Spontaneous discharge of afferents in a neuroma reflects original receptor tuning
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Blockade of nerve sprouting and neuroma formation markedly attenuates the development of late stage cancer pain
2010, NeuroscienceCitation Excerpt :Previous studies have shown that injury to peripheral nerves associated with trauma, amputation, compression, or surgery can lead to painful neuromas (Devor and Govrin-Lippmann, 1983; Lindqvist et al., 2000; Kryger et al., 2001; Black et al., 2008), which have a morphology similar to the neuroma-like structures observed in the present tumor-bearing mouse bones. In humans, these non-malignant neuromas frequently cause chronic and severe pain (Lindqvist et al., 2000; Devor, 2001; Black et al., 2008), produce spontaneous ectopic discharges (Nystrom and Hagbarth, 1981; Devor and Govrin-Lippmann, 1983; Devor et al., 1990) in part by up-regulation of sodium channels (Devor et al., 1993; England et al., 1996; Black et al., 2008), and are largely refractory to medical treatment (Black et al., 2008). Whether these neuroma-like structures in the tumor-bearing bone also show an up-regulation of sodium channels and produce spontaneous discharges is unknown, but these structures could partially explain the phenomenon of spontaneous breakthrough cancer pain, as movement would not be required for these spontaneous ectopic and painful discharges to occur.
Physiology and Pathophysiology of Chronic Pain
2009, NeuromodulationAnatomy and physiology of chronic pain
2003, Neurosurgery Clinics of North America