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The peripheral modulation of nociceptive input

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Back Pain
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Abstract

Inflamed and injured tissues are characteristically hyperalgesic, i.e. relatively minor stimuli become painful, sometimes very much so. Apart from cases where the injury has directly traumatized nerve trunks, the major process involved in causing hyperalgesia is the sensitization of nociceptive afferents by chemical agents released from inflamed tissues. The increased firing of nociceptors will itself make a major contribution to the hyperalgesia. In addition, the pathologically increased input triggers significant changes in the sensitivity of the centres in the central nervous system that process this input. Chapter 5 by McMahon will concentrate on these central changes; this article will deal with the peripheral effects.

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Authors

Editor information

John K. Paterson MB, BS, MRCGP (President of the British Association of Manipulative Medicine; Member of the Scientific Advisory Committee and Chairman of the Terminology Subcommittee of the Fédération Internationale de Médecine Manuelle)Loïc Burn BA, MRCS, LRCP, DPhysMed (President of the Fédération Internationale de Médecine Manuelle; Past President of the British Association of Manipulative Medicine; Member Ex-Committee, Scientific Section, British League against Rheumatism; Member, Council of Management, National Back Pain Association)

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© 1990 Kluwer Academic Publishers

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Lynn, B. (1990). The peripheral modulation of nociceptive input. In: Paterson, J.K., Burn, L. (eds) Back Pain. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2165-8_1

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  • DOI: https://doi.org/10.1007/978-94-009-2165-8_1

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7472-8

  • Online ISBN: 978-94-009-2165-8

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