definitions of neurogenic and neuropathic pain

[nari]

On NOI, there had arisen the definition wrangle again between neurogenic and neuropathic pain.

Hunting through searches, both in pubmed and Google - no-one really knows.

Perhaps trying to separate the two is impossible?

Is cancer pain not neurogenic because there is pathology?

Is emotional pain neurogenic but not 'pathological' even if there has been emotional trauma?


What do folk think?


Nari

[bernard]

Nari,

In my view, since all pains are results of a CNS process then we could conclude that all pains have a neurogenic origin => originated by a neural process but this neural process is normal.

If we consider another way when nerves have troubleshooting then it may create a neuropathic pain since it is a illness of nerve? But of course, this illness may create a neurogenic pain!

I firmly believe that eternal discussion will end when we will consider periphery as brain neighbor (close by few ms), then pain will be ever a brain response to an incoming brain event!

[nari]

Bernard

I tend to agree with you!

But I think we are in a minority, so far.


Nari

[bernard]

Yes,

This is the problem of classes and subclasses (NOI pointed out this). A subclasse belongs to a class but we seem to need subclasses :? .

[rolf]

Hi bernard!
"...pain will be ever a brain response to an incoming brain event."
I like that!
RIN

[bernard]

Hi RIN,

It is a reply to people who are constantly dissecting, human beings, in pieces and forget that these pieces are inseparable components of a whole. All pains are responses. All these responses are coming from brain. How could I separate a peripheral neuron from its central connexion? Where may I put the frontier between periphery/CNS? All neurons belong to the nervous system and these neurons are everywhere.

My little quote was in this direction :wink: .
I'm pleased that you lked it. :D

[nari]

Bernard, you are right.

Too much dissection of parts of the whole organism lead to confusion.
I think that it is in the nature of some physios to debate the parts' role in the whole thing, but that is something the researchers are still unclear about, anyway. It is an interesting semantic exercise, and if it were on geology: tectonics and rocks, I would not get so lost, as I have with the very good threads Nic and Luke and jon are sewing with.

I hope they wander outside sometimes and look at the stars...


Nari

[bernard]

Nari,

I like to read the topics on NOI about these semantics games but I need, as the common PT, some tips which may help in my daily practice. It is not the first time that we see the subject on the table and the reply is ever the same => It is good and it is not.

BTW, I bring many philosophical subjects which are certainly annoying many readers? I try to ponder this side effect with common subjects, but I'm not sure it works? :?