Physiatry: Physical Deconditioning and Chronic Pain Syndrome

Physical Medicine and Rehabilitation · Clinical Specialties

How it begins

An expert-level scientific compendium intended for physiatrists, algologists, neurologists and rehabilitation specialists. This treatise rigorously and exhaustively addresses the metabolic, cardiovascular, neuromuscular and cortical interconnection between prolonged disuse and persistence of pain, consolidating cutting-edge diagnostic and therapeutic strategies.

What it covers

1. Concept, Homeostasis and Immobility: The Circle of Disuse
2. Cardiovascular and Cardiorespiratory Pathophysiology of Disuse
3. Musculoskeletal Atrophy, Sarcopenia and Connective Tissue Changes
4. Metabolic, Endocrine and Immune Alterations
5. Definition and Taxonomy of Pain: Nociceptive, Neuropathic and Nociplastic Mechanisms
6. Nociception and Peripheral Sensitization
7. Central Sensitization and the Role of Neuroglia
8. Cortical Reorganization and Clinical Implications
9. Kinesiophobia and the Fear Avoidance Model
10. Motor Control and Protective Biomechanics Alterations
11. Pathophysiology of Chronic Fatigue and Exercise Intolerance
12. Detailed Clinical History and Validated Assessment Scales
13. Physiological Evaluation of Functional Capacity
14. Functional Tests and Evaluation of Muscle Strength
15. Gait, Posture and Postural Control Analysis
16. Principles of Exercise Prescription in Patients with Chronic Pain
17. Aerobic Exercise and Exercise Induced Hypoalgesia (EIH)
18. Strength and Muscular Endurance Training
19. Flexibility, Joint Mobility and Neuromuscular Reeducation
20. Physical Agents and Evidence-Based Support Modalities
21. Eco-guided Rescue Intervention Techniques
22. Psychological Approach and Education in Neuroscience of Pain (PNE)
23. Non-opioid analgesics and neuromodulators
24. Opioids in Chronic Non-Oncological Pain and Opioid Hyperalgesia
25. Canabinoids and Applied Regenerative Medicine in Physiatry
26. Chronic Low Back Pain Syndrome with Severe Deconditioning
27. Fibromyalgia, Chronic Fatigue and Central Sensitization Syndromes
28. Chronic Pain and Deconditioning in the Geriatric Patient
29. Decisional Algorithm for Prescribing Exercise in Patients with Chronic Pain