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Doctor insights on: Visceral Vs Parietal Pain

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What is an inflammation of visceral and parietal pleura?

What is an inflammation of visceral and parietal pleura?

Multiple pathologies: Inflammation of the pleura, pleurisy, may be due to infections in the pleural cavity or overlying lung. There is generally inflammation of the pleura overlying lung infarcts. Auto-immune diseases, e.g., lupus can also cause inflammation of pleura. Pleurisy of apparent unknown cause should be treated as tuberculosis unless proven otherwise. ...Read more

Dr. William Forsythe
Board Certified, Emergency Medicine
21 years in practice
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Dear doctor, how can pleura thickening cause pain if it originates on the visceral layer which isn't sensitive to pain?

Dear doctor, 

how can pleura thickening cause pain if it originates on the visceral layer which isn't sensitive to pain?

Pleural innervation: It's true that the visceral layer of pleura has no sensory innervation. But the other layer of pleura -- the parietal pleura -- is continuous with the visceral one and lines the inside of the chest. This parietal pleura is richly innervated via intercostal and phrenic nerves, and is very painful when injured or inflamed. Ask anyone who's been awake while receiving a chest tube. ...Read more

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Dr. William Forsythe
Board Certified, Emergency Medicine
21 years in practice
169.0K people helped
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Managing Neck Pain (Checklist)

Use pain medication as directed
Daily
Avoid fast movements
Once
See your doctor if your neck pain hasn't improved in 1 week
Weekly
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Sharp, localised pain on top of head, about 10 degrees from the centre, in a slight indentation of my parietal bone. Recurrent for a few days. Cause?

Sharp, localised pain on top of head, about 10 degrees from the centre, in a slight indentation of my parietal bone. Recurrent for a few days. Cause?

Unknown: Have you had any trauma? Have you hit your head or hit the area around it. There is no specifc reason from the history thus given. Is there any redness of the scalp to make one think of infection. See your doctor. ...Read more

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Sharp pain in temporal parietal lobe?

Sharp pain in temporal parietal lobe?

Impossible: You cannot have a pain in your temporal or parietal lobe. Your brain has no pain nerves. All sensations are processed in the brain but experienced elsewhere in the body. Whatever pain you're feeling, it's not in your brain tissue. ...Read more

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Managing Neck Pain (Checklist)

Stretch and exercise
Once
Use NSAIDs and pain medications for relief
Daily
Get an X-ray/MRI in 4 weeks if not better
Once
See a spine specialist if not better after 6 weeks
Once
Board Certified, Emergency Medicine
21 years in practice
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What is visceral hypersensitivity and its cause. Can it be the same as chronic continuous IBS pain? What are the latest treatment options available?

What is visceral hypersensitivity and its cause. Can it be the same as chronic  continuous IBS pain? What are the latest treatment options available?

Close, but...: Visceral hypersensitivity is believed to be one mechanism thru which ibs manifests--but there are many, each representing a target for possible treatments. Effective therapeutic options include: receptor-mediators, various antidepressants, motility-acting agents, non-pharmacologic approaches, more. Distinction of ibs from organic pathology is critical. As to your "continous pain", don't you sleep? ...Read more

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What causes pain in the left scalp ( occipital and parietal ) region when patient swallow ??

What causes pain in the left scalp ( occipital and parietal ) region when patient swallow ??

? TMJ: This sounds like a muscle tension problem, and one of the features of temporomandibular joint syndrome is pain associated with swallowing. The jaw hinge joint, or TMJ, is very susceptible to stress and effects from muscle tension. I suspect the muscle overlying the scalp area you describe is being affected. Practice relaxation techniques and see dentist for help with TMJ syndrome. Good wishes:) ...Read more

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Managing Neck Pain (Checklist)

Use a good lumbar support for proper sitting posture
Once
Always focus on your posture
Daily
Try deep tissue massage
60 Min, Every other week, forever
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Dear doctor, why doesn't pleural plaques cause chest pain if they originate in the parietal layer?

Dear doctor, why doesn't pleural plaques cause chest pain if they originate in the parietal layer?

Pleural plaques: Are fibrous tissues once seen and not inflammatory processes that can cause stickiness of the pleural surfaces. Like most scars that we have, the nerves in that area is either destroyed or not exposed, (try to touch your scar). And hence there is no pain. There are those who do feel persistent pain. ...Read more

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Dr. William Forsythe
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