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Encyclopedia of Health and Medicine

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xiv<br />

Preface<br />

among the skin cells, helps maintains fluid <strong>and</strong><br />

body temperature, <strong>and</strong> contains millions <strong>of</strong> sensory<br />

nerve cells. Most <strong>of</strong> the body’s pain receptors<br />

are among these nerve cells. Remarkably resilient<br />

<strong>and</strong> flexible, the skin continually renews itself.<br />

The Nervous System<br />

The nervous system is both comm<strong>and</strong> central (the<br />

brain) <strong>and</strong> intercellular highway (the nerves),<br />

orchestrating every function within the body—<br />

more <strong>of</strong>ten than not without conscious awareness<br />

<strong>of</strong> its myriad activities. The nervous system interprets<br />

<strong>and</strong> responds to sensory information, continuously<br />

adjusting <strong>and</strong> accommodating its functions.<br />

These functions require chemical messengers—<br />

neurotransmitters—as well as electrical activity<br />

among cells. Nerves range in size from microscopic<br />

to several feet in length.<br />

The Musculoskeletal System<br />

Giving the body the ability to resist the force <strong>of</strong><br />

gravity to provide shape <strong>and</strong> mobility is the musculoskeletal<br />

system—the bones, connective tissues,<br />

<strong>and</strong> muscles. These structures have density<br />

<strong>and</strong> strength. They use leverage <strong>and</strong> oppositional<br />

function to move the body—walk, run, jump,<br />

skip, <strong>and</strong> even turn cartwheels. These functions<br />

require coordination with the nervous system,<br />

sensory systems, <strong>and</strong> balance structures within the<br />

inner ear. <strong>Health</strong> conditions that affect the musculoskeletal<br />

system—ranging from injuries such as<br />

sprains <strong>and</strong> fractures to degenerative processes<br />

such as osteoarthritis—are among the most common<br />

reasons people seek medical care.<br />

Pain <strong>and</strong> Pain Management<br />

The final section in Volume 1 is “Pain <strong>and</strong> Pain<br />

Management”—not, <strong>of</strong> course, a body system but<br />

rather a discipline (specialty) within the practice<br />

<strong>of</strong> medicine that examines the interactions <strong>of</strong> the<br />

foundational body systems that, when disrupted,<br />

result in pain. A complex physiologic experience,<br />

pain typically arising from multiple causes that<br />

cross these body systems. Consequently, so must<br />

its treatment approaches. The entries in “Pain <strong>and</strong><br />

Pain Management” cover the mechanisms <strong>of</strong> pain<br />

as well as health conditions in which pain is the<br />

primary symptom.

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