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The indications for ganglion impar blockade are based on the anatomical location of pain and include various conditions such as perineal pain (with or without malignancy), rectal/anal pain (proctitis), distal urethral pain, vulvodynia, scrotal pain, female pelvic/vaginal pain (distal 1/3), sympathetically-maintained pain (e.g., Complex Regional ...
Another type of pain, known as neuropathic pain, is caused by a direct problem or disease that affects the nerves in the central nervous system. [11] The sensory pathways the WDR neurons can play a role in. A subset of this neuropathic pain, known as chronic neuropathic pain, is characterized by its long lasting and high pain intensity.
In the abdomen, general visceral afferent fibers usually accompany sympathetic efferent fibers. This means that a signal traveling in an afferent fiber will begin at sensory receptors in the afferent fiber's target organ, travel up to the ganglion where the sympathetic efferent fiber synapses, continue back along a splanchnic nerve from the ganglion into the sympathetic trunk, move into a ...
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Reflex Sympathetic Dystrophy, RSD, is a syndrome characterized by chronic pain, tenderness, and vasomotor instability usually in a distal extremity. Lack of recognition, familiarity and a simple diagnostic test has often delayed diagnosis and proper management.
Complex regional pain syndrome (CRPS type 1 and type 2), sometimes referred to by the hyponyms reflex sympathetic dystrophy (RSD) or reflex neurovascular dystrophy (RND), is a rare and severe form of neuroinflammatory and dysautonomic disorder causing chronic pain, neurovascular, and neuropathic symptoms.
Wall & Melzack's Textbook of Pain is a medical textbook published by Elsevier. It is named after Patrick David Wall and Ronald Melzack, who introduced the gate control theory into pain research in the 1960s. First released in 1984, the book has been described as "the most comprehensive scientific reference text in the field of pain medicine". [1]
The sympathetic nervous system's primary process is to stimulate the body's fight or flight response. It is, however, constantly active at a basic level to maintain homeostasis. [4] The sympathetic nervous system is described as being antagonistic to the parasympathetic nervous system.