Feature 1 Size of the Nerve Trunk

Acu-reflex points are always associated with nerves, either cutaneous or muscular. The acu-reflex points associated with a bigger nerve trunk are more likely to become sensitized than these associated with a smaller nerve trunk. Electrical signals travel faster along thicker nerve fibers. For example, in patients with headache, the infraorbital nerve acu-reflex point (trigeminal V2) invariably becomes sensitized before the supraorbital nerve acu-reflex point (trigeminal V1), and this is explained by the fact that the infraorbital nerve is bigger than the supraorbital nerve (Fig. 7-3). However, nerve size may not be the only factor that dictates the pathophysiologic dynamics of the acu-reflex points when other anatomic determinants are involved.

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