 
          
            explain
          
        
        
          
            pain
          
        
        
          3
        
        
          
            section
          
        
        
          61
        
        
          
            page
          
        
        
        
          
            Helpful nerve knowledge
          
        
        
          
            1.
          
        
        
          The ligament part of a nerve has danger sensors
        
        
          in it just like any ligament in the body.
        
        
          
            2.
          
        
        
          The neurones in a nerve can be a real source of
        
        
          dangermessages and a contributor to pain. This is
        
        
          due to an increase in the number of sensors at a
        
        
          damage site. Some of these sensorsmay be
        
        
          activated bymechanical stimuli, some by lack of
        
        
          blood, and some by stress chemicals. If there are
        
        
          enough sensors open the damaged area of nerve
        
        
          can ‘ignite’ and send dangermessages.
        
        
          
            3.
          
        
        
          If a nerve is injured and your brain computes
        
        
          (rightly or wrongly) that more sensitivity is
        
        
          required for your survival, more stress sensors
        
        
          may bemade by the DNA in the neurone and put
        
        
          into the nervemembrane. Thismeans that various
        
        
          stress statesmay contribute to nerve
        
        
          sensitivity.
        
        
          97-99
        
        
          
            4.
          
        
        
          Nerves can be injured by cutting, toomuch
        
        
          squeezing and pulling, by irritating chemicals
        
        
          around the nerve, and by sustained reduction in
        
        
          blood supply.
        
        
          100
        
        
          
            5.
          
        
        
          All around the body, nerves slide as youmove.
        
        
          Injury or problems (for example carpal tunnel
        
        
          syndrome) whichmay alter thismovement may
        
        
          lead to painwhen youmove.
        
        
          101,102
        
        
          More
        
        
          mechanical sensorsmay be opened. Nerves love
        
        
          the freedom tomove – exercises such as yoga and
        
        
          tai chi get the nervesmoving.
        
        
          
            6.
          
        
        
          Nerves change appearance with age. They can
        
        
          become a little thinner or, in areas where they
        
        
          needmore protection or where they rub a bit, for
        
        
          example at the wrist, they can become thickened.
        
        
          Whilst changes in the bones and jointsmay not
        
        
          hurt, changes in nerves do have tomean pain.
        
        
          
            7.
          
        
        
          All the fancy scans and conduction tests in the
        
        
          worldmay not necessarily identify a damaged
        
        
          nerve, but minor nerve problems can be very
        
        
          troublesome. They are usually sensitive to
        
        
          mechanical forces such as pressure or stretch.
        
        
          
            8.
          
        
        
          Sometimes nerves can be injured but not create
        
        
          dangermessages for days or weeks. This is
        
        
          because slightly different alarm systems can be
        
        
          activatedwhen nerves are damaged.
        
        
          skin
        
        
          neurone
        
        
          sensors
        
        
          axon
        
        
          ligament tissue
        
        
          N
        
        
          E
        
        
          R
        
        
          V
        
        
          E