Physiotherapy clinic in Tambaram Are you Looking f...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. Misconceptions about Central Sensitization and Nociplastic Pain 💡 👉 Central sensitization is defined as an increased responsiveness of nociceptive neurons in the central nervous system to their normal or subthreshold afferent input. https://www.iasp-pain.org/resources/terminology/ (s. figure 1, https://pubmed.ncbi.nlm.nih.gov/27245505/) 👉 In vivo measurements of nociceptive neuron responses are not possible, and would imply that central sensitization stays in the (animal) lab, merely limiting its implementation in humans to hypothesis-based applications. 👉 According to a brand-new editorial by Nijs and colleagues (https://pubmed.ncbi.nlm.nih.gov/37348359/) clinicians and clinical researchers around the globe agreed that central sensitization should not stay in the lab. This resulted in hundreds of studies examining features of human assumed central sensitization in a variety of chronic pain conditions, which in turn lead to central sensitization now being a well-established feature in many patients with chronic pain including those with low back pain, neck pain, headache, post-cancer pain, fibromyalgia, osteoarthritis, pelvic pain, post-surgical pain, and pediatric pain (https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(21)00032-1/fulltext). 👉 In those chronic pain conditions, central sensitization can be a feature of the condition or presented clinically in a subgroup of patients. Tabelle 1 summarizes common misconceptions about central sensitization and nociplastic pain. (https://pubmed.ncbi.nlm.nih.gov/37348359/) 📍 Figure 1: a | Normal sensation. The somatosensory system is organized in separate, parallel pathways, such that low-intensity stimuli only activate the central pathways that lead to innocuous sensations such as touch, whereas high-intensity stimuli that activate nociceptors only activate the central pathways that lead to pain. This effect is mediated by the strong synaptic inputs between the particular sensory pathways and by inhibitory neurons that focus activity to these dedicated circuits. b | Central sensitization. With the induction of central sensitization, the pain response to noxious stimuli is enhanced (hyperalgesia), whereas the sensitivity of the normally ineffective convergent synapses is strengthened, allowing low-threshold sensory inputs to activate the pain circuit (allodynia) SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI