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Sympathetic nervous system and pain: Phenomenological diversity

Published online by Cambridge University Press:  01 September 1997

William J. Roberts
William J. Roberts
Affiliation:
R. S. Dow Neurological Sciences Institute, Legacy Health Systems, Portland, OR 97209 robertsw@lhs.org
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Abstract

This commentary on blumberg et al. addresses complications associated with diagnostic testing for sympathetic dependence of pain that can lead to inappropriate positive and negative conclusions. In addition, it is suggested that their “ischemic” test be conceived as a test of the effect of local vascular pressure and that the two types of sensory disorders presented may differ primarily in the degree of sensitization of central pain pathways. Detailed reports with functionally-oriented testing like that done by blumberg are essential for an understanding the pathophysiological mechanisms.

Type
Open Peer Commentary
Information
Behavioral and Brain Sciences , Volume 20 , Issue 3 , September 1997 , pp. 463 - 464
Copyright
© 1997 Cambridge University Press

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