Differentiating Between Nociceptive, Peripheral & Centralizing Pain: A Decision Making Support Tool

What is it?

This resource was put together based on a study published in Manual Therapy in 2010 called “Clinical indicators of ‘nociceptive’, ‘peripheral neuropathic’ and ‘central’ mechanisms of musculoskeletal pain. A Delphi survey of expert clinicians.” by Smart, K., Blake C., Staines, A,., Doody, C.

The aim of the study was to generate expert consensus-derived lists of clinical criteria suggestive of a clinical dominance of ‘nociceptive’, ‘peripheral neuropathic’ and ‘central’ mechanisms of MSK pain. We summarized the key findings in an easy-to-use PDF that you can download and use in the clinic.

Our thoughts:

We think this is a great tool to help you in your clinical decision making. There are times when a patient’s clinical presentation leaves you unsure of the diagnostic classification. This tool will help give you some valuable perspective and assist in your decision making.



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