4 and last: Summary of the articles on neuroscience and pain

Protective systemic involvement can come from a variety of sources increases stiffness and alters motor strategy facilitates action potential in afferent neurons (hypersensitivity) alters the immune response facilitates disorganization of the central autonomic network, may generate changes in other systems modulates attitudes, fears and beliefs the sympathetic-protective response is dysfunctional, because it generates functional alterations in different systems at the same time, changes the activity of the central nervous system, the autonomic system, alters the musculoskeletal system, beliefs, attitudes, movement and emotions and their management, and the internal biology and the response of the immune system.
And so, a nociceptive pain becomes a neuroplastic pain, treating a neuroplastic pain as if it were nociceptive, the result in the medium and long term, is NOTHING, because there will be no improvement.

And what do we do with all this? How to use this  in your clinical practice?

It is to change the vision of treatments, to respect the hierarchy of systems:
-Mechanisms
-Nervous system
-Hormonal system
-Fascia, viscera
-joint system, muscular system

And the emotions that are intimately related and involved with one of the systems in a free form.

But this is not always the case, because the order will be different depending on the client, but it must always be understood that the most important thing is the hierarchy. Nervious system is the king!

Another important thing is that we work very well with manual therapy to lower the sympathetic system, but with the usual manual techniques we do not influence the parasympathetic system, and we have to do it to break the loop / mechanism of the imbalance of the nervous system.

Ah, the active techniques help us to regulate the nervous system, to the point that we manage to send different afferent information to the central nervous system.  For instance :

https://manualtherapycourses.dk/product/neuromuscular-rehabilitation-bmt

Articles of neurosciences in this blog :

https://manualtherapycourses.dk/typer-af-smerter-som-vi-moder-hos-vores-klienter-og-som-vi-skal-vaere-opmaerksomme-pa

https://manualtherapycourses.dk/smerter-og-neurovidenskab-2

https://manualtherapycourses.dk/neuroscience-and-pain-3-interaction-of-the-neuroimmune-system-and-somatic-tissues