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Ny viden om smertesystemets mekanismer
Engelsk titel: New knowledge about the mechanisms of pain Läs online Författare: Arendt-Nielsen L Språk: Dan Antal referenser: 17 Dokumenttyp: Översikt UI-nummer: 02031134

Tidskrift

Ugeskrift for Laeger 2002;164(13)1796-803 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Over the last 10-15 years, scientific knowledge related to the neurobiology of pain systems has expanded substantially. Today the pain system cannot be regarded as static, but one that can undergo substantial neuroplastic changes. These can be increased effectiveness of synaptic transmission, up and/or down regulation of peptides in the dorsal root ganglion, increased and/or decreased expression of receptors. The manifestations of such changes can be pain evoked by normally non-painful stimuli (allodynia) or a heightened reaction to painful stimuli (hyperalgesia). Such reactions are seen in neuropathic pain conditions and are difficult to treat with conventional therapies. In the near future, greater knowledge of the neurobiology of pain may lead to new and more specific analgesics.