Evidence map›Paper›PMID 39583192›Full record

ReviewJournal of pain research2024

Pathophysiology of Pain and Mechanisms of Neuromodulation: A Narrative Review (A Neuron Project).

Marcin Karcz, Alaa Abd-Elsayed, Krishnan Chakravarthy, Mansoor M Aman, Natalie Strand, Mark N Malinowski, Usman Latif, David Dickerson, Tolga Suvar, Timothy Lubenow and 20 more

Abstract readReview
In one paragraph

Review in Journal of pain research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Neuromodulation of the central nervous system for facial pain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Marcin KarczThe Spine and Nerve Centers of the Virginias, Charleston, WV, USA.ORCID 0009-0007-6849-1757
Alaa Abd-ElsayedDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
Krishnan ChakravarthyInnovative Pain Treatment Solutions, San Diego, CA, USA.
Mansoor M AmanAurora Pain Management, Aurora Health Care, Oshkosh, WI, USA.ORCID 0000-0003-0305-4840
Natalie StrandAnesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-9489-2550
Mark N MalinowskiOhioHealth Neurological Physicians, OhioHealth Inc, Columbus, OH, USA.
Usman LatifDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0002-5683-5547
David DickersonDepartment of Pain Medicine, Northshore University Health System, Skokie, IL, USA.ORCID 0000-0002-8869-497X
Tolga SuvarDepartment of Anesthesiology and Pain Medicine, Rush University Medical Center, Oak Park, IL, USA.
Timothy LubenowDepartment of Anesthesiology and Pain Medicine, Rush University Medical Center, Oak Park, IL, USA.ORCID 0000-0002-2938-9684
Evan PeskinDepartment of Pain Management, Insight Institute of Neurosurgery & Neuroscience, Flint, MI, USA.
Ryan D'SouzaAnesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-4601-9837
Eric CornidezPain Institute of Southern Arizona, Tucson, AZ, USA.
Andrew DudasMays and Schnapp Neurospine and Pain, Memphis, TN, USA.
Christopher LamDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0002-2848-6255
Michael Farrell IiDepartment of Pain Management, Erie County Medical Center, Buffalo, NY, USA.
Geum Yeon SimDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.ORCID 0000-0001-5630-4976
Mohamad SebaiDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rosa GarciaDepartment of Physical Medicine & Rehabilitation, Larkin Hospital Health System, Miami, FL, USA.
Lucas BraceroThe Spine and Nerve Centers of the Virginias, Charleston, WV, USA.
Yussr IbrahimDepartment of Pain Management at Northern Light Health - Eastern Maine Medical Center, Bangor, ME, USA.
Syed Jafar MahmoodDepartment of Pain Medicine, University of California Davis Health System, Sacramento, CA, USA.ORCID 0000-0002-0756-0444
Marco LawandyDepartment of Physical Medicine & Rehabilitation, Montefiore Medical Center, Bronx, NY, USA.
Daniel JimenezDepartment of Physical Medicine & Rehabilitation, Michigan State University, Lansing, MI, USA.
Leili ShahgholiDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kamil SochackiDepartment of Anesthesiology and Perioperative Medicine, Rutgers Robert Wood Johnson, New Brunswick, NJ, USA.
Mohamed Ehab RamadanDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Vinicius Tieppo FrancioDivision of Pain Medicine, Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-6513-0058
Dawood SayedDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0001-8867-2140
Timothy DeerThe Spine and Nerve Centers of the Virginias, Charleston, WV, USA.ORCID 0000-0001-8907-7730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain serves as a vital innate defense mechanism that can significantly impact an individual's quality of life. Understanding the physiological effects of pain well plays an important role in developing novel pain treatments. Nociceptor neurons play a key role in pain and inflammation. Interactions between nociceptors and the immune system occur both at the site of injury and within the central nervous system. Modulating chemical mediators and nociceptor activity offers promising new approaches to pain management. Essentially, the sensory nervous system is essential for modulating the body's protective response, making it critical to understand these interactions to discover new pain treatment strategies. New innovations in neuromodulation have led to alternatives to opioids individuals with chronic pain with consequent improvement in disease-based treatment and nerve targeting. New neural targets from cellular and structural perspectives have revolutionized the field of neuromodulation. This narrative review aims to elucidate the mechanisms of pain transmission and processing, examine the characteristics and properties of nociceptors, and explore how the immune system influences pain perception. It further provides an updated overview of the physiology of pain and neuromodulatory mechanisms essential for managing acute and chronic pain. We assess the current understanding of different pain types, focusing on key molecules involved in each type and their physiological effects. Additionally, we compare painful and painless neuropathies and discuss the neuroimmune interactions involved in pain manifestation.

Indexed as

neuronsneuropathic painnociceptive painnociplastic painpain pathwaysphysiological effectssensitization

Identifiers

PMID39583192
PMCPMC11581984

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.