I think it would be both enlightening for Mr. B & of great benefit
for our profession if he were to be educated in the Mc Kenzie
technique, which can be effective for addressing the central causes
of brachial plexus. However, as with many problems we treat, the
etiology can be multiple, in the case of nerve injury sometimes
referred to as "double crush" injury or phenomenon.
Sarah Fern Striffler, PT
Bernadette Sangeelee wrote:
> Dear Mel,
>
> Sorry for the delay, but finally I have come round to replying.
>
> It seems pain eases not only with use of prosthesis following a amputation,
> but also following brachial plexus lesions when they intercostal nerve
> transfers. Mr. Birch, Orthopaedic Consultant specialised in brachial plexus
> injuries (Royal National Orthopaedic Hospital in London) is researching the
> fact that brachial plexus injuries is more a central, than a peripheral
> nerve injury. This is why there is such extreme pain not relieved by much
> else than amytryptiline. He says once he has done a nerve transfer and more
> muscles are working again the pain eases dramatically. Now he is looking why
> central nervous system injuries are so painful and has an interesting
> theory. Only my cerebral functions are too limited to be able to relay it in
> an intelligent fashion. But once he has finished he said he would publish
> his work. Should not be long, but I am sure you should be able to contact
> him in RNOH, Stanmore, Middlesex.
> Hope this has been helpful?
>
> Bernadette.
> -----Original Message-----
> From: [log in to unmask] <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: 04 September 2000 07:21
> Subject: Central Pain
>
> >On 9/3/00 11:56:14 PM, [log in to unmask] writes:
> >
> ><< : Weiss T, Miltner WH, Adler T, Bruckner L, Taub E. Related
> Articles
> >
> >
> >Decrease in phantom limb pain associated with prosthesis-induced increased
> >use of an amputation stump in humans. Neurosci Lett. 1999 Sep
> 10;272(2):131-4.
> >
> >
> >It seems that increased activity of the limb eased the pain - isnīt that
> what
> >Mrs Siff demonstrated with her exercises - if you parden me for being
> >personal. >>
> >
> >***This is an interesting observation that we have also noted, though the
> >exercise should be very regular and not sporadic. It would be intersting
> to
> >read other comments or further references on this topic.
> >
> >Dr Mel C Siff
> >Denver, USA
> >http://www.egroups.com/group/supertraining
> >
> >
> >
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