2008
DOI: 10.3238/artzebl.2008.0214
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Muscle Pain

Abstract: Central sensitization leads to increased excitation in the spinal cord and to referral of muscle pain. The motoneurones of a painful muscle are centrally inhibited. Muscular spasm is mostly secondary to a painful lesion in another muscle or joint. The pain of fibromyalgia is assumed to relate to a dysfunction of central nociceptive processing. Psychosocial factors also contribute to pain.

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Cited by 65 publications
(45 citation statements)
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References 29 publications
(18 reference statements)
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“…44 This difference could be attributed to the variation in their innervation by large and small fibers. For instance, about 47% of afferents innervating muscles have myelinated axons compared to 24% of those innervating the skin.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…44 This difference could be attributed to the variation in their innervation by large and small fibers. For instance, about 47% of afferents innervating muscles have myelinated axons compared to 24% of those innervating the skin.…”
Section: Discussionmentioning
confidence: 99%
“…5,70,72 Approximately 39% of men and 45% of women report chronic musculoskeletal pain, 71 describing it as dull and aching rather than epicritic. 44 A variety of modulators of primary afferent C-fiber activity (e.g. lactate and ATP), are poised to serve as endogenous mediators of musculoskeletal pain.…”
Section: Introductionmentioning
confidence: 99%
“…4 This sustained contraction of muscle can lead to a significant increase in the concentration of inflammatory and nociceptive transmitters within the trigger point, as measured by real-time microdialysis in a landmark study by Shah et al 5 Persistent peripheral muscle nociceptive activation by these inflammatory and nociceptive compounds is converted into a permanent stimulus that facilitates pain neurotransmission and leads to central sensitization and glial activation. 68 …”
Section: Introductionmentioning
confidence: 99%
“…Keadaan iskemik ini membuat jaringan mikrosirkulasi karena vasokonstriksi pembuluh darah, mengalami kekurangan nutrisi dan oksigen serta menumpuknya zat-zat sisa metabolisme dan timbul viscous circle. Keadaan ini akan merangsang ujung-ujung saraf tepi nosiseptife C untuk melepaskan suatu neuropeptida yaitu substansi P. Adanya pelepasan substansi P akan membebaskan prostaglandin dan diikuti juga dengan pembebasan bradikinin, histamin, serotonin sehingga dapat menimbulkan nyeri (Mense, 2001).…”
Section: Aktivitasunclassified