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Why is it that the great majority of patients with Adhesive Arachnoiditis have no associated pain?

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Why is it that the great majority of patients with Adhesive Arachnoiditis have no associated pain?

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It is because of the remarkable ability of the human nervous system to acclimate to insult and injury of all types. Even though spinal nerves become enmeshed in scar tissue and deprived of vascular blood supply and cerebrospinal fluid nutrition they appear, in the majority of cases, after an initial period to be often able to reach a delicate equilibrium. For this to occur the inflammatory process has to be slow enough to allow the nervous system to acclimate. In LSAA the impaired nerves always have the potential for destabilization if additional insult occurs. This is a situation similar to the “post-polio syndrome.

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It is because of the remarkable ability of the human nervous system to acclimate to insult and injury of all types. Even though spinal nerves become enmeshed in scar tissue and deprived of vascular blood supply and cerebrospinal fluid nutrition they appear, in the majority of cases, after an initial period to be often able to reach a delicate equilibrium. For this to occur the inflammatory process has to be slow enough to allow the nervous system to acclimate. In LSAA the impaired nerves always have the potential for destabilization if additional insult occurs.

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