A Healthesystems publication

Spring 2014

Understanding Pain: Neuroremodeling

When acute trauma or injury changes nerves along pain pathways in the central nervous system, the brain’s perception of pain can be altered, and the stage can be set for chronic pain. A number of therapies have proven useful in resetting the brain’s perception of pain and curbing chronic pain.

Pain is a normal response by the body to prevent further damage and promote healing. While an uncomfortable sensation, it is generally a temporary phenomenon. Not all pain is bad. In fact, pain is part of the body’s protective system. When trauma or injury occurs, neurons send signals to the brain to stop the activity causing the pain.

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SOURCES

1 -Costigan M, Scholz J, Woolf CJ. Neuropathic pain:a maladaptive response of the nervous system to damage. Annu Rev Neurosci. 2009;32:1-32.
2 -Denniston PL. ODG Treatment in Workers’ Comp 2012, Tenth Edition. Work Loss Data Institute, Encinitas, CA.
3 -Foell J, Bekrater-Bodmann R, Diers M et al. Mirror therapy for phantom limb pain: brain changes and the role of body presentation. Eur J Pain. Epub December 2013;1-11. http://onlinelibrary.wiley.com.lp.hscl.ufl.edu/doi/10.1002/j.1532-2149.2013.00433.x/pdf. Accessed February 25, 2014.
4 -Psychological Interventions for Chronic Pain: a Critical Review, Turner J and Chapman CR, Pain, 12 (1982) 1-21 Elsevier Biomedical Press.
5 -Department Of Labor Division Of Industrial Affairs. Office Of Workers’ Compensation Statutory Authority: 19 Delaware Code, Section 2322c (19 Del.C. §§2322c) 19 De Admin. Code 1342 Proposed Public Notice 1342 Health Care Practice Guidelines.
6 -Washington State Department of Labor and Industries. 2013. Guideline for Prescribing Opioids to Treat Pain in Injured Workers Effective July 1, 2013.
7 -Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (October 14, 2010). The N-SSATS Report: Clinical or Therapeutic Approaches Used by Substance Abuse Treatment Facilities. Rockville, MD http://www.oas.samhsa.gov/2k10/238/238ClinicalAp2k10Web.pdf. Accessed February 25, 2014.
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