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Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence
Open accessAbstract
Peripheral tissue damage or nerve injury often leads to pathological pain processes, such as spontaneous pain, hyperalgesia and allodynia, that persist for years or decades after all possible tissue healing has occurred. Although peripheral neural mechanisms, such as nociceptor sensitization and neuroma formation, contribute to these pathological pain processes, recent evidence indicates that changes in central neural function may also play a significant role. In this review, we examine the clinical and experimental evidence which points to a contribution of central neural plasticity to the development of pathological pain. We also assess the physiological, biochemical, cellular and molecular mechanisms that underlie plasticity induced in the central nervous system (CNS) in response to noxious peripheral stimulation. Finally, we examine theories which have been proposed to explain how injury or noxious stimulation lead to alterations in CNS function which influence subsequent pain experience.
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“These rat model findings suggest that central sensitization, a process thought to underlie pain hypersensitivity, is an important mechanism”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Coderre et al., 1993
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McMahon, S. B., Lewin, G. R., & Wall, P. D. (1993) · Current Opinion in Neurobiology · doi:10.1016/0959-4388(93)90062-4 · Cited by 288
NMDA receptor blockade in chronic neuropathic pain: a comparison of ketamine and magnesium chloride
Felsby, S., Nielsen, J., Arendt‐Nielsen, L., & Jensen, T. S. (1996) · Pain · doi:10.1016/0304-3959(95)00113-1 · Cited by 288
“The mechanisms responsible for spinal hyperexcitability in neuropathic pain are not clarified in detail, but a large body of evidence indicates that excitatory amino acids acting at N-methyl-o-aspartate (NMDA) receptor sites play a role (Dickenson and Sullivan 1987; Davies and Lodge 1987; Dickenson 1990; Haley et al.…”
BackgroundNeurocircuitry of illness-induced hyperalgesia
Watkins, L. R., Wiertelak, E. P., Goehler, L. E., Mooney-Heiberger, K., Martinez, J., Furness, L. E., Smith, K. P., & Maier, S. F. (1994) · Brain Research · doi:10.1016/0006-8993(94)91742-6 · Cited by 284
Myofascial Trigger Points and Sensitization: An Updated Pain Model for Tension-Type Headache
Fernández‐de‐las‐Peñas, C., Cuadrado, M. L., Arendt‐Nielsen, L., Simons, D. G., & Pareja, J. A. (2007) · Cephalalgia · doi:10.1111/j.1468-2982.2007.01295.x · Cited by 282
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“In response to 1-Hz stimulation of afferent C fibers, amplitudes of C-fiber–evoked field to noxious stimuli (Coderre et al. 1993; Dubner 1991; Sandpotentials remained constant, whereas number of action potentials kühler 1996; Woolf 1983). of some dorsal horn neurons increased progressively…”
BackgroundOpioid-induced hyperalgesia: abnormal or normal pain?
Simonnet, G., & Rivat, C. (2003) · NeuroReport · doi:10.1097/00001756-200301200-00001 · Cited by 273
Ebert, B., Mikkelsen, S. S., Thorkildsen, C., & Borgbjerg, F. M. (1997) · European Journal of Pharmacology · doi:10.1016/s0014-2999(97)01116-3 · Cited by 270
Jagodic, M. M., Pathirathna, S., Nelson, M. T., Mancuso, S., Joksovic, P. M., Rosenberg, E. R., Bayliss, D. A., Jevtović‐Todorović, V., & Todorovic, S. M. (2007) · Journal of Neuroscience · doi:10.1523/jneurosci.4866-06.2007 · Cited by 268
“…cellular mechanisms of hyperalgesia and allodynia in neuropathic pain remain poorly understood, but the remodeling of voltage- and ligand-gated ion channels that can increase excitability of the sensory neurons may play a critical role (Coderre et al., 1993; Woolf, 2004; Campbell and Meyer, 2006).”
