Di,
I think you're precisely on track, well, almost. And I really appreciate
seeing someone do a medline search. One day I'm going to figure out how to
do that, really.
The slowness of the response to sympathetic tone is not at all unusual, in
my experience. Pain begins when our tolerance for mechanical deformation is
overcome, and both elements of that relationship are rather fluid. High
tolerance=Parasympathetic tone, and low tolerance =High Sympathetic tone.
Over time, a high sympathetic response wears us down, and the same
deformation that was painless yesterday might not be today. Time is the
key. I tell my patients that if they do what I suggest and thus remain
warm, time will help them. If they grow cold, time is against them.
I think the "local" allergic response is all you'll find in the literature,
but we'll see.
Barrett L. Dorko P.T.
<http://qin.com/dorko>
Also at <http://www.rehabedge.com>
and <http://www.physicaltherapist.com>
and<http://prorehab.com>
At 08:18 AM 3/3/00 +1100, you wrote:
>Since the original post on this topic last night, I have completed a
>medline search on this issue. There are a number of studies which indicate
>that there may be some localised "allergic" effect to the surrounding
>tissues eg chronic inflammation and possible necrosis and a great many
>titles which do not have the abstract attached which indicate that this may
>go further. I fanyone has any references i would be very interested.
>
>Barrett,
>
>Thanks for reply, I guess that I that this is a possiblity, it just appears
>that this has been of very slow onset and I would have thought that if she
>was to experience a "sympathetic repsonse" of this nature that it may well
>have manifested itself a lot earlier? I should probably add to some support
>your theory that she does also have a history of quite severe
>Cervico-brachial symptoms, so there may indeed be some underlying
>pre-existing sympathetic sensitivity!
>
>Di
>
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