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Chiropractic Research Review

Neural Mechanisms Influence Craniofacial Pain

Although pain commonly arises from deep structures such as muscular and articular tissues, there are still many questions regarding the mechanisms behind the development of acute and chronic deep craniofacial pain.

This article summarizes recent advances in knowledge of the neural processes which may be involved in musculoskeletal pain of the craniofacial and upper cervical region.

Recent studies suggest that mild injury may increase the excitability of pain-sensitive nerve endings. A significant portion of brain-stem structures may be excited by cervical and craniofacial sensory nerves from both deep and superficial sources, and peripheral injury may also increase their excitability.

Sessle BJ. Neurophysiological mechanisms related to craniofacial and cervical pain. Topics in Clinical Chiropractic, March 1998;5(1), pp36-8.
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Chiropractic Research Review

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