presenting less secondary effects than other antidepressants such as tricyclic psychological factors in healthy individuals as well as basic pain physiology.

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While the induction of secondary hyperalgesia requires activity in nociceptive to molecular genetic, physiological, and pharmacological profiles (271, 359).

treede@mail.uni-mainz.de PMID: 11098701 [Indexed for MEDLINE] Publication Types: Research Support, Non-U.S. Gov't; Review; MeSH terms. Animals; Humans; Hyperalgesia/etiology* Secondary hyperalgesia was produced by intradermal injection of capsaicin (25 micrograms) into the volar skin of the forearm. Five woollen fabrics (2 non-prickly, 2 prickly and 1 intermediate) were presented, in a blind manner, to the skin before and after the capsaicin injection. This chapter discusses the multiple mechanisms of secondary hyperalgesia.

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We conclude that when the gain of spinal transmission was changed in secondary hyperalgesia, the gain of wind-up remained unchanged. These findings indicate that secondary hyperalgesia (heterotopic facilitation) and wind-up of pain sensation (homotopic facilitation) are independent phenomena. Moreover, greater use of positive emotional words predicted reduced secondary hyperalgesia at 1 month (β = -0.71, p =.022). In contrast, disclosure had no effect on spontaneous pain. CONCLUSIONS: Disclosure modulates secondary hyperalgesia observed in women with trauma history, producing a short-term enhancement and a long-term reduction.

Hyperalgesia A pain nervous pathway sometimes becomes excessively excitable; this gives rise to hyperalgesia, which means hypersensitivity to pain. Possible causes of hyperalgesia are (1) excessive sensitivity of the pain receptors themselves, which is called primary hyperalgesia, and (2) facilitation of sensory transmission, which is called secondary hyperalgesia.

One study used a double blind, randomized, crossover and placebo-controlled design in opioid-naive, healthy human volunteers to One of the most prominent features of secondary hyperalgesia is touch-evoked pain, i.e., pain evoked by dynamic tactile stimuli applied to areas adjacent or remote from the originating injury. It is generally accepted that the neurobiological mechanism of this sensory alteration involves the central … Secondary hyperalgesia refers to the increase in sensitivity to mechanical nociceptive stimuli delivered outside the area of tissue injury. Previous studies have suggested … Multiple mechanisms of secondary hyperalgesia.

Secondary hyperalgesia physiology

Hyperalgesia (/ ˌ h aɪ p ər æ l ˈ dʒ iː z i ə / or /-s i ə /; 'hyper' from Greek ὑπέρ (huper, “over”), '-algesia' from Greek algos, ἄλγος (pain)) is an abnormally increased sensitivity to pain, which may be caused by damage to nociceptors or peripheral nerves and can cause hypersensitivity to stimulus.

Secondary hyperalgesia physiology

Secondary hyperalgesia Hyperalgesia away from the site of injury due to alteration in spinal cord signaling.

We have reevaluated the effects of local anesthetics on electricall 2019-07-18 Secondary hyperalgesia is believed to be a key feature of “central sensitization” and is characterized by enhanced pain to mechanical nociceptive stimuli. The aim of the present study was to charac Animal studies have established a role for the brainstem reticular formation, in particular the rostral ventromedial medulla (RVM), in the development and maintenance of central sensitisation and its clinical manifestation, secondary hyperalgesia. Similar evidence in humans is lacking, as neuroimagi … The induction phase of secondary hyperalgesia involved central sensitization mechanisms in Vc neurons that were dependent on peripheral input, whereas the maintenance phase of secondary hyperalgesia involved central sensitization in Vc neurons conducted by a delayed descending 5-HT drive and a persistence of peripheral inputs. The secondary hyperalgesia finding may implicate central involvement, whereas enhanced skin flare response suggests that sleep duration may also impact peripheral inflammatory mechanisms. Copyright © 2010 European Federation of International Association for the Study of Pain Chapters.
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Secondary hyperalgesia physiology

