Study in mice explains how brain can turn pain signals up or down
nih.gov
nih.gov
Interesting. A couple of days ago I was washing dishes and the water was too hot, so I almost burnt my hand--or so I thought--by putting it directly under the faucet by accident. Nonetheless, I started playing with it for a while: how long could I keep it there? I realized that if I put my hand under it, whenever I gave in to fear, the pain got unbearable, as if a switch had been turned on.
I think that's why expert meditators can handle pain better. Also, meditation and yoga reduce the right amygdala's volume [0], which processes fear and negative emotions.
[0] https://www.psypost.org/2019/08/meditation-and-yoga-practice....
Another anecdote: during last year's Tour de France, halfway climbing the Alpe d'Huez (~13.8km at avg 8% slope, nothing to scoff at), Vincenzo Nibali got knocked off his bike because it got hooked on a supporter's camera strap. He got back on his bike and completed the rest of the climb faster than the top contenders in front of him. When the doctors checked him, it turned out he had a fractured vertebra. I suppose that must've hurt.
The “switch” acts more like a “pain rheostat,” similar to a home thermostat that modulates temperature — the pain rheostat reacts to pain signals to modulate pain sensations. In the mice, researchers found that activity in neurons that express protein kinase C-delta (CeA-PKCδ) turned up the pain rheostat and demonstrated an increase in pain-related responses. Conversely, researchers found that activity in neurons that express somatostatin (CeA-Som) turned down the pain rheostat, inhibiting nociception or the chain of activity in the nerves required to communicate pain.
During the experiments, researchers were able to take advantage of molecular genetic approaches that allow them to fluorescently label and manipulate the activity of these two central amygdala cell types. They found that when they blocked CeA-PKCδ neurons, pain activity decreased. When researchers activated CeA-Som neurons, they observed a marked analgesic response in mice.
Do these findings have any immediate practical benefit for humans?
Immediate? Probably not.
Practical? Probably yes.
There are quite a number of not-fully-understood chronic pain conditions out there. This likely offers some alternative approaches that may lead to more treatments, or even possible cures.
There are medications that are effective - gabapentin and pregablin (for some lucky people, me been one of them) but for others they aren't, Opiates don't do much neither do OTC painkillers - There is some evidence that Tramadol can help.
I'm glad we are continuing to make breakthroughs in the field even if it's a decade or two before they may show up, pain is an incredibly useful notification that something may be wrong except when the thing that is wrong the notification system as a whole.
I can cycle 60 miles, work all day etc but some days if someone steps on my foot I could drop them on the spot.
But more practically: talk to your doctor? Why would you ask a tech news site for medical advice?