Skip to main content
SpringerLink
Log in

Mechanismen von Schmerz und Nozizeption der Wirbelsäule

  • Chapter
Weichteildistorsionen der oberen Halswirbelsäule

Zusammenfassung

Bei Schmerzen, die von der Wirbelsäule ausgehen, sind folgende Komponenten zu beachten:

  1. 1.

    die Biomechanik der Wirbelsäule auf Grund ihres anatomischen Aufbaus, ihrer Gelente, ihres Bandapparates und ihrer Skelettmuskulatur,

  2. 2.

    die afferente Innervation der verschiedenen Strukturen der Wirbelsäule und ihre Funktionen,

  3. 3.

    die efferente Innervation Skelettmuskulatur der Wirbelsäule und ihre Funktionen

  4. 4.

    die sensorischen Merkmale der Schmerzen (Projektionen, Übertragungen).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Aprül C, Dwyer C, Bogduk N (1990) Cervical zygapophyseal joint pain patterns II: a clinical evaluation. Spine 15: 458–461

    Article  Google Scholar 

  • Bahns E, Ernsberger U, Jänig W, Nelke A (1986) Discharge properties of mechanosensitive afferents supplying the retroperitoneal Space. Pflügers Arch 407: 519–525

    Article  PubMed  CAS  Google Scholar 

  • Barnsley L, Lord S, Bogduk N (1993 a) Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain 55: 99–106

    Article  PubMed  CAS  Google Scholar 

  • Barnsley L, Lord S, Wallis B, Bogduk N (1993 b) False-positive rates of cervical zygapophysial joint blocks. Clin J Pain 9: 124–130

    Article  PubMed  CAS  Google Scholar 

  • Bogduk N (1980) Lumbar dorsal ramus Syndrome. Med J Aust 15: 537–541

    Google Scholar 

  • Bogduk N (1983) The innervation of the lumbar spine. Spine 8: 286–93

    Article  PubMed  CAS  Google Scholar 

  • Bogduk N, Aprill C (1993) On the nature of neck pain, discography and cervical zygapophysial joint pain. Pain 54: 213–217

    Article  PubMed  CAS  Google Scholar 

  • Bogduk N, Marsland A (1988) The cervical zygapophysial joints as a source of neck pain. Spine 13:610–617

    PubMed  CAS  Google Scholar 

  • Bogduk N, Windsor M, Inglis A (1988) The innervation of the cervical intervertebral discs. Spine 13: 2–8

    Article  PubMed  CAS  Google Scholar 

  • Chahl LA (1991) Antidromic vasodilatation and neurogenic inflammation. In: Bell C (Hrsg) Novel peripheral neurotransmitters. Pergamon, New York, pp 161–192

    Google Scholar 

  • Dwyer A, Aprill C, Bogduk N (1990) Cervical zygapophyseal joint pain patterns I: a study in normal volunteers. Spine 15: 453–457

    Article  PubMed  CAS  Google Scholar 

  • Grigg P, Schaible H-G, Schmidt RF (1986) Mechanical sensitivity of group III and IV afferents from posterior articular nerve in normal and inflamed cat knee. J Neurophysiol 55: 635–643

    PubMed  CAS  Google Scholar 

  • Holzer P (1988) Local effector functions of capsaicin-sensitive sensory nerve endings: involvement of tachykinins, calcitonin gene-related peptide and other neuropeptides. Neuroscience 24: 739–768

    Article  PubMed  CAS  Google Scholar 

  • Jänig W (1988) Pathophysiology of nerve following mechanical injury. In: Dubner R, Gebhart GF, Bond MR (eds) Proceedings of the Vth World Congress on Pain. Pain research and clinical management, vol 3. Elsevier (biomedical division), Amsterdam, pp 89–108

    Google Scholar 

  • Jänig W (1993a) Biologische und pathobiologische Schmerzmechanismen. In: Zenz M, Jurna I (Hrsg) Lehrbuch der Schmerztherapie. Wissenschaftliche Verlagsgesellschaft, Stuttgart, S 15–33

    Google Scholar 

  • Jänig W (1993b) Spinal visceral afferents, sympathetic nervous system and referred pain. In: Vecchiet L, Albe-Fessard D, Lindblom U, Giamberardino MA (eds) New trends in referred pain and hyperalgesia. Elsevier, Amsterdam, 83–92

