scholarly journals Pre-emptive analgesia and its supraspinal mechanisms: enhanced descending inhibition and decreased descending facilitation by dexmedetomidine

2016 ◽  
Vol 594 (7) ◽  
pp. 1875-1890 ◽  
Author(s):  
Hao-Jun You ◽  
Jing Lei ◽  
Ying Xiao ◽  
Gang Ye ◽  
Zhi-Hong Sun ◽  
...  
2013 ◽  
Vol 93 (6) ◽  
pp. 842-851 ◽  
Author(s):  
Enrique Lluch Girbés ◽  
Jo Nijs ◽  
Rafael Torres-Cueco ◽  
Carlos López Cubas

Osteoarthritis is one of the most frequent, disabling, and costly pathologies of modern society. Among the main aims of osteoarthritis management are pain control and functional ability improvement. The exact cause of osteoarthritis pain remains unclear. In addition to the pathological changes in articular structures, changes in central pain processing or central sensitization appear to be involved in osteoarthritis pain. The latter calls for a broader approach to the management of patients with osteoarthritis. Yet, the scientific literature offers scant information addressing the treatment of central sensitization, specifically in patients with osteoarthritis. Interventions such as cognitive-behavioral therapy and neuroscience education potentially target cognitive-emotional sensitization (and descending facilitation), and centrally acting drugs and exercise therapy can improve endogenous analgesia (descending inhibition) in patients with osteoarthritis. Future studies should assess these new treatment avenues.


2002 ◽  
Vol 282 (1) ◽  
pp. R147-R155 ◽  
Author(s):  
Huiyuan Zheng ◽  
Christiane Patterson ◽  
Hans-Rudolf Berthoud

The caudal brain stem integrates short-term feedback signals from the oral cavity and the food-handling abdominal viscera, as well as long-term homeostatic, cognitive, and emotional signals from the forebrain, to control ingestive behavior. Glutamate, acting on various receptor subtypes, plays a prominent role in this integrative process. Fourth ventricular injection of the α-amino-3-hydroxy-5-methyl-4-isoxazolepropionate (AMPA)/kainate receptor blocker 1,2,3,4-tetrahydro-6-nitro-2,3-dioxobenzo[ f]quinoxaline-7-sulfonamide (NBQX, 0.5–5 nmol/3 μl) dose dependently suppressed intake of 15% sucrose in food-deprived and non-food-deprived rats compared with saline injection. Two consecutive paired NBQX injections (5 nmol) into the fourth ventricle did not produce conditioned taste aversion to saccharin, but LiCl did. Intraburst lick rate and lick efficiency were not affected, but burst size and number and initial lick rate were significantly decreased by NBQX. Local injection of NBQX (2 nmol) into and near the nucleus tractus solitarius also suppressed sucrose intake. These results suggest a general role for non- N-methyl-d-aspartate receptors in the transmission of positive (feedforward) signals, but do not identify the exact processing step involved, such as taste input, sensory-motor processing, or descending facilitation. More localized injections and response measures will be necessary.


1986 ◽  
Vol 67 (1) ◽  
pp. 82-86 ◽  
Author(s):  
Terence J. Coderre ◽  
Robert W. Grimes ◽  
Ronald Melzack

Pain ◽  
2008 ◽  
Vol 140 (3) ◽  
pp. 465-471 ◽  
Author(s):  
Lars Arendt-Nielsen ◽  
Kathleen A. Sluka ◽  
Hong Ling Nie

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