Central Sensitization as a Risk Factor in Work-related Musculoskeletal Pain - New Aspects of Functional Disorders.

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Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2026-10-01 Epub Date: 2026-03-19 DOI:10.1055/a-2803-9867
Gerhard Opitz
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Abstract

Abstract: When analyzing work-related complaints, it is important to consider not only external and psychosocial factors but also conditions that have their origin in neurological processes, which lead to sensitization. This results in a lowering of receptor thresholds, leading to increased sensitivity to often inadequate stimuli. This hypersensitivity manifests not only as pain but also in the form of various discomforts. The basis of many workplace problems may therefore not be isolated causes, but rather an underlying sensitization process as an expression of dysfunctional regulatory feedback loops. This underlying background should be considered before initiating therapy. Otherwise, there is a significant risk of misguided treatment, which often leads to the chronification of the condition.

中枢敏化是与工作相关的肌肉骨骼疼痛的危险因素——功能障碍的新方面。
在分析与工作相关的抱怨时,重要的是不仅要考虑外部和社会心理因素,还要考虑源于导致致敏的神经过程的条件。这导致受体阈值降低,导致对不适当刺激的敏感性增加。这种超敏反应不仅表现为疼痛,还表现为各种不适。因此,许多工作场所问题的基础可能不是孤立的原因,而是潜在的敏化过程,作为功能失调的监管反馈回路的表达。在开始治疗前应考虑这一潜在背景。否则,就会有很大的错误治疗风险,这往往会导致病情的慢性化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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