    Google Scholar 

  • Jänig W (1995) Neurobiologische Grundlagen von reflexiv orientierten Therapien in der Naturheilkunde. Teil 1: Schmerz und sympathisches Nervensystem. Teil 2: Neuronale Rückkopplungsmechanismen. In: Bühring M, Kremer FH (Hrsg) Naturheilverfahren. Springer, Berlin Heidelberg New York Tokyo, S 1–59 (1), 1-40 (2)

    Google Scholar 

  • Jänig W, McLachlan EM (1994) The role of modifications in noradrenergic peripheral pathway after nerve lesions in the generation of pain. In: Fields HL, Liebeskind JC (eds) Pharmacological approaches to the treatment of pain: new concepts and critical issues. Progress in pain research and management, vol. 1. IASP Press, Seattle, pp 101–128

    Google Scholar 

  • Juli G, Bogduk N, Marsland A (1988) The accuracy of manual diagnosis for cervical zygapophysial joint pain syndromes. Med J Aust 148: 233–236

    Google Scholar 

  • Kellgren JH (1938) Observation of referred pain arising from muscle. Clin Sei 3: 175–190

    Google Scholar 

  • Kellgren JH (1939) On the distribution of pain arising from deep somatic struetures of segmental pain areas. Clin Sei 4: 35–46

    Google Scholar 

  • Kniffki K-D, Schomburg ED, Steffens H (1981) Synaptic effects from chemically activated fine muscle afferents upon y-motoneurones in decerebrate and spinal cats. Brain Res 206: 361–370

    Article  PubMed  CAS  Google Scholar 

  • Lewin GR, McMahon SB (1993) Muscle afferents innervating skin form somatotopically appropriate connections in the adult rat dorsal horn. Eur J Neurosci 5:1083–1092

    Article  PubMed  CAS  Google Scholar 

  • Lewis T (1942)Pain. Macmillan, London Basingstoke

    Google Scholar 

  • Lewis T, Kellgren JH (1939) Observations relating to referred pain, viscero-motor reflexes and other associated phenom1ena. Clin Sei 4: 47–71

    Google Scholar 

  • Lord M, Barnsley L, Bogduk N (1995) The Utility of comparative local anesthetic blocks versus placebo-controlled blocks for the diagnosis of cervical zygapophysial joint pain. Clin J Pain 11:208–213

    Article  PubMed  CAS  Google Scholar 

  • Mense S (1986) Slowly conducting afferent fibers from deep tissues: neurobiological properties and central nervous actions. Prog Sensory Physiol 6: 139–219

    Google Scholar 

  • Mense S (1993 a) Nociception from skeletal muscle in relation to clinical muscle pain. Pain 54: 241–289

    Article  PubMed  CAS  Google Scholar 

  • Mense S (1993b) Peripheral mechanisms of muscle nociception and local muscle pain. J Musculoskeletal Pain 1:133–170

    Article  Google Scholar 

  • Mense S (1993c) Neurobiologische Mechanismen der Übertragung von Muskelschmerz. Der Schmerz 7: 241–249

    Article  PubMed  CAS  Google Scholar 

  • Mense S, Schaible H-G (1993) General pain physiology. In: Olesen J, Tfelt-Hansen P, Welch KMA (Hrsg) The headaches. Raven, New York, pp 69–77

    Google Scholar 

  • Merskey H, Bogduk N (eds) (1994) Classification of chronic pain: descriptions of chronic pain syndromes and defmition of pain terms, 2. Edn. IASP Press, Seattle

    Google Scholar 

  • Michaelis M, Blenk K-H, Jänig W, Vogel C (1995) Spontaneous activity and mechanosensitivity in axotomized sensory nerve fibers a few hours after peripheral nerve lesion in the rat. J Neurophysiol 74: 1020–1027

    PubMed  CAS  Google Scholar 

  • Michaelis M, Häbler H-J, Jänig W (1996) Silent afferents: a further class of nociceptors? Clin Exp Pharmacol Physiol 23:14–20

