Distinguishing sources of pain: Central vs peripheral mediation
Journal Title: Pelviperineology - Year 2020, Vol 39, Issue 1
Abstract
Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Findings from our group are presented indicating that trigger points are alpha sympathetically innervated and are not directly related to the cholinergic neuro-muscular system. Treatment implications are discussed.
Authors and Affiliations
RICHARD GEVIRTZ
Keywords
Related Articles
- EP ID EP684411
- DOI 10.34057/PPj.2020.39.01.003
- Views 230
- Downloads 0
Vale Catherin Hamlin - a personal homage
No Abstract
Anatomy and physiology of anorectum: the hypothesis of fecal retention, and defecation
Continence and defecation are two essential functions of the human body. The normal anatomy of the anorectum is well documented in the literature. The data on the physiology of these processes are controversial and sketc...
Minimal invasive and effective therapy of faecal incontinence with a preanal tape
Objective: The existing surgical therapy modalities for the treatment of faecal incontinence do not provide satisfactory results. Our understanding of the pelvic floor anatomy and physiological biomechanics of the anal c...
Case report: Treatment of episiotomy scars according to the concept of Fascial Manipulation®
The widespread use of episiotomy contributes to pelvic floor muscle dysfunction and concomitant complaints. The biomechanical model of the Fascial Manipulation method addresses the consequences of episotomy. Ailments suc...
Pain mapping: A mechanisms-oriented protocol for the assessment of chronic pelvic pain and urogenital pain syndromes
Objective: Chronic pelvic pain (CPP) and various pelvic dysfunctions are best assessed by consultants with knowledge and training in myofascial pain. The prevalence of myofascial pain is recognised but what is needed is...