FEATURE PAIN MANAGEMENT NO SIMPLE SOLUTION Common sources of neurological amplification, part 3 BY ALEJANDRO ELORRIAGA CLARACO I n the first article of this series, a detailed discussion of the number one contributor to a pain syn-drome was provided (the activity of local nociceptors with receptor fields on relevant dermatomal, myotomal and sclerotomal tis-sues) (April 2019). The second article discussed trigger points contribution from both myofascial tissues and vis-cera, as well as spinal contributions from somatic, visceral, and vascular sympathetic relevant levels of innerva-tion, which also included post-gangli-onic neurons from pre-vertebral and visceral ganglia (May 2019). Let’s discuss the remaining contrib-utors to pain syndromes. the kinetic chain, both produced by a variety of qualitative changes on dif-ferent tissues, such as the trophic changes in the subcutaneous tissues, the articular restrictions due to syno-vial changes or micro-edemas of the periarticular regions, the miscellane-ous regional edemas, or the micro-ede-mas of the peripheral nerves, particu-larly small articular branches Together with #10, this could be the most complex aspect due to the intrin-sic difficulty in defining (with preci-sion) the many metabolic aspects po-#7 KINETIC CHAIN RELATED tentially involved: hormonal, cellular, CONTRIBUTORS extracellular, tissular,systemic, gastro-Proximal and distal joints, proximal intestinal, enzymatic, cytoplasmic, and distal muscles, and all associated mitochondrial, etc. Here are a few peripheral nerves, whether cutaneous, relevant metabolic facts concerning articular, sympathetic or motor pain problems: branches. These contributions, al-• Hormones influence pain percep-though not fully understood and dif-tion by 1) altering the activity of ficult to define by its non-linear nature, primary afferent nociceptors or their are confirmed when pain with move-terminal connection at the dorsal ment problems improve greatly and horn, and 2) altering the processing unexpectedly after the kinetic chain is of emotions in the limbic system treated. (altering pain perception). Numer-ous studies indicate that women One explanation for this non-linear have greater sensitivity to deep-tis-improvement could be the restoration sue (muscle) pain than men. The of movement variability and the im-provement of tensional behavior on difference decreases after 40 but is still there after 50. Women experi-DR. ALEJANDRO ELORRIAGA CLARACO, is an international sports medicine consultant who has worked ence more pain than men in re-with hundreds of professional athletes and thousands of clients for over three decades. He has used his sponse to the same noxious stimu-extensive clinical experience and research to become an innovative educator in the field of “pain with lus. A study of 121 Swedish patients movement” disorders. You can find out more at mcmasteracupucture.com. showed that the benefits of cognitive www.canadianchiropractor.ca #8 TENSIONAL INTERRUP-TIONS OF THE CONNECTIVE TISSUE NETWORK AND OTHER INTERFERENCE FIELDS fields that cause dysfunction of the autonomic nervous system, therefore affecting the body in different extent at different levels, i.e. locally, region-ally and globally. He used a local an-esthetic agent to block this interference field and prevent it from continuing sending afferent signals to the central nervous system – signals that were causing abnormal sympathetic nerv-ous system activity and contributing to the pain problem. Pervasive connective tissue and tensegrity system of the body extends from the cell cytoskeleton to the thick fasciae that wrap up the muscles, to the skin. The main cause for these interruptions is scars of all sorts, whether in the vicinity of the pain problem or anywhere else in the body, including scars in mucosae (like scars from tonsillectomy or a dental infec-tion). The relationship between scars and pain at a distance is well docu-mented in the scientific literature (particularly in German), and a whole treatment system called “neural ther-apy” developed by German physician Dr. Ferdinand Huneke, has been widely used in many countries for nearly 100 years. Dr. Huneke consid-ered scars (as well as disorganized tissue from infections) interference #9 METABOLIC, ENDOCRINE, AND SYSTEMIC FACTORS 18 Canadian Chiropractor July/August 2019
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