Muscle Pain: Understanding the Mechanisms

As one half of a comprehensive two-volume publication that covers every angle of muscle pain and is edited by two of the leading figures in the field, this volume details the basic mechanisms of chronic muscle pain syndromes. It provides the practitioner

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Siegfried Mense

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Robert D. Gerwin

Editors

Muscle Pain: Understanding the Mechanisms

Editors Prof. Dr. Siegfried Mense Universita¨t Heidelberg Medizinische Fakulta¨t Mannheim CBTM, Neuroanatomie Ludolf-Krehl-Str. 13-17, R. C614 68167 Mannheim Germany [email protected]

Dr. Robert D. Gerwin Associate Professor of Neurology Johns Hopkins University Baltimore Maryland 21287 USA Pain and Rehabilitation Medicine 7830 Old Georgetown Road Suite C-15 Bethesda, MD 20814-2432 USA [email protected]

ISBN 978-3-540-85020-5 e-ISBN 978-3-540-85021-2 DOI 10.1007/978-3-540-85021-2 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010927599 # Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Cover design: WMXDesign GmbH, Heidelberg, Germany Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Foreword

This edition of the companion volumes Muscle Pain: Understanding the Mechanisms and Muscle Pain: Diagnosis and Treatment is essential reading for those interested in clinical approaches to acute and chronic pain conditions involving muscle tissues and in the mechanisms underlying these conditions. The volumes cover a very important topic in pain medicine, since muscle pain is very common and can often be difficult to diagnose and treat effectively. Furthermore, chronic pain involving muscle and other components of the musculoskeletal system increases with age, such that it is a common complaint of those of us who are middle-aged or older. Indeed, as changing population demographics in “westernized” countries result in higher proportions of the population living longer and being middle-aged and elderly, chronic muscle pain will likely become even more of a health problem. In the case of acute muscle pain, this can often be very intense, and in the short term can limit or modify the use of components of the musculoskeletal system associated with the sensitive muscle. Chronic muscle pain can also be intense, as well as unpleasant and disabling, and it is in many cases the over-riding symptom of most musculoskeletal disorders that are associated with long-term deleterious changes in musculoskeletal