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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Pathophysiological ConsiderationUnimpeded nerve conduction is essential to trophic effect (i.e. control andmaintenance of cellular function). When conduction is impeded or blocked,innervated structures become atrophic. Atrophic structures can becomehighly irritable and develop hypersensitivity (Cannon & Rosenblueth1949).Double-crush injuryWith double-crush injury, an axon compressed in one region can becomesusceptible to injury at another site (e.g. development of a cervical radiculopathyin conjunction with carpal tunnel syndrome) (Upton & McComas 1973,Moghtaderi & Izadi 2008, Coppieters & Nee 2012). Mechanisms similar to thoseassociated with sensitization are implicated.
Clinical ConsiderationWith double-crush injuries, failure to treat at multiple levels will result infailure to relieve the patient’s symptoms (Mackinnon 2002). This supportsthe importance of local and global treatment considerations (e.g. along thenerve path, corresponding myofascial meridians/myokinetic chains andneighboring tissue).
- Page 370 and 371: Clinical ConsiderationAlthough musc
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- Page 374 and 375: Example 2Ruffini stimulation result
- Page 376 and 377: Table 4.1Summary of receptor typolo
- Page 378 and 379: • Therapeutic outcome include enh
- Page 380 and 381: NS FunctionThe primary functions of
- Page 382 and 383: Clinical ConsiderationMechanorecept
- Page 384 and 385: Clinical ConsiderationIn addition t
- Page 386 and 387: Clinical ConsiderationManual techni
- Page 388 and 389: large enough, a voltage spike is pr
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- Page 392 and 393: Table 4.2Important pain terms. Vari
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- Page 396 and 397: disorders (diabetes mellitus), drug
- Page 398 and 399: forms of negative plasticity includ
- Page 400 and 401: Central and peripheral sensitizatio
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- Page 404 and 405: ExampleHypersensitive nerves (assoc
- Page 406 and 407: Example 1Hypersensitized nerve fibe
- Page 408 and 409: Clinical ConsiderationIt is suggest
- Page 410 and 411: Clinical ConsiderationNeuropathic p
- Page 412 and 413: Wound HealingThe NS plays an import
- Page 414 and 415: Clinical ConsiderationNeural and ci
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- Page 418 and 419: Pathophysiological ConsiderationIf
- Page 422 and 423: Clinical ConsiderationAs is the cas
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- Page 426 and 427: Damasio AR, Grabowski TJ, Bechara A
- Page 428 and 429: Magee DJ (2008) Orthopedic physical
- Page 430 and 431: Stecco C, Porzionato A, Macchi V et
- Page 432 and 433: CHAPTER 5Wound healing and scarsNev
- Page 434 and 435: Wound HealingWound healing, a compl
- Page 436 and 437: Table 5.1Stages of wound healing
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- Page 443 and 444: Clinical ConsiderationDuring wound
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- Page 450 and 451: Figure 5.3Adapted from Huang et al.
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- Page 454 and 455: Table 5.2Important pathophysiologic
- Page 456 and 457: According to Klingler (2012):… pa
- Page 458 and 459: Table 5.3Scar types and related ter
- Page 460 and 461: unyielding or pliable and mobile. R
- Page 462 and 463: Prolonged InflammationInflammation
- Page 464 and 465: ImmobilizationThe impact of immobil
- Page 467 and 468: Figure 5.4The fall-out associated w
- Page 469 and 470: Clinical ConsiderationHere we see t
Clinical Consideration
With double-crush injuries, failure to treat at multiple levels will result in
failure to relieve the patient’s symptoms (Mackinnon 2002). This supports
the importance of local and global treatment considerations (e.g. along the
nerve path, corresponding myofascial meridians/myokinetic chains and
neighboring tissue).
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