The Rationale for the Automation of a New Diagnostic Thermography Protocol to Confirm a Chronic-Low-Back-Pain Subtype Related to Nociplastic Pain

Gluteal syndrome (GS), a new low-back-pain subtype mimicking sciatica, has been included in the 11th Revision of International Classification Diseases (ICD-11). Low back pain is symptom, not disease, and main problem associated with it complexity. A plausible generator gluteal central sensitization process therapeutic target area, which are trigger points located within muscles. It hypothesized that dysregulated immune autonomic nervous systems (ANS) involved development. Changes ANS regulation, mainly through sympathetic branch, provoke nociceptor activation indirectly by vasoconstriction–vasodilatation imbalance, or directly sympathetic–nociceptor resulting widespread pain, hyperalgesia, allodynia. The minimally invasive procedure (MIP) uses thermography to confirm completely biological phenomenon, suggests pathological response noxious stimuli can possibly become an objective marker some nociplastic subtypes related points. This review provides technical rationale for automation MIP—a possible future diagnostic tool confirmation.