Diabetic neuropathic pain: physiopathology and treatment

AK Schreiber, CFM Nones, RC Reis… - World journal of …, 2015 - pmc.ncbi.nlm.nih.gov
Diabetic neuropathy is a common complication of both type 1 and type 2 diabetes, which
affects over 90% of the diabetic patients. Although pain is one of the main symptoms of …

[HTML][HTML] Central modulation of pain

MH Ossipov, GO Dussor, F Porreca - The Journal of clinical investigation, 2010 - jci.org
It has long been appreciated that the experience of pain is highly variable between
individuals. Pain results from activation of sensory receptors specialized to detect actual or …

Descending control of nociception: specificity, recruitment and plasticity

MM Heinricher, I Tavares, JL Leith, BM Lumb - Brain research reviews, 2009 - Elsevier
The dorsal horn of the spinal cord is the location of the first synapse in pain pathways, and
as such, offers a very powerful target for regulation of nociceptive transmission by both local …

State-dependent opioid control of pain

H Fields - Nature reviews neuroscience, 2004 - nature.com
Agonists for the μ-opioid receptor are powerful analgesics and are highly addictive;
however, the contribution of the δ-and κ-opioid and opioid receptor-like receptors to …

Chronic pain and medullary descending facilitation

F Porreca, MH Ossipov, GF Gebhart - Trends in neurosciences, 2002 - cell.com
Chronic pain, whether the result of nerve trauma or persistent inflammation, is a debilitating
condition that exerts a high social cost in terms of productivity, economic impact and quality …

Bad news from the brain: descending 5-HT pathways that control spinal pain processing

R Suzuki, LJ Rygh, AH Dickenson - Trends in pharmacological sciences, 2004 - cell.com
The identification of opioid systems led to much of the early work on pain pharmacology
being based on understanding inhibitory mechanisms of analgesia. However, hyperalgesia …

Supraspinal contributions to hyperalgesia

MO Urban, GF Gebhart - Proceedings of the National Academy of …, 1999 - pnas.org
Tissue injury is associated with sensitization of nociceptors and subsequent changes in the
excitability of central (spinal) neurons, termed central sensitization. Nociceptor sensitization …

Engagement of descending inhibition from the rostral ventromedial medulla protects against chronic neuropathic pain

M De Felice, R Sanoja, R Wang, L Vera-Portocarrero… - Pain, 2011 - Elsevier
A puzzling observation is why peripheral nerve injury results in chronic pain in some, but not
all, patients. We explored potential mechanisms that may prevent the expression of chronic …

Tonic descending facilitation from the rostral ventromedial medulla mediates opioid-induced abnormal pain and antinociceptive tolerance

TW Vanderah, NMH Suenaga, MH Ossipov… - Journal of …, 2001 - jneurosci.org
Many clinical case reports have suggested that sustained opioid exposure can elicit
unexpected, paradoxical pain. Here, we explore the possibility that (1) opioid-induced pain …

Brainstem mechanisms of pain modulation: a within-subjects 7T fMRI study of placebo analgesic and nocebo hyperalgesic responses

LS Crawford, EP Mills, T Hanson, PM Macey… - Journal of …, 2021 - jneurosci.org
Pain perception can be powerfully influenced by an individual9s expectations and beliefs.
Although the cortical circuitry responsible for pain modulation has been thoroughly …