Pain Management with Natural Products: Neurophysiological Insights

Recently, complementary and alternative medicine have been actively employed for patients experiencing symptoms unresponsive to Western medical treatments like drug therapy. Natural compounds, including polyphenols, carotenoids, and omega fatty acids, have demonstrated various beneficial biological actions for human health in several studies. Given their broad pharmacological activities and reduced toxicity, these compounds possess significant potential as resources for the development of natural analgesic drugs. Given recent studies showing that natural compounds can modulate neuronal excitability (including nociceptive sensory transmission through mechanoreceptors and voltage-gated ion channels) and inhibit the cyclooxygenase-2 cascade, these compounds hold promise as complementary and alternative medicine candidates, particularly as therapeutic agents for nociceptive and pathological pain. This review focuses on elucidating the mechanisms by which natural compounds modulate neuronal electrical signals-including generator potentials, action potentials, and postsynaptic potentials-in nociceptive pathway neurons, potentially leading to local and intravenous anesthetic effects, as well as inflammatory pain relief. Specifically, we discuss the contribution of natural compounds to the relief of nociceptive and/or pathological pain and their potential clinical application, drawing on our recent published in vivo studies.