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Field: Pain Mechanisms and Treatments

Neuropathic pain: a practical guide for the clinician

Verified

Ian Gilron

Journal: Canadian Medical Association JournalYear: 2006
Citations: 448

Neuropathic pain, caused by various central and peripheral nerve disorders, is especially problematic because of its severity, chronicity and resistance to simple analgesics. The condition affects 2%-3% of the population, is costly to the health care system and is personally devastating to the peopl...

Health SciencesMedicinePhysiologyOpen Access
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Opioid Analgesia and Opioid-Induced Adverse Effects: A Review

Verified

Alok Kumar Paul, Craig M. Smith, Mohammed Rahmatullah, Veeranoot Nissapatorn et al.

Journal: PharmaceuticalsYear: 2021Citations: 274

Opioids are widely used as therapeutic agents against moderate to severe acute and chronic pain. Still, these classes of analgesic drugs have many potential limitations as they induce analgesic tolerance, addiction and numerous behavioural adverse effects that often result in patient non-compliance....

Health SciencesMedicinePhysiologyOpen Access
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The Potential Role of Sensory Testing, Skin Biopsy, and Functional Brain Imaging as Biomarkers in Chronic Pain Clinical Trials: IMMPACT Considerations

Verified

Shannon M. Smith, Robert H. Dworkin, Dennis C. Turk, Ralf Baron et al.

Journal: Journal of PainYear: 2017Citations: 153

Valid and reliable biomarkers can play an important role in clinical trials as indicators of biological or pathogenic processes or as a signal of treatment response. Currently, there are no biomarkers for pain qualified by the US Food and Drug Administration or the European Medicines Agency for use ...

Health SciencesMedicinePhysiologyOpen Access
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Risk factors and prevalence of diabetic peripheral neuropathy: A study of type 2 diabetic outpatients in Bangladesh

Verified

Kjersti Mørkrid, Liaquat Ali, Akhtar Hussain

Journal: International Journal of Diabetes in Developing CountriesYear: 2010Citations: 98

Aims/Hypothesis: The purpose of the study is to estimate the prevalence and risk factors for diabetic peripheral neuropathy (DPN) in type 2 diabetic outpatients at the BIRDEM hospital, Bangladesh. Materials and Methods: Type 2 diabetic outpatients, diagnosed 5-11 years prior to the investigation wer...

Health SciencesMedicinePhysiologyOpen Access
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Transient Cervical Nerve Root Compression in the Rat Induces Bilateral Forepaw Allodynia and Spinal Glial Activation: Mechanical Factors in Painful Neck Injuries

Verified

Raymond D. Hubbard, Beth A. Winkelstein

Journal: SpineYear: 2005Citations: 80

STUDY DESIGN: An in vivo rat model of transient cervical nerve root compression. OBJECTIVES: To investigate the potential for cervical nerve root compression to produce behavioral hypersensitivity and examine its dependence on compression. SUMMARY OF BACKGROUND DATA: Clinically, nerve root injury ha...

Health SciencesMedicinePhysiology
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First-order nociceptive synapses in rat dorsal horn are blocked by an amino acid antagonist

Verified

Jens Schouenborg, B.H. Sjo¨lund

Journal: Brain ResearchYear: 1986Citations: 69

An antagonist to amino acid evoked excitation, gamma-D-glutamylglycine (gamma-DGG) inhibits, dose-dependently, nociceptive C-fibre evoked field potentials and neuronal discharges in single nociceptive neurons in rat spinal cord. It is concluded that amino acids are possible transmitter substance(s) ...

Health SciencesMedicinePhysiology
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Endorphins—A Role in Lower Urinary Tract Function? The Effect of Opioid Blockade on the Detrusor and Urethral Sphincter Mechanisms

Verified

Keith Murray, R. C. L. FENELEY

Journal: British Journal of UrologyYear: 1982Citations: 67

A single blind trial of the effect of opioid blockade on lower urinary tract function, assessed urodynamically, is reported. Twenty patients (10 male, 10 female) were studied by filling and voiding cystometry and urethral pressure profilometry before and after the administration of a potent opioid a...

Health SciencesMedicineUrology
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Involvement of EphB1 Receptor/EphrinB2 Ligand in Neuropathic Pain

Verified

Hideo Kobayashi, Takuya Kitamura, Miho Sekiguchi, Yoshimi Homma et al.

