Abstract | OBJECTIVE: BACKGROUND: RESULTS: Mechanisms responsible for sensory abnormalities in CRPS include sensitization of primary afferent nociceptors and spinothalamic tract neurons, disinhibition of central nociceptive neurons, and reorganization of thalamo-cortical somatosensory maps. Proposed mechanisms of sympathetically-maintained pain include adrenergic excitation of sensitized nociceptors in the CRPS-affected limb, and interaction between processes within the central nervous system that modulate nociception and emotional responses. Central mechanisms could involve adrenergic facilitation of nociceptive transmission in the dorsal horn or thalamus, and/or depletion of bulbo-spinal opioids or tolerance to their effects. CONCLUSIONS: Sympathetic neural activity might contribute to pain and sensory disturbances in CRPS by feeding into nociceptive circuits at the site of injury or elsewhere in the CRPS-affected limb, within the dorsal horn, or via thalamo-cortical projections.
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Authors | Peter D Drummond |
Journal | Pain medicine (Malden, Mass.)
(Pain Med)
Vol. 11
Issue 8
Pg. 1257-66
(Aug 2010)
ISSN: 1526-4637 [Electronic] England |
PMID | 20704674
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
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Chemical References |
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Topics |
- Adrenergic Agents
(metabolism)
- Animals
- Complex Regional Pain Syndromes
(physiopathology)
- Humans
- Hyperalgesia
(physiopathology)
- Pain, Referred
(physiopathology)
- Perception
(physiology)
- Sympathetic Nervous System
(physiopathology)
- Thalamus
(metabolism)
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