Friday, June 30, 2017

BRAINS COMPASS RELIES ON GEOMETRIC RELATIONSHIPS


The brain has a complex system for keeping track of which direction you are facing as you move about; remembering how to get from one place to another would otherwise be impossible. Researchers from the University of Pennsylvania have now shown how the brain anchors this mental compass.
Their findings provide a neurological basis for something that psychologists have long observed about navigational behavior: people use geometrical relationships to orient themselves.
The research, which is related to the work that won this year's Nobel Prize in Physiology or Medicine, adds new dimensions to our understanding of spatial memory and how it helps us to build memories of events.
The study was led by Russell Epstein, a professor of psychology in Penn's School of Arts & Sciences, and Steven Marchette, a postdoctoral fellow in Epstein's lab. Also contributing to the study were lab members Lindsay Vass, a graduate student, and Jack Ryan, a research specialist.
It was published in Nature Neuroscience.
"Imagine coming out of a subway stop," said Marchette. "You know exactly where you are in the world, but you still have the experience of looking around to figure out which way you are facing. You might think, 'I'm looking at city hall, so I must be facing east.' It takes a second before it clicks.
"We're interested in how people are able to reset their sense of direction in the world and what cues they rely upon in the environment to do that."
To test how the brain makes these inferences, the researchers designed an experiment in which they introduced participants to a virtual environment, a set of four museums in a park, and had the participants memorize the location of the everyday objects on display in those museums. They then scanned their brains while asking them to recall the spatial relationships between those objects, such as whether the bicycle was to the left or the right of the cake.
In the scans, using a technique that measures blood flow to different regions of the brain known as fMRI, the researchers focused on a region known as the retrosplenial complex. People who have severe injuries to this region are able to recognize landmarks in their environments but are unable to recall how to get from one to another, suggesting that it plays a specific role in the type of memory used in navigation and orientation.
"The retrosplenial complex is very much underexplored," Epstein said. "While we don't have the ability to go in and look at individual neurons, like O'Keefe and the Mosers did in their Nobel Prize-winning work, one of the nice things about fMRI is that we didn't have to decide beforehand which areas of the brain to record from."
There are three ways the retrosplenial complex could conceivably encode this type of information and serve as part of a mental compass.
One way would be a "global" system, in which the brain tracks the absolute direction one is facing regardless of visual cues in the environment. In fact, there is good evidence that such a system exists in the brain, but the Penn team doubted that the retrosplenial complex was the central component of it.
An "idiosyncratic" system, in which the brain keeps tracks of direction for each environment independently, was another possibility. In such a system, remembering that your desk is on the north wall of your office would involve recalling the room itself and picking out the relevant features.
Finally, they considered a "geometric" system that is based on more generalized relationships between features in an environment. There, remembering that your desk is on the north wall of your office would involve recalling the relationship between the desk and the door -- say, the desk is on the left when I enter the room -- without having to specifically recall the room itself.
The architecture of the team's virtual park was critical for being able to distinguish which of these three types of systems participants were using to orient themselves in regards to the objects.
The park's four museums were laid out in a cloverleaf pattern around a central plaza, which itself could only be approached from the south. Each museum had a single door, all of which faced the center of the plaza. Each museum was visually distinct but all were identical in layout: a single room containing eight unique objects, two on each wall. The objects were contained in niches, such that participants could only see them from straight ahead.
"We designed it this way so that it was clear to the participants that each museum's back wall pointed in one of the cardinal directions," said Marchette. "And by placing the objects in the niches, we ensured that they could only see them when they were looking due north, south, east or west."
After being allowed to freely roam around the virtual environment, participants were tested about the locations of the objects. They were asked to return to the lab a day or two later, where they were given the opportunity to refresh their memories about the layout of the objects before entering the MRI scanner. There, they were shown words representing a pair of objects that were found in one of the museums and asked whether the second object was to the left or the right of the first.
The researchers used half of a participant's responses to calibrate their measurement of that participant's retrosplenial complex and then compared the activation patterns they saw there to responses in that participant's other half.
"If the retrosplenial complex supported a global system," Marchette said, "then it shouldn't matter whether people are imagining facing the back wall or the left wall; if you're looking north in one museum and north in the other, the activation patterns should be similar. As we expected, that doesn't happen.
"Likewise, for an idiosyncratic system, we would expect that remembering the back walls of two different museums would produce dissimilar patterns, since you would be remembering the room itself. That doesn't happen either."
Instead, the patterns look similar when participants imagined looking at objects that have the same geometric relationship to the surrounding room, regardless of the "true" direction the participant was facing. For example, remembering objects on the back walls of two different museums produced similar activation patterns, even though the back wall is north in one museum and east in the other.
"We can even reconstruct the location the participant is remembering based on those similarities," Epstein said. "Once we know what we are looking for based on the first half of a participant's responses, we can estimate the location of a given view entirely from the fMRI data, and they are reasonably close to where the views actually are. That's a pretty cool result. It's as if we can read out a 'floor plan' of the museums from each person's brain. And because the museums are geometrically identical, the retrosplenial cortex uses the same 'floor plan' for all of them"
The team's research provides a more complete picture of what is happening in the brain when people navigate from one place to another.
"Psychologists have long surmised that geometry is important for this kind of memory," Epstein said, "but this is beginning to show the neurological basis for it. We hope this opens the door for a deeper look at this region of the brain."