    Article  Google Scholar 

  • Price DD (1988) Psychological and neural mechanisms of pain. Raven, New York

    Google Scholar 

  • Rickenbacher J, Landolt AM, Theiler K (1981) Rücken. In: Lanz T, Wachsmuth W (Hrsg) Praktische Anatomie, Band II/7. Springer, Berlin Heidelberg New York, S 1–406

    Google Scholar 

  • Ruch TC (1979) Pathophysiology of pain. In: Ruch TC, Patton HD (eds) Physiology and biophysics: the brain and neural funetion. Saunders, Philadephia, pp 272–324

    Google Scholar 

  • Schaible H-G, Grubb BD (1993) Afferent and spinal mechanisms of joint pain. Pain 55: 5–54

    Article  PubMed  CAS  Google Scholar 

  • Schaible H-G, Schmidt RF (1988) Time course of mechanosensitivity changes in articular afferents during a developing experimental arthritis. J Neurophysiol 60: 2180–2195

    PubMed  CAS  Google Scholar 

  • Schaible H-G, Schmidt RF (1995) Nozizeption und Schmerz. In: Schmidt RF, Thews G (Hrsg) Physiologie des Menschen, 26. Aufl. Springer, Berlin Heidelberg New York Tokyo, S 236–250

    Google Scholar 

  • Schmidt RF (1981) Schmerzauslösende Substanzen. Z Physiol Med 2: 73–89

    Google Scholar 

  • Schmidt RF, Schaible H-G, Meßlinger K, Heppelmann B, Hanesch U, Pawlak M (1993) Silent and active nociceptors: strueture, funetions and clinical implications. In: Gebhart GF, Hammond DL, Jensen TS (eds) Proceedings of the 7th World Congress on Pain. Progress in pain research and management, vol 2. IASP Press, Seattle, pp 213–250

    Google Scholar 

  • Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N (1994 a) The relative contributions of the disc and zygapophyseal joint in chronic low back pain. Spine 19: 801–806

    Article  PubMed  CAS  Google Scholar 

  • Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N (1994b) Clinical features of patients with pain stemming from the lumbar zygapophysial joints. Spine 19:1132–1137

    Article  PubMed  CAS  Google Scholar 

  • Stilwell DL (1956) The nerve supply of the vertebral column and its associated structures in the monkey. Anat Ree 125: 139–169

    Article  Google Scholar 

  • Travell J, Simons DG (1983) Myofascial pain and dysfunetion. The trigger point manual. Williams & Wilkins, Baltimore London

    Google Scholar 

  • Vecchiet L, Albe-Fessard D, Lindblom U, Giamberardino MA(Hrsg) (1993 a) New trends in referred pain and hyperalgesia. Elsevier, Amsterdam

    Google Scholar 

  • Vecchiet L, Dragani L, deBigontina P, Obletter G, Giamberardino MA (1993 b) Experimental referred pain and hyperalgesia from muscle in humans. In: Vecchiet L, Albe-Fessard D, Lindblom U, Giamberardino MA (eds) New trends in referred pain and hyperalgesia. Elsevier, Amsterdam, pp 239–249

    Google Scholar 

  • Wall PD, Melzack R (1994) Textbook of Pain. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Willis WD (1993) Central plastic responses to pain. In: Gebhart GF, Hammond DL, Jensen TS (eds) Proceedings of the 7th World Congress on Pain. Progress in pain research and management, vol 2. IASP Press, Seattle, pp 301–324

    Google Scholar 

  • Willis WD, Coggeshall RE (1991) Sensory mechanisms of the spinal cord. Plenum, New York London

    Google Scholar 

Download references

Authors
  1. W. Jänig
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Deutsche Gesellschaft Für Manuelle Medizin, Ärzteseminar Hamm-Boppard (FAC), Schillerstraße 14, 79331, Teningen, Germany

    Toni Graf-Baumann

  2. Theresienklinik, Herbert-Hellmann-Allee 11, 79189, Bad Krozingen, Germany

    Henning Lohse-Busch

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jänig, W. (1997). Mechanismen von Schmerz und Nozizeption der Wirbelsäule. In: Graf-Baumann, T., Lohse-Busch, H. (eds) Weichteildistorsionen der oberen Halswirbelsäule. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60483-6_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60483-6_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-61409-8

  • Online ISBN: 978-3-642-60483-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation