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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Nociception01:44

Nociception

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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Related Experiment Video

Updated: Sep 9, 2025

Psychophysically-anchored, Robust Thresholding in Studying Pain-related Lateralization of Oscillatory Prestimulus Activity
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Individual differences in conditioned pain modulation are associated with alpha oscillations.

Rima El-Sayed1,2, Vaidhehi Veena Sanmugananthan1,2, Joshua C Cheng1,2

  • 1Institute of Medical Science, University of Toronto, Toronto, ON, Canada.

Pain
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Summary
This summary is machine-generated.

Alpha oscillations in the brain influence how pain changes based on location. This study reveals a link between alpha brain waves and pain modulation, suggesting new therapeutic targets for pain management.

Keywords:
Alpha oscillationsConditioned pain modulationMagnetoencephalographySex differencesdlpfcsgACC

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Area of Science:

  • Neuroscience
  • Pain Research
  • Neuroimaging

Background:

  • Conditioned pain modulation (CPM) exhibits significant inter-individual variability, manifesting as inhibition, facilitation, or absence of modulation.
  • Alpha oscillations are implicated in pain processing, yet their precise role in CPM remains incompletely understood.

Purpose of the Study:

  • To investigate the relationship between alpha oscillation characteristics (peak alpha frequency and power) and conditioned pain modulation (CPM) within the dynamic pain connectome (DPC).
  • To explore how these relationships differ across various CPM paradigms and between sexes.

Main Methods:

  • Resting-state magnetoencephalography (MEG) was employed in 68 healthy individuals to assess brain activity.
  • A heat-based CPM paradigm was used to evaluate pain modulation, with subsequent analysis of alpha power and peak alpha frequency in specific brain regions.
  • A pressure-based CPM paradigm was also utilized in a subset of participants.

Main Results:

  • A significant portion of individuals displayed facilitatory CPM (49%), contrasting with inhibitory (32%) and no CPM (19%).
  • Lower alpha power in the medial prefrontal cortex (mPFC) and across the DPC was observed in the facilitatory subgroup.
  • Peak alpha frequency in the thalamus correlated with inhibitory CPM, while sex-specific relationships were noted in the subgenual anterior cingulate cortex (sgACC) and dorsolateral prefrontal cortex (dlPFC).

Conclusions:

  • The influence of alpha oscillations on CPM is dependent on the experimental paradigm and sex.
  • A discernible alpha-CPM relationship exists in healthy individuals, particularly involving prefrontal regions and the sgACC.
  • These findings offer insights into potential neuromodulation strategies for pain management.