BackgroundFos, Nociception and the Dorsal Horn
Coggeshall, R. E. (2005) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2005.11.002 · Cited by 268
Analgesic Effect of Intravenous Ketamine in Cancer Patients on Morphine Therapy
Mercadante, S., Arcuri, E., Tirelli, W., & Casuccio, A. (2000) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(00)00194-9 · Cited by 264
Neuropathic pain symptoms in a community knee OA cohort
Hochman, J. R., Gagliese, L., Davis, A. M., & HAWKER, G. A. (2011) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2011.03.007 · Cited by 264
Kissin, I. (1996) · Anesthesiology · doi:10.1097/00000542-199605000-00001 · Cited by 258
Evidence for central sensitization in chronic whiplash: A systematic literature review
Oosterwijck, J. V., Nijs, J., Meeus, M., & Paul, L. (2012) · European Journal of Pain · doi:10.1002/j.1532-2149.2012.00193.x · Cited by 255
“Persistent pain complaints, local and widespread hyperalgesia, referred pain and (thoracic) allodynia were established in chronic WAD patients and are clinical manifestations of the hyperexcitability of the central nervous system (Coderre et al., 1993; GravenNielsen and Arendt-Nielsen, 2002; Staud and Smitherman, 2002…”
BackgroundVierck, C. J., Cannon, R. L., Fry, G., Maixner, W. D., & Whitsel, B. L. (1997) · Journal of Neurophysiology · doi:10.1152/jn.1997.78.2.992 · Cited by 257
“…in the creation and/or maintenanceeminence, at interstimulus intervals (ISIs) of 3 s, progressively increased the perceived intensity of a thermal sensation that fol- of chronic pain (Coderre et al. 1993; Price 1991; Wilcox lowed each contact at an onset latency ú2 s. Temporal summation 1993).”
BackgroundEide, P. K., Stubhaug, A., Øye, I., & Breivik, H. (1995) · Pain · doi:10.1016/0304-3959(94)00182-e · Cited by 257
Bennett, R. M. (1999) · Mayo Clinic Proceedings · doi:10.4065/74.4.385 · Cited by 252
Ebert, B., Andersen, S., & Krogsgaard‐Larsen, P. (1995) · Neuroscience Letters · doi:10.1016/0304-3940(95)11364-3 · Cited by 255
Sikandar, S., & Dickenson, A. H. (2012) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0b013e32834f6ec9 · Cited by 254
“Axons can send peripheral terminals to anatomically distinct segments to produce pain sensations distant to the primary site [36].”
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“Longlasting intense nociceptive barrage from the periphery, however, has been reported to give rise to persistent and self-sustaining central hyperexcitability (Dubner, 1991; Price, 1991; Coderre et al., 1993), providing the basis for ‘pathological pain’ (Coderre et al., 1993).”
BackgroundRedox Modulation of T-Type Calcium Channels in Rat Peripheral Nociceptors
Todorovic, S. M., Jevtović‐Todorović, V., Meyenburg, A., Mennerick, S. J., Perez‐Reyes, E., Romano, C., Olney, J. W., & Zorumski, C. F. (2001) · Neuron · doi:10.1016/s0896-6273(01)00338-5 · Cited by 256
The Effects of Postoperative Pain Management on Immune Response to Surgery
Beilin, B., Shavit, Y., Trabekin, E., Mordashev, B., Mayburd, E., Zeidel, A., & Bessler, H. (2003) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000078586.82810.3b · Cited by 250
“Local anesthetics can reduce the postoperative inflammatory response in two ways: they block neural transmission at the site of tissue injury and thus may attenuate the neurogenic inflammation ( 18 ), or they have systemic antiinflammatory properties of their own (13).”
BackgroundEvaluation of Gabapentin and S-(+)-3-Isobutylgaba in a Rat Model of Postoperative Pain
Field, M. J., Holloman, E. F., McCleary, S., Hughes, J. M., & Singh, L. (1997) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(24)36908-3 · Cited by 248
Endometriosis is associated with central sensitization: a psychophysical controlled study
Bajaj, P. (2003) · The Journal of Pain · doi:10.1016/s1526-5900(03)00720-x · Cited by 247
Metadata
- Authors
- Coderre, T. J., Katz, J., Vaccarino, A. L., & Melzack, R.
- Affiliations
- University of Toronto (CA)
- LSU New Orleans (US)
- McGill University (CA)
- Corresponding author
- Vaccarino, Anthony L.
- Venue
- Pain
- Published
- 1993-03
- Volume
- 52
- Issue
- 3
- Pages
- 259-285
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2062625412
- Cited by
- 1,966
- References
- 304
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 8 · 2023: 16 · 2022: 16 · 2021: 28 · 2020: 24 · 2019: 36 · 2018: 25 · 2017: 25 · 2016: 30 · 2015: 30 · 2014: 37 · 2013: 42 · 2012: 53
- FWCI
- 12.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- Funders
- Medical Research Council Canada
- Natural Sciences and Engineering Research Council of Canada (A7891)
- Fonds de Recherche du Québec - Santé
- Medical Research Council
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- pathological pain, hyperalgesia, allodynia, spontaneous pain, central sensitization, nerve injury, nociceptor sensitization, neuroma formation, central nervous system plasticity, noxious stimulation, pain mechanisms
- MeSH terms
- Acute Disease, Animals, Central Nervous System, Chronic Disease, Humans, Models, Neurological, Neuronal Plasticity, Pain, Palliative Care, Pain Management
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