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2022 | OriginalPaper | Buchkapitel

12. Die aktiven Bausteine der Regulativen Schmerzbehandlung – langfristige anti-nozizeptive periphere und zentrale Reorganisation mit integrierter Qualifizierung der Schmerztoleranz und Schmerzhemmung

verfasst von : Wolfgang Laube

Erschienen in: Schmerztherapie ohne Medikamente

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Ermüdende Belastungen sind wichtige Elemente der Schmerztherapie. Die „exercise induced hypoalgesia“ ist ein Therapiereiz. Bei chronischen Schmerzen kann sie gemindert, nicht vorhanden oder paradox sein. Belastungschmerzen haben einen maladaptiven Hintergrund, und gesundes Altern ist keine Schmerzursache.

Die Muskulatur prägt die Körperhomöostase, den Stoffwechsel, das Gehirn und die Schmerzen. Schmerzen verändern die kognitiv-mentalen Funktionen wie die Compliance und Resilienz. Jede Belastungsform ist auch Therapie des Gehirns. Training steht sowohl für Schmerzprävention als auch für Schmerztherapie! Der Muskelstatus ist Marker des Gesundheitsstaus und der Schmerzhemmung und -toleranz.

Die pathophysiologischen und sozialen Faktoren chronischer Schmerzen prägen die Therapie. Das „nozizeptive Gehirn“ muss gefordert werden. Die Wechselbeziehungen zwischen Erkrankung, Schmerzen, Ernährung und Belastungen sind vielfältig. Dosis-Wirkungsbeziehungen der Ernährung sind zz. nicht ableitbar.

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Titel: Die aktiven Bausteine der Regulativen Schmerzbehandlung – langfristige anti-nozizeptive periphere und zentrale Reorganisation mit integrierter Qualifizierung der Schmerztoleranz und Schmerzhemmung
verfasst von: Wolfgang Laube
Verlag: Springer Berlin Heidelberg
Buch: Schmerztherapie ohne Medikamente
Print ISBN: 978-3-662-63845-3

Electronic ISBN: 978-3-662-63846-0

Copyright-Jahr: 2022
DOI: https://doi.org/10.1007/978-3-662-63846-0_12

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Springer Medizin

12. Die aktiven Bausteine der Regulativen Schmerzbehandlung – langfristige anti-nozizeptive periphere und zentrale Reorganisation mit integrierter Qualifizierung der Schmerztoleranz und Schmerzhemmung

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Akuter Schwindel: Wann lohnt sich eine MRT?

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

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Zusammenfassung

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Neu im Fachgebiet AINS

Tipps für den Umgang mit Behandlungsfehlern

Sind Frauen die fähigeren Ärzte?

Akuter Schwindel: Wann lohnt sich eine MRT?

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Update AINS