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Physiologie von Schmerz und Schmerzprojektion im Bereich der Brustwirbelsäule

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Book cover Brustwirbelsäulenerkrankungen, Engpaßsyndrome, Chemonukleolyse, Evozierte Potentiale

Part of the book series: Neuroorthopädie ((NEUROORTHOPÄDIE,volume 3))

Zusammenfassung

Die Schmerzen, die vom Rücken ausgehen können, haben ihre Ursachen 1. in dem komplexen anatomischen Aufbau von knöcherner Wirbelsäule, Gelenkverbindungen, Bandapparaten und Rückenmuskulatur und den daraus resultierenden komplizierten natürlichen Bewegungen, 2. in der komplexen Anordnung der afferenten Innervation verschiedener Strukturen und 3. in der Interaktion verschiedener neuro-physiologischer Prozesse bei der Entstehung der Schmerzen. Alle drei Komplexe (der makroanatomische, der periphere neuronale und der zentrale neuronale Komplex) müssen bei der Betrachtung der Schmerzen und ihrer Entstehung im Rückenbereich zusammen gesehen werden. Jede Komponente für sich genommen mag einsehbar sein (auch wenn unsere Kenntnisse über die zentralnervösen Prozesse sehr lückenhaft sind). Das Zusammenwirken der verschiedenen Komponenten im Physiologischen und im Pathophysiologischen ist jedoch nicht so leicht zu verstehen. Aber gerade dieses „Konzert“ in seinen komplizierten zeitlich-räumlichen Abläufen muß man in den Griff bekommen, um „richtig“ therapieren zu können.

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Authors
  1. W. Jänig
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Editors and Affiliations

  1. Orthopädische Universitätsklinik, Waldkrankenhaus, Rathsberger Straße 57, D-8520, Erlangen, Germany

    D. Hohmann  & K. Liebig  & 

  2. Neurologische Abteilung, Nervenkrankenhaus, Cottenbacher Straße 23, D-8580, Bayreuth, Germany

    B. Kügelgen

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© 1985 Springer-Verlag Berlin · Heidelberg

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Jänig, W. (1985). Physiologie von Schmerz und Schmerzprojektion im Bereich der Brustwirbelsäule. In: Hohmann, D., Kügelgen, B., Liebig, K. (eds) Brustwirbelsäulenerkrankungen, Engpaßsyndrome, Chemonukleolyse, Evozierte Potentiale. Neuroorthopädie, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70562-5_4

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  • DOI: https://doi.org/10.1007/978-3-642-70562-5_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70563-2

  • Online ISBN: 978-3-642-70562-5

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