By Percy H. Webb
Read Online or Download Roman Imperial Coinage, Volume V, Part I: Valerian I to Florian (A.D. 253-275) PDF
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Additional info for Roman Imperial Coinage, Volume V, Part I: Valerian I to Florian (A.D. 253-275)
Therefo re, if pain is of somatic origi n, the patient may benefit mOSt by treatment that promotes ac tivity and movement (39). Of course, ca re must be taken not to comp romise the da maged tissue in any way (see box) . > Distinguishing Features of Somatic Referred Pain informa ti on coming in from a pain generator is dispersed by ascending or descending with in the tract of Lissauer for several cord segments before synapsing on tract neurons of several cord levels. Therefore, nociceptive information entering from several vertebral levels may converge in the sa me interneuronal pool.
Also, leakage of nerve-irritating (histaminelike) molecules from disrupted intervertebral discs has been found to be a cause of irritation ro the exiting dorsal root. These larter conditions cause a sharp, stabbing pain that radiates along a dermaromal pattern. This type of pain is known as radicular pain because it results from irritation of a nerve rOOt (radix). CarvlcallntarvlrtebrallHscs The basic anaromy of the cervical interverrebral discs is similar to that of interverrebral discs throughout the spine.
In addition, the disc thinning or narrowing that results from these end plate herniations leads to more force being borne by the Z-joints, which may result in more rapid degeneration of these structures as well . The vertebral end plates begin to calcify and thin with advancing years. This leaves them more brittle. The central tegion of the end plate in some verrebrae of cerrain individuals may be completely lost in the later years of life. innervation 0' Intervertebral lilacs The outer third of the anulus fibrosus of the interverrebral discs has been found ro receive both sensory and vasomoror innervation (28).