Pain modulation and the transition from acute to chronic pain

Research output: Chapter in Book/Report/Conference proceedingChapter

20 Scopus citations

Abstract

There is now increasing evidence that pathological pain states are at least in part driven by changes in the brain itself. Descending modulatory pathways are known to mediate top-down regulation of nociceptive processing, transmitting cortical and limbic influences to the dorsal horn. However, these modulatory pathways are also intimately intertwined with ascending transmission pathways through positive and negative feedback loops. Models of persistent pain that fail to include descending modulatory pathways are thus incomplete. Although teasing out individual links in a recurrent network is never straightforward, it is imperative that understanding of pain modulation be fully integrated into how we think about pain.

Original languageEnglish (US)
Title of host publicationAdvances in Experimental Medicine and Biology
PublisherSpringer New York LLC
Pages105-115
Number of pages11
Volume904
DOIs
StatePublished - May 1 2016

Publication series

NameAdvances in Experimental Medicine and Biology
Volume904
ISSN (Print)00652598
ISSN (Electronic)22148019

Keywords

  • Descending control
  • Feedback
  • Pain-modulation
  • Plasticity
  • Rostral ventromedial medulla

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

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  • Cite this

    Heinricher, M. (2016). Pain modulation and the transition from acute to chronic pain. In Advances in Experimental Medicine and Biology (Vol. 904, pp. 105-115). (Advances in Experimental Medicine and Biology; Vol. 904). Springer New York LLC. https://doi.org/10.1007/978-94-017-7537-3_8