NMS

6/23/99

• Over the counter medication can successfully mask sclerotome pain
• These meds do not relieve radiculopathy
• Restoration of motion will relieve the pain (restore mechanoreceptors and there firing will override or inhibit the nociceptors)

Lateral Horn

• Korr
• Sympathetic Atonia
• Sustained sympathetic activation on health
• Hyperactivity
• Contradicts the pinched nerve idea—instead they are being activated
• How do they get excited? Peripheral inputs—from DRG
• Not good when sustained—can cause disease when sustained
• Segmental
• Subluxated T5 get different symptoms than if subluxate C7
• The sympathetically hyperactive areas of the skin fxn differently from the normal areas—exaggerated
• Osteopathic term for subluxation is somatic dysfxn
• Depress the threshold, takes less to stimulate the nerves (ex: cough)
• NE enhances the fxn of the tissue

J Receptor

• Fires—know it b/c of dyspnea (shortness of breath)
• Juxtaalveolar receptors
• Adjust blocks the incoming message and can decrease NE in the tissues
• The J receptors sensitization is reduced
• Shortness of breath is released