I think they are on a bit of the right track....One thing to remember the injury, but I don't think the brain can replay it like a tape recorer....I do think the nerves can live in pain signals so long that it developes patterns, preceives pain escalated... Sucj as a soft towel can feel like Brillo going over the skin from hyper pain signals.

We may feel a breeze and the sensory nerves what are they called c-neoceptos adn N-neoceptors get over logged with signals and pain is received BAD!

Central brain syndrome and Allodynia I have heard doctors share with me.

Maybe that is where Dr S gets the ketimine coma or treatments, get the nerves from receiving the signals, a chance to restart like a virgin signal receiver....if the nerves are calmed though....can the brain receiving the signals be the key to the treatment working or not.

Sick nerves don;t heal into healthy new ones....I think things can calm them put them into remissions, and for some blocks, ESI, may help. Just don;t know what helps who. Then there are those through no rhyme or reason...nothing helps.

I think validating the patient, compassion to their pain, donlt load up with anti seizure meds, find a combination of desenstation, anti inflamatory, A clothing type, climate control,
So many variables...
Hey if all else fails, how about a pitcher of harvey wallabangers.....Oh the days of youth.

I did do well with biofeedback, and learning to understand...especially from Dr S and the forum friends.

I am lucky, my hands and left foot it is the area I have problems. My daughter, was full body.
She was Dr S poster child.....he was so paternal with her.
Sorry for typos,
I have been researching for interview technic' for interview tomorrow working theraputicaly with kiddo as an advocate.
I will still keep my other job, but as of latly I have only received 6 hours a week.
Good thread to get brain awake to go read now!
Thanks for sharing,
Dianne
Edited to add the bases of my thoughts...

Is it RSD or Alodynia, interesting read


Here is a link to a small article about the C-fibour nerves and the hyper reactions.

Doctor Togut once explained this to us as the nerve getting hyper signals or misfiring and being read as hyper pain in the C-neoceptors I think he called it.

Worth reading into,
Di

http://www.robertgschwartz.homestead.com/page7.html
THE ANGRY BACKFIRING "C" (ABC) SYNDROME

This occurs when the sympathetic acting fiber becomes angry, or backfires (like a car engine) in response to an underlying injury (usually ligament). The C-fiber is a type of nerve fiber that has the same properties as the Sympathetic nerve. The C-fiber actually causes the pain instead of the sympathetic nerve travel the same course, and act the same way, in terms of their chemical and physical properties. The C fiber spits out various vasodilating (increased blood flow) chemicals such as substance "p", kinens and histamine. Suppose we use the example of a sprained ankle. It would not be suprising if someone did complain of continued burning pain in it. It is also easy to imagine that it could become swollen, discolored and painful to light touch. This does not represent true RSD. The thermogram shows localized vasodilation, and patients usually respond quite will to ligamentous injection, physical therapy, orthotics and the use of vasodilating substance depleting treatment such as capsacin cream. In the ABC syndrome, sympathetic blockade will never work, and in fact only makes the problem worse ( by vasodilating the area further). This readily explains the person who says the block made them worse.

SYMPTOMS

1. Erythralgia - Redness of the skin

2. Alodynia - Light touch is painful3. Warm Hyperalgesia - Warm hurts

4. Cold abolishes the pain

5.Pain burns - Patients will feel like they are burning
6. Axon Reflex - The major nerve itself is backfiring, like a car backfiring. The C-fiber becomes hypersensitive because of this. The nerve itself spits out chemicals that inflames the tissues and causes pain.
7. Neurohumeral mediated - Refers to the chemicals that the nerve spits out.

8. Antidromic Vasodilation on Thermography - Conducts in wrong direction (backwards warming).