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9:56
YouTube
Larry B. Mellick, MD
Noxious or Nociceptive Stimuli in Neurologic Evaluations
In this video we discuss and demonstrate noxious and nociceptive stimuli commonly used in neurologic evaluations. We demonstrate a kinder and gentler technique dubbed the "Soto Saline Sign" and named after the emergency medicine resident, Mario Soto, who came up with the concept. We discuss and review the presentation of psychogenic ...
96K views
Oct 25, 2016
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Pain isn’t just a sensation. Nociception can also act like a “memory cue.” When we deliberately tap into a painful spot, we’re not only meeting sensitivity in tissue -we may also be bumping into older associations the nervous system has stored such as fear, threat, past injury, past experiences. And sometimes that can feel like a lot. That’s why our work isn’t just “find it and press it.” We pair intensity with regulation -using simple grounding strategies to reduce the chance of limbic overwhel
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