central sensitization as normal response to injury

Central Sensitization as normal response to injury

Arturo Such Sanzwww.arturosuch.com - @arturosuch - [email protected]

lunes 23 de septiembre de 13

http://www.arturosuch.com



Casino, 1995



Gifford, 1998



Costigan y Woolf, 2000



Raja et al, 1984

Primary hyperalgesiaTactile allodyniaMechanical hyperalgesiaThermal hyperalgesia

Located at injury site

Secondary hyperalgesiaTactile allodyniaMechanical hyperalgesia

No injury site


Banic et al, 2004




Sterling et al, 2003



Predictor factors in whiplash

1.Perceived high pain intensity

2.Perceived high level disability

3.Old age

4.Cold hyperalgesia

5.Impaired vasoconstriction

6.PTSDSterling et al, 2006



Yellow Flags:

1.Belief that back pain is harmful or potentially severely disabling

2.Fear-avoidance behaviour and reduced activity levels

3.Tendency to low mood and withdrawal from social interaction

4.Expectation of passive treatment(s) rather than a belief that active participation will help

Waddell, 2004



Watson P, Kendall N, 2000

Yellow Flags

Attitudes and beliefs

Behaviours

Compensation issues

Diagnosis and treatment issues

Emotions

Family

Work


www.bodyinmind.org



http://www.bodyinmind.org

http://www.bodyinmind.org



Conclusion






Conclusion

Nociception implies central sensitization






Conclusion


Central sensitization is a normal response






Conclusion


Central sensitization is a normal response

Importance of the prognostic factors




central sensitization as normal response to injury

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