The aim of this study was to in per se on secondary hyperalgesia areas are more ambiguous [2,8,31–33]. In the present study, we used a first-degree burn injury (BI) as a validated inflammatory model of sensitization [34,35]. The primary aim was to examine if naloxone could re-instate secondary hyperalgesia areas after resolution of … Secondary hyperalgesia following clinical pain models has been demonstrated to be a robust phenomenon, and can be applied when investigating basic pain physiology Secondary hyperalgesia was induced release, when A-fibre conduction returned to normal. by intradermal injection of 40 µg capsaicin, and pain In conclusion, the pricking pain to punctate stimuli RESULTS: Secondary hyperalgesia areas were demonstrable in all volunteers 1-3 hrs post-BI, but were not demonstrable at 72 hrs post-burn in 73-86% of the subjects.

injury (referred to as primary hyperalgesia) and in the sur-rounding uninjured skin (referred to as secondary hyperalge-sia). A hallmark of secondary hyperalgesia is enhanced pain to mechanical nociceptive stimuli (e.g., pinprick stimuli; Ali et al. 1996; Magerl et al.
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The focus of this study is to examine the analgesic effects of electroacupuncture (EA) on capsaicin-induced secondary hyperalgesia, which represents central sensitization. Capsaicin (0.1%, 20 microl) was injected into the plantar side of the left hind paw, and foot withdrawal thresholds in response to von Frey stimuli (mechanical sensitivity) were determined for both primary and secondary

The aim of the present study was to charac • Secondary hyperalgesia is primarily due to release of substance P (and probably CGRP) from collateral axons of the primary afferent neuron. 46. Substance P • Substance P is an peptide that is synthesized and released by first order neurons both peripherally and in the dorsal horn. High-frequency electrical stimulation (HFS) of the human skin induces an increase in both mechanical and heat pain sensitivity in the surrounding unconditioned skin. 1999), suggesting that secondary mechanical hyperalgesia is mainly mediated by A‐ rather than C‐fibres.

Intradermal injection of 40 microg capsaicin into normal skin between two skin areas that had been pretreated with either capsaicin cream or vehicle produced secondary hyperalgesia with a 260% enhancement of the stimulus-response function for pinprick pain in both areas. In contrast, axon reflexive flare spread only into the vehicle-treated area.

Capsaicin, the algesic substance in chilli peppers, was injected intradermally in healthy human subjects. A dose of 100 micrograms given in a volume of 10 microliters caused intense pain lasting for a few minutes after injection and resulted in a narrow area of hyperalgesia to heat and a wide surrounding area of hyperalgesia … 1. Psychophysical studies were made, in humans, of the sensory characteristics and underlying mechanisms of the hyperalgesia (often termed “secondary hyperalgesia… Whereas primary hyperalgesia is readily explained by peripheral sensitization of nociceptive nerve terminals in injured skin (e.g. via phosphorylation of the TRPV1 heat transduction channel), the mechanisms of secondary hyperalgesia … The focus of this study is to examine the analgesic effects of electroacupuncture (EA) on capsaicin-induced secondary hyperalgesia, which represents central sensitization. Capsaicin (0.1%, 20 microl) was injected into the plantar side of the left hind paw, and foot withdrawal thresholds in response to von Frey stimuli (mechanical sensitivity) were determined for both primary and secondary (2016) van den Broeke et al. Journal of Physiology.

Hyperalgesia at the original site of injury is termed primary hyperalgesia, and hyperalgesia in the uninjured skin surrounding the injury is termed secondary hyperalgesia. 2011-09-15 1999), suggesting that secondary mechanical hyperalgesia is mainly mediated by A‐ rather than C‐fibres. If these results are also applicable to HFS, our results suggest that … 1. Capsaicin, the algesic substance in chilli peppers, was injected intradermally in healthy human subjects. A dose of 100 micrograms given in a volume of 10 microliters caused intense pain lasting for a few minutes after injection and resulted in a narrow area of hyperalgesia to heat and a wide surrounding area of hyperalgesia … 1. Psychophysical studies were made, in humans, of the sensory characteristics and underlying mechanisms of the hyperalgesia (often termed “secondary hyperalgesia… Whereas primary hyperalgesia is readily explained by peripheral sensitization of nociceptive nerve terminals in injured skin (e.g.