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this applies to cfs and fibro but probably has implication for all these functional pain things.Central hyperexcitability in chronic musculoskeletal pain: A conceptualbreakthrough with multiple clinical implications.Pain Res Manag 2002 Summer;7(2):81-92Lidbeck J.Pain Management Clinic, Hospital of Helsingborg, Helsingborg, Sweden.Recent investigations of dysfunctional pain processing in the central nervoussystem have contributed much knowledge about the development of chronicmusculoskeletal pain.Many common chronic musculoskeletal pain syndromes - including regionalmyofascial pain syndromes, whiplash pain syndromes, refractory work-relatedneck-shoulder pain, certain types of chronic low back pain, fibromyalgia andothers - may essentially be explained by abnormalities in central painmodulation.The growing awareness of dysfunctional central pain modulation may be aconceptual breakthrough leading to a better understanding of common chronicpain disorders. A new paradigm will have multiple clinical implications,including re-evaluation of clinical practice routines and rehabilitationmethods, and will focus on controversial issues of medicolegal concern.The concept of dysfunctional central pain processing will also necessitate amechanism-based classification of pain for the selection of individualtreatment and rehabilitation programs for subgroups of patients with chronicmusculoskeletal pain due to different pathophysiological mechanisms.PMID: 12185372 --------------------------------------------- Co-Cure Web Site: http://www.co-cure.org/ Send posts to mailto:CO-CURE###listserv.nodak.edu Join or leave the list at http://www.co-cure.org/sub.htm Co-Cure is not a discussion list. Please do not reply to the list. ---------------------------------------------tom
 

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Not sure that I understand this, Tom.Why does dysfunctional central pain processing occur in the first place? Is it a unique syndrome or disease in and of itself or is it a component of something more all inclusive?And where is the pain registered? Is it a brain malfunction again or a central nervous system involvement?I have limited medical background, so would appreciate if someone could consolidate this into a nutshell, if that is possible.
 
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