Casale R, Atzeni F, Sarzi-Puttini P
Department of Clinical Neurophysiology & Pain Rehabilitation Unit, Rehabilitation Institute of Montescano, IRCCS, Foundation Salvatore Maugeri, Pavia, Italy.
Reumatismo. 2012 Sep 28;64(4):238-49. doi: 10.4081/reumatismo.2012.238.
This paper describes the techniques for controlling pain by the physical means that are most widely used clinically, particularly in the case of fibromyalgia. They are grouped on the basis of the physical energy used: mechanical, thermal (including magnetic and electromagnetic), and light (LASER). The main underlying neurophysiological mechanisms are gate activation, the stimulation of descending systems of pain control, and the endogenous opiate system.
本文介绍了临床上最广泛使用的通过物理手段控制疼痛的技术，尤其是在纤维肌痛的情况下。这些技术根据所使用的物理能量进行分类：机械的、热的（包括磁和电磁的）以及光的（激光）。主要的潜在神经生理机制是闸门激活、疼痛控制下行系统的刺激以及内源性阿片系统。
