Week 5 Flashcards
What is neuropathic pain?
Caused by damage or disease affecting the nervous system
Described as shooting or burning pain
What are symptoms of Neuropathic pain?
Shooting and burning pain
Tingling and numbness
What occurs after injury?
Lose function/ motor function
Lose sensory innervation
Where is Dorsal root ganglion located?
Spinal column and level lumbar 4,5,6
What do you find peripherally?
Spinal nerve and contribute to sub-sciatic nerve
When is neuropathic pain common?
After partial injuries
What is the role of Dorsal root Ganglia?
Modulation of peripheral and central sensory processing that include:
Inflammation
Somatic pain
Development of neuropathic pain
How do you partially injure a nerve?
Ligate/ cut some sciatic nerve
What is chronic construction injury?
Putting ligatures around the nerve
Cause inflammatory action
Constricts it
What is chronic constriction injury model?
Left sciatic nerve of a rat is ligated causing inflammation and swelling
Model was evaluated via paw mechanical withdrawal latency and DRG immunohistochemistry
What is the features of chronic constriction injury model?
- Investigate both pathophysiology and potential thereapeutic agent for treatment of neuropathic pain
- Behavioural signs of spontaneous pain can be observed e.g. limping of hind paw
What is the symptoms of chronic neuropathic pain?
Spontaneous pain
Paraesthesia
Allodynia
Hyperalgesia
What is sciatic nerve injury?
Loss of movement
Lack of sensation
What does sciatic nerve Contain?
Motor and sensory axon
What is peripheral sensitisation?
Increased sensitivity to afferent nerve stimuli
What is central sensitisation?
Condition of the nervous system that is associated with development and maintenance of chronic pain
What happens to the distal portion of nerve after an injury?
The axons will die
It will be cut off from the cell body
What is a neuroma?
A collection of growth cones
What are the changes in the peripheral nerve?
Distal portions of the axon die
Proximal portions attempt to regrow in the direction of target
What happens when axon regrowth is unsuccessful?
Formation of a focal tangle of proliferated growth comes
Together with massive Schwann cell proliferation
In-migration of inflammatory cells forming a neurons
What is the first active inflammatory response?
Infiltration of the neutrophils
What would be an inflammatory mediator that would cause peripheral sensitisation?
Prostaglandin
Histamine
Protons/ATP
Why is inflammatory response required?
Tissue to heal
Bring more blood into the region of injury
Take away toxin substances
What is required for maintenance for functional recovery?
Chenophlayphin interleukin 2
What is the role of clonidate?
Reduction in hypersensitivity and repair
What is wallerian (orthograde) degeneration?
Active process of degeneration that results when a nerve fibre is cut or crushed and the part of axon distal to injury degenerates
No metabolic support of that portion