If someone tells you your chronic back pain is all in your brain, you may be insulted or become downright angry. Anyone suffering chronic back pain knows how nagging and miserable it can be. Yet in many cases, chronic back pain is not caused by structural anomalies, but by the central nervous system (CNS) itself.
Many people suffer ongoing back pain for years, trying various treatment methods with little or no success. Even surgical interventions do not always resolve back pain, and in some cases surgery may lead to further degeneration of your spine. New research on the brain activities of chronic pain patients sheds some light on the source of chronic back pain in some people.
Central sensitization (CS) is a CNS condition that has to do with the development and maintenance of ongoing pain. It entails a process called wind-up where the CNS is regulated into a highly reactive state which lowers the pain threshold and maintains a certain level of pain, even after the initial injury or cause of pain has healed.
CS has two primary characteristics that heighten sensitivity to pain and intensify the sense of touch:
In either case, the persistent state of the CNS is highly reactive, amplifying pain in some people. Chronic back pain is one area where CS is often prevalent.
Central sensitization is the result of changes to the CNS, particularly in the dorsal horn of the spinal cord and in the brain. These changes occur at the cellular level, often at receptor sites.
Spinal cord injuries and strokes have been known to trigger central sensitization because they directly affect the CNS. However, many patients develop CS as a result of a peripheral injury that does not directly impact the CNS. Scientists have identified certain factors that may contribute to the neural changes leading to CS.
Treatments for CS target the CNS and corresponding inflammation. Treatment may include:
Treatment programs typical incorporate a multimodal approach. The prevailing theory is that if pain can be felt, then it can be treated.
Treatment for CS in NYC
If you are tired of living with chronic back pain and have tried everything to find a solution, you may be experiencing CS. The pain specialists at NYDNRehab stay on the cutting edge of research and treatments for chronic pain, and have the expertise and resources to resolve CS. Do not let the pain in your brain keep you from getting well. Contact NYDNRehab today, and see why our team of pain specialists is the very best in NYC.
Plantar fasciitis can be a painful and insidious condition that makes life miserable for any patient. For runners and other physically active people, it can be particularly frustrating, keeping you from doing the things you love and interfering with performance and fitness goals. To date, treatment has mostly centered on orthotic aids, pain management and […]Read More (0)
Knee pain is a common complaint of adults, especially as we age. One reason the knee joint is vulnerable to pain is that it is a complex structure that bears our body weight, and regulates forward, backward and lateral (side) movement. Many structures of the lower body come together at the knee, including the tibia […]Read More (0)