Impression Post-history Intakementioning

confidence: 99%

Abdominal Aortic Aneurysm in a Patient With Low Back Pain

Wyngaarden

Ross²,

Hando³

2014

J Orthop Sports Phys Ther

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“…168 The use of anaesthetic blocks has shown that input from the primary source of pain is required for referred sensations to be felt. 169 While some studies have shown that referred muscle pain persists after anaesthetising peripheral nerves innervating the referred area, 170 others have shown a reduction in pain intensity when large afferents are blocked. 168,171 This suggests that afferent input from the referred area is not necessary for referred sensations to however, the extent of cortical reorganisation was only correlated with sensations arising from painful stimuli.…”

Section: E Referred Sensationsmentioning

confidence: 99%

Chronic Pain: We Should Not Underestimate the Contribution of Neural Plasticity

Lewis

Rice

2014

Crit Rev Phys Rehabil Med

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Disability associated with chronic pain is a prevalent worldwide problem. Much of our understanding of how and why chronic pain develops has been provided through developments in neural imaging and assessment techniques. Such investigations have highlighted the substantial amount of neural plasticity, or neural reorganisation, that is possible within the nociceptive system. While this plasticity is often physiologically beneficial and usually reverses over time, persistent plasticity can occur following long term activation or damage to the nociceptive system. These adaptations are associated with the development and maintenance of chronic pain conditions. This review provides an outline of the nociceptive system and describes the evidence for plasticity of the system at peripheral, spinal, and supraspinal levels. A number of clinical symptoms associated with chronic pain are described along with the possible neural mechanisms that may contribute to the presentation. Finally, chronic pain management approaches that promote reorganisation of the nociceptive system are discussed. These include sensory training, noninvasive brain stimulation, and mechanisms-based treatment.

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Experiments on Pain Referred From Deep Somatic Tissues

Cited by 263 publications

References 0 publications

Cervical radiculopathy: Pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar A prospective, controlled study

Cervical radiculopathy: Pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar A prospective, controlled study

Abdominal Aortic Aneurysm in a Patient With Low Back Pain

Chronic Pain: We Should Not Underestimate the Contribution of Neural Plasticity

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