Neural Mechanisms Underlying Pain

Author(s):  
Massieh Moayedi ◽  
Karen D. Davis

The chapter reviews brain imaging studies investigating the sensory, affective, cognitive, and motivational components of pain. It highlights the historical development and significant advancements in thinking about pain, its representation in the brain, its interactions with and impact on cognition, and how it motivates defensive behaviors. Modern imaging and electro-physiological approaches that are currently being applied to study pain are rapidly accumulating data pertaining to acute pain and its transition to chronic pain states in the context of individual psychological factors and behavioral responses so that in the coming era pain science can work toward a more precise and personalized approach to chronic pain treatment.

2013 ◽  
pp. 89-94
Author(s):  
Van Minh Nguyen

Opioid analgesics have long been considered as among the most effective treatments for pain, but these medications was used without a fully known mechanism of action until finding its receptor. The discovery of opioid receptors in the dorsal horn has opened a new pain treatment. Intrathecal opioids are widely used as useful adjuncts to anesthesia during regional anesthesia, in the treatment of postoperative acute pain and chronic pain treatment. This article summarizes the historical development and examines the current use of intrathecal opioids in the perioperative period. Pharmacology and clinical use were also reviewed in detail, including dosage in different surgeries, side effects and the treatment. Key words: opioid, intrathecal analgesia, regional anesthesia


2007 ◽  
Author(s):  
Malinda Breda ◽  
Richard Gevirtz ◽  
Melanie A. Greenberg ◽  
James L. Spira

Pain Practice ◽  
2021 ◽  
Author(s):  
Michael Alexander Harnik ◽  
Larissa Blättler ◽  
Andreas Limacher ◽  
Florian Reisig ◽  
Martin Grosse Holtforth ◽  
...  

2018 ◽  
Vol 54 (3) ◽  
pp. 495-505 ◽  
Author(s):  
Lindsay M. S. Oberleitner ◽  
Mark A. Lumley ◽  
Emily R. Grekin ◽  
Kathryn M. Z. Smith ◽  
Amy M. Loree ◽  
...  

STEMedicine ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. e43 ◽  
Author(s):  
Federico Iseppon ◽  
Manuel Arcangeletti

Pain afflicts billions of people worldwide, who suffer especially from long-term chronic pain. This gruelling condition affects the nervous system at all levels: from the brain to the spinal cord, the Dorsal Root Ganglia (DRG) and the peripheral fibres innervating the skin. The nature of the different molecular and cellular components of the somatosensory modalities, as well as the complexity of the peripheral and central circuitry are yet poorly understood. Light-based techniques such as optogenetics, in concert with the recent advances in single-cell genetic profiling, can help to elucidate the role of diverse neuronal sub-populations in the encoding of different sensory and painful stimuli by switching these neurons on and off via optically active proteins, namely opsins.  Recently, photopharmacology has emerged from the efforts made to advance optogenetics. The introduction of azo-benzene-based light-sensitive molecular switches has been applied to a wide variety of molecular targets, from ion channels and receptors to transporters, enzymes and many more, some of which are paramount for pain research and therapy. In this Review, we summarise the recent advances in the fields of optogenetics and photopharmacology and we discuss the use of light-based techniques for the study of acute and chronic pain physiology, as well as their potential for future therapeutic use to improve pain treatment.


Author(s):  
A Bicego ◽  
J Monseur ◽  
F Rousseaux ◽  
M Faymonville ◽  
N Malaise ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document