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Non-nociceptive aspects of persistent musculoskeletal pain

  [ 34 votes ]   [ Discuss This Article ]
www.ProHealth.com • October 5, 1996


Persistent pain is often difficult to understand and to treat.
Clinical and neurophysiological evidence is offered,
suggesting that this often occurs because persistent pain is
partially or wholly of non-nociceptive afferent origin. The
concept of non-nociceptive pain and the potential roles of
proprioceptive afferents in the production of non-nociceptive
pain are particularly emphasized. It is suggested that
non-nociceptive pain is often an important component of pain
associated with peripheral and central neuropathy,
fibromyalgia, trauma-induced pain, idiopathic low back pain,
and chronic regional pain syndrome. Non-nociceptive pain is
often dependent upon central sensitization induced by prior
or ongoing nociception. Therapeutic methods which minimize
nociceptive afferent activity are important in the prevention
and/or elimination of often intractable non-nociceptive pain.

Kramis RC, Roberts WJ, Gillette RG




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