From the neuromatrix to the pain matrix (and back)
Abstract
Pain is a conscious experience, crucial for survival. To investigate the neural basis of pain perception in humans, a large number of investigators apply noxious stimuli to the body of volunteers while sampling brain activity using different functional neuroimaging techniques. These responses have been shown to originate from an extensive network of brain regions, which has been christened the Pain Matrix and is often considered to represent a unique cerebral signature for pain perception. As a consequence, the Pain Matrix is often used to understand the neural mechanisms of pain in health and disease. Because the interpretation of a great number of experimental studies relies on the assumption that the brain responses elicited by nociceptive stimuli reflect the activity of a cortical network that is at least partially specific for pain, it appears crucial to ascertain whether this notion is supported by unequivocal experimental evidence. Here, we will review the original concept of the "Neuromatrix" as it was initially proposed by Melzack and its subsequent transformation into a pain-specific matrix. Through a critical discussion of the evidence in favor and against this concept of pain specificity, we show that the fraction of the neuronal activity measured using currently available macroscopic functional neuroimaging techniques (e.g., EEG, MEG, fMRI, PET) in response to transient nociceptive stimulation is likely to be largely unspecific for nociception.
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The cortical processes generating LEPs are largely related to the perception of salient changes in the sensory environment and contribute to the perception of pain.
“the cortical processes generating LEPs are largely related to the perception of salient changes in the sensory environment 59, 60, and contribute to the perception of pain 61, 62.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [62]
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- Authors
- Iannetti, G. D., & Mouraux, A.
- Affiliations
- University College London (GB)
- UCLouvain (BE)
- Corresponding author
- Iannetti, G. D.
- Venue
- Experimental Brain Research
- Published
- 2010-07-06
- Volume
- 205
- Issue
- 1
- Pages
- 1-12
- ISSN
- 0014-4819 (ISSN-L)
- 1432-1106
- OpenAlex
- W2115742360
- Cited by
- 554
- References
- 144
- Citations by year
- 2026: 12 · 2025: 24 · 2024: 28 · 2023: 35 · 2022: 32 · 2021: 34 · 2020: 43 · 2019: 30 · 2018: 38 · 2017: 35 · 2016: 45 · 2015: 46 · 2014: 44 · 2013: 43 · 2012: 37
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Experimental Brain Research (publishedVersion)
- PubMed (publishedVersion)
- DIAL (Catholic University of Leuven) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Biotechnology and Biological Sciences Research Council (BB/G01177X/2)
- Topics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- pain matrix, neuromatrix, pain perception, nociception, functional neuroimaging, nociceptive stimulation
- MeSH terms
- Animals, Brain, Brain Mapping, Humans, Models, Neurological, Neural Pathways, Nociceptors, Pain, Perception, Pain Threshold
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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