Neuroscience , pain and manual therapy 1
1 article on neuroscience and manual therapy
Categories of pain that we encounter in our work as manual therapists.
This should be important when choosing treatments and guidelines with our clients:
Nociceptive pain
Pain-specific BEHAVIOR and posture. These aspects are responsible for the nociceptive (pain) release to the brain and for the acute phase persistence, depending on the movement and workload of the muscly-articular system, a go treatment option is motor control, specific movement, e.g. bmt (neuroadaptation). It is best to solve the problem in the shortest possible time, and work with the autonomic nervous system.
Neuropathic pain
Motor weakness, sensory loss, even loss of proprioception, propagation of pain signal along the nerve. Information from the peripheral system to the central system can sometimes be inaccurate or ambiguous. Muscle activation can be modified to protect the involved tissues by changing the physiology or movement axes of the structure, treatment, reduction of overload of the affected structure, manual therapy and neurodynamic technique and then motor control movements (bmt neurorehabilitation).
Neuroplastic pain
Excessive protective strategies that have no logic in the protection of the tissues, reduction of physical activity associated with the avoidance of activity by generating pain. Excessive maladaptation, which over time will generate other bad adaptations, e.g. maladaptation of body perception and body movements.
Disproportionate response to stimulus:
Exercises targeting the physical structure, cognitive training, neurophysiological pain education, regulation of the autonomic nervous system (sympathetic).
The sympathetic system is overactive because it needs to protect the body.
The increased muscle tone is mainly in the mobilizing muscles and in the deep stabilizing muscles it is usually inhibited, and there is a delay or inhibition of the feedforward neural network mechanism, leading to loss of joint protection.
With chronic pain, the load capacity that in a healthy body was distributed evenly throughout the musculoskeletal system, now, with this chronic pain, there is still this load capacity, but this load capacity that was distributed for the system, is now distributed more towards a distal musculoskeletal system (mobilizing muscles) and not so much towards the proximal musculoskeletal system, and this will lead to an exaggerated reaction from the sympathetic system in search of protection and control, reducing intersegmental movement and increasing interzonal movement, e.g. e.g. lumbar mobility in low back pain is decreased but the thoracolumbar zone will increase to compensate for the hypomobility.
Would you like to work directly with the motor neuron and the afferent and efferent pathways to improve the nervous system and have movement without pain and without joint and postural compensations?