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만성 통증의 발생기전과 중재적 신경-근 자극요법

Mechanism of Chronic Pain and IMS (Interventional Muscle and Nerve Stimulation)

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초록

만성 통증은 일차의료 영역에서 아주 흔한 질병 중의 하나이다. 만성 통증은 병리 해부학적인 병변이 생기는 과정과는 다른 신경소성(neural plasticity)이나 감작화(sensitization) 같은 만성 통증 고유의 과정에 의해 지속적이고도 병적인 상태로 진행된다. 그럼에도 불구하고 여전히 상당수의 임상의들이 병리해부학적인 관점에서 통증 환자들을 진단하고 치료하므로 종종 한계에 부딪치게 된다. 통증치료의 가장 이상적인 접근은 약물, 각종 시술, 물리치료 및 심리치료가 다 포함된 다각적인 치료이다. 이중 국내에서 제안된 새로운 치료 모델인 중재적 신경-근 자극요법(Interventional Muscle and Nerve Stimulation, IMS)은 기존 치료법에 하나의 보완적 대안이 될 수 있는 과학적 근거가 있는 새로운 치료 모델이다.

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