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The References' Caves You can find there some references about chronic pain and PPP.

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Old 09-10-2004, 09:47 PM   #1
bernard
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Default Cortical reorganisation and chronic pain...

Rehabil Med. 2003 May;(41 Suppl):66-72. Related Articles, Links

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12817660

Cortical reorganisation and chronic pain: implications for rehabilitation.

Flor H.

Department of Clinical and Cognitive Neuroscience, University of Heidelberg, Central Institute of Mental Health, Mannheim, Germany. flor@zi-mannheim.de

Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorganisation in both the somatosensory and the motor system was observed in neuropathic and musculoskeletal pain. In patients with chronic low back pain and fibromyalgia the amount of reorganisational change increases with chronicity; in phantom limb pain and other neuropathic pain syndromes cortical reorganisation is correlated with the amount of pain. These central alterations may be viewed as pain memories that influence the processing of both painful and nonpainful input to the somatosensory system as well as its effects on the motor system. Cortical plasticity related to chronic pain can be modified by behavioural interventions that provide feedback to the brain areas that were altered by somatosensory pain memories or by pharmacological agents that prevent or reverse maladaptive memory formation.

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PMID: 12817660 [PubMed - in process]
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Old 15-10-2004, 01:05 PM   #2
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Precisely.

But is this knowledge widespread in Rehab medicine and PT?

Many PTs in Rehab still separate "musculo-skeletal" from "neurological" in practice, because they might not think of musculo-skeletal pathology and brain plasticity in the same breath.


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Old 15-10-2004, 01:21 PM   #3
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Nari,

precisely, we are seeing boards wich are focussed on neurology and this one is not. :wink:

We are trying to put all the pieces together.
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