Salzberg Lenny
Family Medicine Residency, Duke/Southern Regional AHEC, 1601 Owen Drive, Fayetteville, NC 28304, USA.
Prim Care. 2012 Sep;39(3):487-98. doi: 10.1016/j.pop.2012.06.014.
Pain by definition is subjective. A variety of neural pathways are involved in the generation and propagation of pain. Pain is emotional. Pain pathways interact with the limbic system, and this interaction modulates pain. The experience of pain is related to the experience of past pain. Many potential pain generators are present in the low back. The most likely source of pain is the intervertebral disc. Treating pain requires a multifactorial approach, because pain is very complex.
根据定义，疼痛是主观的。多种神经通路参与疼痛的产生和传导。疼痛具有情感性。疼痛通路与边缘系统相互作用，这种相互作用调节疼痛。疼痛体验与过去的疼痛经历有关。下背部存在许多潜在的疼痛源。最可能的疼痛来源是椎间盘。治疗疼痛需要采取多因素方法，因为疼痛非常复杂。
