Clinical examination as a tool for identifying the origin of regional musculoskeletal pain.
Best Pract Res Clin Rheumatol
; 17(1): 1-15, 2003 Feb.
Article
em En
| MEDLINE
| ID: mdl-12659818
ABSTRACT
A knowledge of the physiopathology of the processing of noxious stimuli in regional musculoskeletal disorders is useful for an understanding of the clinical history. In regional musculoskeletal pain (RMP) the physiopathology of the pain may be separated into two main features. First, the nociceptive pain which results from the activation of nociceptors diffusely distributed among the anatomical structures in and around the joint, apart from the cartilage; the nociceptive pain has a protective role. Second, the abnormal impulses from a nervous tissue lesion give rise to a neuropathic pain which offers no biological advantage and is a maladaptive pain. This chapter describes the main physiological characteristics of these two kinds of pain. From these, in the majority of cases, the clinical history and the physical examination must specify the diagnosis of the RMP and localize the source of pain. Furthermore, the clinical characteristics permit diagnosis of different complex situations where these two types of pain are associated.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor
/
Exame Físico
/
Doenças Musculoesqueléticas
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Best Pract Res Clin Rheumatol
Assunto da revista:
REUMATOLOGIA
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
França