Cited by 745Pain Mechanisms and TreatmentsPain Management and TreatmentPain Management and Placebo Effect

Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states

Yarnitsky, David·2010·Current Opinion in Anaesthesiology

Abstract

PURPOSE OF REVIEW: There is a growing body of knowledge on pain modulation in various disease states. This article reviews the state of the art regarding the clinical relevance of pain inhibition as revealed by 'pain inhibits pain' test paradigms, trying to organize the clinically relevant data, and emphasizing the pathophysiology of pain. In line with recent experts' recommendations, the term conditioned pain modulation (CPM) will be used, replacing the previous terms 'diffuse noxious inhibitory control (DNIC)' or 'DNIC-like' effects. RECENT FINDINGS: Most of the work in this context was done on the idiopathic pain syndromes, such as irritable bowel syndrome, temporomandibular disorders, fibromyalgia, and tension type headache. The pattern of reduced CPM efficiency seems common to these syndromes and an assertion is made that low CPM efficiency, reflecting low pain inhibitory capacity, is a pathogenetic factor in the development of the idiopathic pain syndromes. Low CPM efficiency was shown to be predictive of acute and chronic postoperative pain, and, in some reports, to be associated with neuropathic pain levels. SUMMARY: Low CPM efficiency is associated with higher pain morbidity and vice versa. Further work is awaited on clarifying plasticity of CPM and its relevance to selection and efficacy of pain therapy.

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Crossref · 10.1097/aco.0b013e32833c348b

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  • Negative affective responses to pain and pain-related catastrophizing are as prominent in adolescent patients.

    “negative affective responses to pain, and pain-related catastrophizing are as prominent in adolescent patients 400–402”

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Authors
Yarnitsky, D.
Affiliations
Technion – Israel Institute of Technology (IL)
Corresponding author
Yarnitsky, David
Venue
Current Opinion in Anaesthesiology
Published
2010-10
Volume
23
Issue
5
Pages
611-615
ISSN
0952-7907 (ISSN-L)
OpenAlex
W2004607543
Cited by
745
References
38
Citations by year
2026: 39 · 2025: 42 · 2024: 43 · 2023: 38 · 2022: 55 · 2021: 62 · 2020: 55 · 2019: 57 · 2018: 58 · 2017: 61 · 2016: 51 · 2015: 38 · 2014: 54 · 2013: 54 · 2012: 22
FWCI
2.95
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Anaesthesiology (publishedVersion)
  • PubMed (publishedVersion)
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
conditioned pain modulation, diffuse noxious inhibitory control, pain inhibition, fibromyalgia, irritable bowel syndrome, temporomandibular disorders, tension-type headache, postoperative pain, neuropathic pain, pain pathophysiology, pain management
MeSH terms
Acute Disease, Mental Disorders, Chronic Disease, Conditioning, Psychological, Humans, Terminology as Topic, Pain, Pain, Postoperative, Postoperative Pain, Peripheral Nervous System Diseases

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