by cshafer, September 26, 2016
It is the focus of 99% of the patients that come through our clinic doors in Metro Detroit. People that seek physical therapy are generally seeking help for pain and the effect that pain has on their quality of life. First off, lets discuss a few topics surrounding how humans experience discomfort and the anatomy behind WHY we feel the way we do.
“ACCORDING to the National Center for Health Statistics (2006), approximately 76.2 million, one in every four Americans, have suffered from pain that lasts longer than 24 hours and millions more suffer from acute pain. Chronic pain is the most common cause of long-term disability.”
The word PAIN can describe a multitude of conditions, feelings, and emotions, and in this article I am going to focus on pain as it relates to discomfort that is physical in nature. The research behind pain and pain science is always evolving and health care professionals are always learning new and more effective methods of addressing and helping people with pain. Often times when patients have pain stemming from the physical body it may be neurogenic in nature, which essentially means it may come from the nerve or the nervous system itself.
Our nervous system is comprised of two separate nervous systems, The Central and Peripheral Nervous Systems. Think of the CNS as the boss and the PNS as the worker bees. The PNS is comprised of individual nerves that are responsible for motor output as well as sensory input, and one type of sensory input is the experience of pain. When we break down the structure of our PNS, the individual fibers of our nerves are sub-divided into 3 primary layers.
These layers include (Listed outer-most to inner-most), the epineurium, perineurium, and endonerium.
But can the nerves that give us sensation and motor output also experience pain? The answer is yes. The structure responsible for innervating our peripheral nerves is something called the Nervi Nervorum. This structure has been called the “Missing Link” in some types of neuropathic pain because it transmits the sensation of pain and may also initiate certain chronic pain states and syndromes.
Check out the reference below to learn more and check out Complete Rehab in Metro Detroit today for pain management by scheduling an appointment today by clicking here.
-Dr. Shafer, DPT, CSCS