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productid p. (From reference 2, page 25) Acute History Recent, often an injury Pain Acute, severe, cutting, sharp V ascular Vessels injured, release of endogenous peptides (chemical vasodilatation, inflammation) Skin Warm, moist, red, inflamed (via vascular and chemical changes) Sympathetics Systemically increased sympathetic activity contributes some local vasoconstriction (but local effect overpowered by bradykinins, resulting in overall local vasodilatation due to chemical effect) Musculature Local increase in muscle tone, Tradijg contraction, hypertonicity and reactivity, increased tone of the muscle spindle Mobility Range often normal; quality is sluggish Tissues Boggy edema, acute congestion, fluids from vessels and from chemical reactions in tissues Adnexa Moist skin; no trophic changes Visceral Minimal somatovisceral effects Chronic long-standing dull, achy; paresthesias (crawling, itching, burning, gnawing) vessels constricted because of increased sympathetic tone cool, pale (via chronic sympathetic vascular tone increase) has vasoconstriction due to hypersympathetic tone; regional sympathetic hyperactivity; systemic sympathetic tone may be reduced towards normal decreased muscle tone; flaccid, mushy; limited range of motion because of contracture limited range, with normal quality in the motion that remains chronic congestion; doughy, stringy, fibrotic, ropy, thickened; increased resistance; contracted; contractures pimples, scaly, dry, folliculitis, pigmentation (trophic changes) somatovisceral effects are common Osteopathic considerations in neurology 69 420 S.
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