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Injury of Muscular but not Cutaneous Nerve Drives Acute Neuropathic Pain in Rats

pattismith

Senior Member
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3,946
Injury of Muscular but not Cutaneous Nerve Drives Acute Neuropathic Pain in Rats


Neuroscience Bulletin (2020)

Abstract
Acute pain is a common complication after injury of a peripheral nerve but the underlying mechanism is obscure.
We established a model of acute neuropathic pain via pulling a pre-implanted suture loop to transect a peripheral nerve in awake rats.

The tibial (both muscular and cutaneous), gastrocnemius–soleus (muscular only), and sural nerves (cutaneous only) were each transected.

Transection of the tibial and gastrocnemius–soleus nerves, but not the sural nerve immediately evoked spontaneous pain and mechanical allodynia in the skin territories innervated by the adjacent intact nerves.

Evans blue extravasation and cutaneous temperature of the intact skin territory were also significantly increased.

In vivo electrophysiological recordings revealed that injury of a muscular nerve induced mechanical hypersensitivity and spontaneous activity in the nociceptive C-neurons in adjacent intact nerves.

Our results indicate that injury of a muscular nerve, but not a cutaneous nerve, drives acute neuropathic pain.
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Considering that neuropathic pain involved in Small Fiber Neuropathy is the result of small nerves (a-delta and c-fibers) arriving to skin and muscles (and other organs like intravertebral discs, joints, etc), it seems enlightening to read in the previous study that the muscle nerve fiber injury produce more pain than the cutaneous nerve fiber injury….
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