Pain-Modulation

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Pain Modulation[edit | edit source]

Pain modulation the process of alterations in the pain signals along the transmission pathway of pain, it explains why individuals response to the same stimulus different, explains the mechanism of action when using clinical analgesic. Pain control and modulation is a complex chore that is often the primary reason patients seek the services of rehabilitation professionals.  Modulation of pain begins with an understanding of the various levels of pain modulation and extends to clinical interventions and protocols designed to reduce pain. For example, opiates they are capable of increasing and decreasing pain experience.

Levels of Pain Modulation[edit | edit source]

Pain modulation is easily classified into 5 discreet levels of interaction.  These levels correspond to either important synaptic junctions, or significant chemical processes involved in the trasmission of pain.

Level 1:  Periphery[edit | edit source]

Level 1 pain modulation refers to events acting in the periphery of the body, at the source of the pain source. 

Level 2:  Dorsal Horn[edit | edit source]

Level 2 pain modulation refers to events in the dorsal horn of the spinal cord.  It is here where the Gate Theory of Pain comes into play.

Level 3:  Fast Neuronal Descending Pathways[edit | edit source]
Level 4:  Hormonal[edit | edit source]
Level 5: Cortical[edit | edit source]

Pain Interventions[edit | edit source]

Modalities[edit | edit source]
Exercise[edit | edit source]
Manual Therapy[edit | edit source]

References[edit | edit source]