The model of necessary and sufficient damage

Even knowing that it’s not necessary nor sufficient to have tissue damage in an area for the brain to project pain on it, many experts are determined to seek such damages as necessary conditions and, once they claim having found them, they sustain that pain has been sufficiently explained.

The necessary and sufficient condition of damage is applied in every body region. One of them is the head.

Damage can be searched and considered as welcome in any component: skin, fascia, nerves, nerve-muscle junction (end-plate), bone, sutures, meninges and blood vessels. Beyond those, there are only neurons which we know don’t hurt because they have no "pain receptors".

One way to locate the necessary damage, spinal pain, is to palpate and pressure.

- There, there...!

It hurts there. The reason is there, the germ of painfulness, the property that turns normal tissues into painful ones.

Muscle is a good place to find painful outbreaks. A sustained contraction would be sufficient to explain why it hurts. It is therefore necessary to find it or take it for granted.

- You have a neck contracture.

- You apply too much pressure on your teeth at night.

- You frown excessively.

- You strain your eyes too much.

Neurologists distinguish between migraine, a neuronal disease (genetic hyperexcitability) and tensional headache, a condition in which pain settles in the scalp muscles, excessively contractured.

The origin of muscle contractures is not clear, but it is assumed it’s stress, another condition that comes in handy to explain everything.

For non-neurologists, migraine may also come from tight muscles or dysfunctional joints. Cervical and temporomandibular joints are good places to find necessary and sufficient damage.

Correlations between joint damage-dysfunction and pain are not clear. There are opinions for all tastes and needs but it seems that the image is not enough to certify the pain or that the pain is not enough to anticipate the image.

Muscle pain can be found by pressing. After locating the painful spots ("it hurts there"), the necessary and sufficient condition, the field of solutions opens with punctures, injections, manipulations, detachments, prostheses,...

When investigating the painful condition of the tissues it’s found it that goes beyond the area where the problem is supposed to be. The body is sensitized to stimuli even where the patient doesn’t find pain.

Migraine, tensional headache, "temporomandibular disorders", "cervical", Fibromyalgia ... tend to go together and express themselves in the same sufferer.

"... all signs point to a central sensitization ..."

The neural network is being sensitive. Okay, but ... Why?

The model of necessary and sufficient damage claims that there necessarily must have been a state of injury-dysfunction in the tissues at first (joints and muscles) and that this is sufficient to explain the subsequent state of sensitization.

Fear, sensitization to theft must necessarily come from a previous consummated self-theft.

- Since they broke in I can’t live in peace... I'm sensitive.

Fear to thefts is not accepted as a sufficiently sensitizing condition without having suffered from it in their own property. The theft of others, information on thieves ... they don’t seem to be enough to generate alert, sensitization...

- It hurts

- You have central sensitization in several areas

- What is that?

- Fear of injury... fear of pain.

- I AM NOT one of those that ...

- It’s not you. It’s your brain. It’s sensitized.

There is reluctance to accept that you can get to central sensitization without the initial push of injury.

It’s not accepted that the probabilistic brain sensitization is sufficient, speculative on damage to explain pain nor is it thought to be necessary to amplify a chronic pain fed by a smooth flow of nociceptive signals.

- My brain, culture, information, my narrative...? So, is that all? It seems insufficient to me. There necessarily has to be something that hurts.

Descartes... immortal Descartes.