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Review

The Rationale for the Automation of a New Diagnostic Thermography Protocol to Confirm a Chronic-Low-Back-Pain Subtype Related to Nociplastic Pain

1
Department of Physiotherapy, Poznan University of Medical Sciences, 61-701 Poznan, Poland
2
Faculty of Physical Education and Physiotherapy, Opole University of Technology, 45-271 Opole, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: Marco Rengo
BioMed 2021, 1(2), 99-111; https://doi.org/10.3390/biomed1020009
Received: 29 May 2021 / Revised: 14 September 2021 / Accepted: 27 September 2021 / Published: 12 October 2021
Gluteal syndrome (GS), a new low-back-pain subtype mimicking sciatica, has been included in the 11th Revision of the International Classification of Diseases (ICD-11). Low back pain is a symptom, not a disease, and the main problem associated with it is pain complexity. A plausible pain generator of gluteal syndrome is the central sensitization process and the therapeutic target area, which are trigger points located within the gluteal muscles. It has been hypothesized that dysregulated immune and autonomic nervous systems (ANS) are involved in central sensitization development. Changes in ANS regulation, mainly through the sympathetic branch, provoke nociceptor activation indirectly by a vasoconstriction–vasodilatation imbalance, or directly by sympathetic–nociceptor activation resulting in widespread pain, hyperalgesia, and allodynia. The minimally invasive procedure (MIP) uses thermography to confirm a completely new biological phenomenon, which suggests a pathological autonomic response to noxious stimuli and can possibly become an objective marker of some nociplastic pain subtypes related to trigger points. This review provides the biological and technical rationale for the automation of the MIP—a possible future diagnostic tool for an objective gluteal syndrome confirmation. View Full-Text
Keywords: trigger points; gluteal syndrome; central sensitization; MATLAB; sciatica; infrared thermography camera; active dynamic thermography trigger points; gluteal syndrome; central sensitization; MATLAB; sciatica; infrared thermography camera; active dynamic thermography
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MDPI and ACS Style

Skorupska, E.; Dybek, T. The Rationale for the Automation of a New Diagnostic Thermography Protocol to Confirm a Chronic-Low-Back-Pain Subtype Related to Nociplastic Pain. BioMed 2021, 1, 99-111. https://doi.org/10.3390/biomed1020009

AMA Style

Skorupska E, Dybek T. The Rationale for the Automation of a New Diagnostic Thermography Protocol to Confirm a Chronic-Low-Back-Pain Subtype Related to Nociplastic Pain. BioMed. 2021; 1(2):99-111. https://doi.org/10.3390/biomed1020009

Chicago/Turabian Style

Skorupska, Elzbieta, and Tomasz Dybek. 2021. "The Rationale for the Automation of a New Diagnostic Thermography Protocol to Confirm a Chronic-Low-Back-Pain Subtype Related to Nociplastic Pain" BioMed 1, no. 2: 99-111. https://doi.org/10.3390/biomed1020009

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