| Abstrakt: |
Several anastomotic systems of nerves containing pain fibres are distributed within the spine and are concerned with pain felt in disorders of the bones and the joints and all the other tissues that make up the spine, from which pain can be felt. One of these is the anastomosis composed of the branches of the posterior primary rami of the spinal nerves and these are concerned with dorsal structures, both motor and sensory. It is suggested that a frequently occurring source of pain, either alone or in combination with other sources of pain, is to be found in the tenderness of musculo‐tendinous attachment to periosteum of the dorsal surface of the laminæ and condyles and the surfaces of spinous processes, in fact the widespread and complicaated attachment of the sacro‐spinalis muscle, with that intensity and chronicity which people who have suffered for years with tennis elbow, will know. This system would seem to have its own pattern of pain referral and, in fact, a slightly recognizable type of pain from other spinal pains, often described by the patient as of a somewhat “burning” character, and radiating much more widely than the familiar knowledge of anatomy would lead us to suppose, even to the heel. The application of this concept to treatment is discussed and this paper is a preliminary communication indicating the type of therapeutic action we have tried, the results of which we feel to be encouraging. |
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