[libribook.com] Traumatic Scar Tissue Management 1st Edition

changes often lead to strong and chronic firing of these receptors. Basically, the
more the NS is subjected to nociceptive signaling, the more sensitive it becomes
to non-injurious or innocuous stimuli. Additionally, over a certain threshold, all
mechanoreceptors can potentially become algoceptors (i.e. pain receptors) with
consequent propagation of nociceptive signals.
Mitchinson and Rosenberg (2007) suggest that with the recent emphasis on
assessing pain as the fifth vital sign tempered by renewed concerns for patient
safety, it is time to reintegrate the use of effective and less dangerous approaches
to relieve patient distress (Merboth & Barnason 2000, Taylor et al. 2005). If
MT’s greatest effect is related to modulating the perception of the unpleasantness
of pain (Piotrowski et al. 2003), then it is no giant leap to consider MT’s utility
in the treatment of acute pain and the prevention and treatment of chronic pain.
In the world of pain management, research supports that, hands-down (pun
perhaps intended), multi-modal approaches derive better patient outcomes than
singular interventions.