central sensitization

Um, but yeah.

Yeah, no- nociplastic, that's the word I was thinking of.

Nociplastic, there we go.

[laughs]

Okay, love it.

Yeah.

Yeah.Central sensitization

Central sensitization?

Yes.

When the central nervous system is subjected to long-term peripheral alarm months of intermittent tingling and panic, it undergoes structural, functional, and neurochemical changes.

It is a profound clinical error.

It really is.

Summarizing this concept of central sensitization, we must recognize that persistent peripheral alarm from early postoperative hypocalcemia fundamentally alters the central nervous system.

We now understand that pain isn't just a readout of damaged flesh and bone, it's an alarm generated by the nervous systems.

So today, we're breaking down the three distinct types of pain recognized by medicine: nociceptive pain, neuropathic pain, and the one that accounts for the majority of chronic suffering, nociplastic pain.

Knowing the difference between these three isn't just trivia, it's the single key to finding treatments that actually work, and it will reassure you that you are not making this up, and that even with clear scans, there is a path to recovery.

[gentle music] Welcome to the Somatic Strength Collective.

In 2017, the International Association for the Study of Pain officially formalized a third term.

This was just in 2017.

It is nociplastic pain.

So notice that word noci.

The second thing we're gonna talk about are medication and lifestyle changes or factors that can complicate daily headaches, things that you should know about.

And then the third thing is we're going to talk about central sensitization, which is a key component of daily headaches.

Oftentimes when patients travel to see us, they do have daily headaches.

These are some of the most debilitating headaches and our health care system oftentimes will make them worse and complicate the situation.

And then it's like, boom, daily headache.

And so I want you to be aware of the little signals leading up to it.

If your headache is gradually becoming more frequent, if it was becoming more intense, if the presentation of pain was less descriptive, meaning or less specific to a a pattern of eye pain or temple pain or ram's horn presentation, and it starts to become more diffuse and widespread and it's more your entire head, those are signs that your brain is kind of getting tired of dealing with this pain signal and your brain itself is becoming hypersensitive, which is what we'll talk about with central sensitization.

If your general health had taken a downturn, sometimes for people, this is stress, like something added emotional stress to their life.

But how many people have seen this? How many...

You think of all these articles, and I'm coming across articles that are talking about neuroinflammation and central sensitization and glial cell activation and all of these things.

And these articles are all like 10 years old because I stopped printing about that time ago.

So I'm thinking, how is it that more people don't know about these things? How do we get information from...

I was on call, I was at a hospital, I was in my scrubs.

I went to the call room because I was in so much pain and I laid on the bed and I opened my laptop And for whatever reason that this is where social media can be so helpful.

The YouTube gods spoke to me and they showed me this video about fibromyalgia and central sensitization.

And so no, no doctor told me about this.