amplified pain · 2017. 7. 22. · amplified pain this picture shows a pain message being picked up...
TRANSCRIPT
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AMPLIFIED PAIN
Treating Chronic Pain & SensitisationYou’re about to learn the process of Amplified Pain,
and how this causes chronic pain to carry on - long
after your patient ‘should’ have healed.
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Amplified PainThis picture shows a pain message being picked up (1) and
going along the peripheral nervous system.
When it gets to the spinal cord - the central nervous system
- there is a nerve synapse (2).
This synapse is in the dorsal horn of the spinal cord (3).
At this point, one of three things will happen. The pain
message will stay the same, it will be turned down, or it will
be amplified.
Hidden Cause of Chronic Pain
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Nerve SynapseSo the normal, un-amplifed message (1) goes down the nerve
to the synapse. (2)
This is where the peripheral nerve ends and the spinal cord
begins. The message has be transferred via
neuro-transmitters from one nerve to the other.
Depending on which receptor receives the message (3) it will
either stay the same, or be amplified.
The AMPA will transfer the message faithfully and keep it the
same. However, the NMDA or NK1 receptors will amplify, and
sometimes distort the message (4).
This new amplified message travels up to the brain, where
you perceive it as pain.
This is how an area can be painful years after the damage
occurred - even after it’s healed.
How Amplified Pain Happens
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How Pain SpreadsThe pain message in this case starts at the thumb (1). It travels up to the
spinal cord, and this is where it can get amplified.
Something else can happen here though - the pain message can be
spread to other segments - up and down the spinal cord. So you feel the
same pain in a larger area.
This is done by interneurons (2) in the spinal cord. They take the original
pain message and pass it up and down the spinal cord.
As it goes to a new layer, you feel pain in a new part of your arm - the part
supplied by that particular nerve (3).
This is how pain can spread - even to areas of your body that are not
damaged.
Expansion of the Pain Field