疼痛

B 受到疼痛傷害 產生inflamattion(紅腫熱痛)後

同一地方對於疼痛的閾值會下降(因為inflammator cytokine,eg interleukin1 sensitize nociceptor到) 使產生inflammation pain

A Mechanical force=nociceptive=activate high threshold high nociceptive pain


C Neuropathic pain (.burning .針扎.paresthesia. Dysthesia. Spontaneous)

-任何peripheral nerve damage導致疼痛 (inhibition signal degenerate),spontaneous的 pain

Dm polyneuropathy, neuritis,切到

D central sensitization (排除peripheral)

Fibromyalgia. Traumatic pain

以自述方式評估

Dysfuntional

Central dysinhibition

長期centrall sensitization

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