Central Sensitization: Clinical Implications for Manual Therapists

Central Sensitization (CS) is a pivotal concept in modern pain science. It describes an amplified response within the central nervous system (spinal cord and brain) to sensory input. Rather than being a problem in the tissue itself, CS represents a persistent state of high reactivity, acting like a volume dial that has been turned up too high. For manual therapists, recognizing and treating CS is the key to effectively managing chronic, complex, and widespread pain presentations.

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Manual therapist providing therapy to address central sensitization, highlighted by brain and electric symbols.