General Review Of The Needling Reflex

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Figure 6-9 illustrates the reflex circuits that are currently understood to be the mechanisms of needling. This illustration is not specific for pain management. Needling is nonspecific in nature, and this example illustrates the general physiologic

Ventral posterolateral nucleus of thalamus

Gracile nucleus' Cuneate nucleus

Internal arcuate fibers

Dorsal part of lateral funiculus

Medial lemniscus

Ventral posterolateral nucleus of thalamus

Dorsal part of lateral funiculus

Postcentral gyrus (first somatosensory cortex)

Decussation of the medial lemnisci

Medial lemniscus

Cuneate fasciculus

Gracile fasciculus

Postcentral gyrus (first somatosensory cortex)

Intralaminar and posterior groups of thalamic nuclei

Decussation of the medial lemnisci

Cuneate fasciculus

Gracile fasciculus

Cervical level

Thoracic level

Intralaminar and posterior groups of thalamic nuclei

Cervical level

Thoracic level

Second somatosensory cortex

Periaqueductal gray matter

Pontine reticular formation

Medullary reticular formation

Spinothalamic tract

Ventral white commissure

Spinal lemniscus

Second somatosensory cortex

Periaqueductal gray matter

Spinal lemniscus

Pontine reticular formation

Medullary reticular formation

Spinothalamic tract

Ventral white commissure

Lumbosacral level

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