Pain and the spine. a review. 1. on the pathophysiology of radicular pain syndromes. Current concepts explaining pain in nerve entrapment syndromes

Wehling, P.; Molsberger, A.; Schulitz, K.P.

Zeitschrift für Orthopadie und ihre Grenzgebiete 127(2): 197-201


ISSN/ISBN: 0044-3220
PMID: 2544064
DOI: 10.1055/s-2008-1040110
Accession: 040901954

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The problems of nociception and the development of pain in radicular syndromes of the spine may be summarized as follows: 1. The anatomic complex nerve root/dorsal ganglion is a key structure in the pain physiology of disk prolapse and spinal stenosis. 2. Chronic compression of nerve tissue causes structural changes. 3. These structural changes are associated with a change in the electrical properties of the nerve root membrane. 4. The change in membrane properties in the nociceptive pathways of nerve roots is one of the preconditions for perception of pain. As the authors' remark indicate, a better understanding of the pathophysiology of pain will lead to a more differentiated therapeutic approach.