Journal: SpineYear: 2007Citations: 64

STUDY DESIGN: We investigated involvement of EphB/ephrinB system in neuropathic pain. OBJECTIVE: Using immunoblotting, immunohistochemistry, and RNA interference techniques, we examined the expression levels of EphB receptors and ephrinB ligands in neuropathic pain. We also explored the effect of ep...

Life SciencesNeuroscienceCellular and Molecular Neuroscience
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Antinociceptive effect of methanol extract of leaves of Persicaria hydropiper in mice

Verified

Ambia Khatun, Mohammad Zafar Imam, Md. Sohel Rana

Journal: BMC Complementary and Alternative MedicineYear: 2015Citations: 62

BACKGROUND: Persicaria hydropiper (Linn.) Delarbre is a common plant of Polygonaceae family commonly called Bishkatali in Bangladesh. Leaves of the plant are traditionally used in the treatment of rheumatic pain, gout, and skin diseases such as ringworms, scabies, boils, abscesses, carbuncles, bites...

Health SciencesMedicinePhysiologyOpen Access
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Effects of Neutralizing Antibodies to Tumor Necrosis Factor-Alpha on Nucleus Pulposus–Induced Abnormal Nociresponses in Rat Dorsal Horn Neurons

Verified

Akira Onda, Shoji Yabuki, Shinichi Kikuchi

Journal: SpineYear: 2003Citations: 62

STUDY DESIGN: The effect of an anti-tumor necrosis factor alpha (anti-TNFalpha) antibody on abnormal discharges caused by application of nucleus pulposus to the nerve root was investigated in an electrophysiologic study. OBJECTIVES: To assess whether inhibition of TNFalpha can reduce nucleus pulposu...

Health SciencesMedicinePhysiology
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Sensitivity of the DN4 in Screening for Neuropathic Pain Syndromes

Verified

Elizabeth G. VanDenKerkhof, Larry Stitt, Alexander J. Clark, Allan Gordon et al.

Journal: Clinical Journal of PainYear: 2017Citations: 56

OBJECTIVES: Several tools have been developed to screen for neuropathic pain. This study examined the sensitivity of the Douleur Neuropathique en 4 Questions (DN4) in screening for various neuropathic pain syndromes. MATERIALS AND METHODS: This prospective observational study was conducted in 7 Cana...

Health SciencesMedicinePhysiology
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Chronic neuropathic pain in treated leprosy

Verified

Aki Hietaharju, Richard Croft, Rezaul Alam, Paul Birch et al.

Journal: The LancetYear: 2000Citations: 56

The existence of chronic neuropathic pain in treated leprosy has received scant attention. We describe the clinical findings of 16 patients with multibacillary leprosy who had chronic stimulus-independent pain despite finishing their treatment. With confirmation, our results could be of importance i...

Health SciencesMedicineInfectious Diseases
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Exploring the Promise of Flavonoids to Combat Neuropathic Pain: From Molecular Mechanisms to Therapeutic Implications

Verified

Md. Sahab Uddin, Abdullah Al Mamun, Md. Ataur Rahman, Md. Tanvir Kabir et al.

Journal: Frontiers in NeuroscienceYear: 2020Citations: 49

Neuropathic pain (NP) is the result of irregular processing in the central or peripheral nervous system, which is generally caused by neuronal injury. The management of NP represents a great challenge owing to its heterogeneous profile and the significant undesirable side effects of the frequently p...

Health SciencesMedicinePhysiologyOpen Access
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A trial of proficiency of nerve conduction: Greater standardization still needed

Verified

P. James B. Dyck, James W. Albers, James Wolfe, Charles F. Bolton et al.

Journal: Muscle & NerveYear: 2012Citations: 49

INTRODUCTION: The aim of this study was to test the proficiency (accuracy among evaluators) of measured attributes of nerve conduction (NC). METHODS: Expert clinical neurophysiologists, without instruction or consensus development, from 4 different medical centers, independently assessed 8 attribute...

Health SciencesMedicinePhysiologyOpen Access
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Agonist that activates the µ-opioid receptor in acidified microenvironments inhibits colitis pain without side effects

Verified

Nestor N. Jiménez-Vargas, Yang Yu, Dane D. Jensen, Diana Bok et al.

Journal: GutYear: 2021Citations: 48

OBJECTIVE: The effectiveness of µ-opioid receptor (MOPr) agonists for treatment of visceral pain is compromised by constipation, respiratory depression, sedation and addiction. We investigated whether a fentanyl analogue, (±)-N-(3-fluoro-1-phenethylpiperidine-4-yl)-N-phenyl propionamide (NFEPP), whi...

Health SciencesMedicineGastroenterologyOpen Access
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