Ontology highlight
ABSTRACT: Introduction
Chronic pain negatively impacts a range of sensory and affective behaviors. Previous studies have shown that the presence of chronic pain not only causes hypersensitivity at the site of injury but may also be associated with pain-aversive experiences at anatomically unrelated sites. While animal studies have indicated that the cingulate and prefrontal cortices are involved in this generalized hyperalgesia, the mechanisms distinguishing increased sensitivity at the site of injury from a generalized site-nonspecific enhancement in the aversive response to nociceptive inputs are not well known.Methods
We compared measured pain responses to peripheral mechanical stimuli applied to a site of chronic pain and at a pain-free site in participants suffering from chronic lower back pain (n = 15) versus pain-free control participants (n = 15) by analyzing behavioral and electroencephalographic (EEG) data.Results
As expected, participants with chronic pain endorsed enhanced pain with mechanical stimuli in both back and hand. We further analyzed electroencephalographic (EEG) recordings during these evoked pain episodes. Brain oscillations in theta and alpha bands in the medial orbitofrontal cortex (mOFC) were associated with localized hypersensitivity, while increased gamma oscillations in the anterior cingulate cortex (ACC) and increased theta oscillations in the dorsolateral prefrontal cortex (dlPFC) were associated with generalized hyperalgesia.Discussion
These findings indicate that chronic pain may disrupt multiple cortical circuits to impact nociceptive processing.
SUBMITTER: Kenefati G
PROVIDER: S-EPMC10611481 | biostudies-literature | 2023
REPOSITORIES: biostudies-literature
Kenefati George G Rockholt Mika M MM Ok Deborah D McCartin Michael M Zhang Qiaosheng Q Sun Guanghao G Maslinski Julia J Wang Aaron A Chen Baldwin B Voigt Erich P EP Chen Zhe Sage ZS Wang Jing J Doan Lisa V LV
Frontiers in neuroscience 20231013
<h4>Introduction</h4>Chronic pain negatively impacts a range of sensory and affective behaviors. Previous studies have shown that the presence of chronic pain not only causes hypersensitivity at the site of injury but may also be associated with pain-aversive experiences at anatomically unrelated sites. While animal studies have indicated that the cingulate and prefrontal cortices are involved in this generalized hyperalgesia, the mechanisms distinguishing increased sensitivity at the site of in ...[more]