Autonomic Neuropathy A Full Description


Today's very long post comes originally from the mayoclinic.com and is here reproduced by edition.cnn.com (see link below). It is so long because it contains very important information for those who have, or suspect they may have autonomic neuropathy. Many people with neuropathy begin to notice, over a period of time, that other normal functions of the body either stop working, or don't work as they should. These are the involuntary functions which you normally take for granted and can't consciously switch on and off. Your health picture then becomes complicated and confusing because you can't pin things down to one cause. Very often these problems are as a result of the nerve damage you already have, although that has to be confirmed by a neurologist or hiv-specialist experienced in neuropathy.
If you think this may be happening to you, read this article carefully and if you're still concerned, take your worries to your doctor. Always write down exactly what is happening to you - you may forget in the waiting room or consultation - because this will make both diagnosis and treatment much quicker, The doctor needs as full a description as possible and giving him or her a copy of your problems will save time.

Autonomic neuropathy
 
Autonomic neuropathy is a nerve disorder that affects involuntary body functions, including heart rate, blood pressure, perspiration and digestion.
It isn't a specific disease, instead autonomic neuropathy refers to damage to the autonomic nerves. This damage disrupts signals between the brain and portions of the autonomic nervous system, such as the heart, blood vessels and sweat glands, resulting in decreased or abnormal performance of one or more involuntary body functions.
Autonomic neuropathy can be a complication of a number of diseases and conditions. And some medications can cause autonomic neuropathy as a side effect. Signs, symptoms and treatment of autonomic neuropathy vary depending on the cause, and on which nerves are affected.
 
Symptoms
Signs and symptoms of autonomic neuropathy vary, depending on which parts of your autonomic nervous system are affected. They may include:
  • Dizziness and fainting upon standing (orthostatic, or postural, hypotension), caused by a drop in blood pressure
  • Urinary problems, including difficulty starting urination, overflow incontinence and inability to empty your bladder completely, which can lead to urinary tract infections
  • Sexual difficulties, including erectile dysfunction or ejaculation problems in men, and vaginal dryness and difficulties with arousal and orgasm in women
  • Difficulty digesting food, due to abnormal digestive function and slow emptying of the stomach (gastroparesis), which can cause a feeling of fullness after eating little, loss of appetite, diarrhea, constipation, abdominal bloating, nausea, vomiting and heartburn
  • Sweating abnormalities, such as excessive or decreased sweating, which affects the ability to regulate body temperature
  • Sluggish pupil reaction, making it difficult to adjust from light to dark and causing problems with driving at night
  • Exercise intolerance, which may occur if your heart rate remains unchanged instead of appropriately increasing and decreasing in response to your activity level
When to see a doctorSeek medical care promptly if you begin experiencing any of the signs and symptoms of autonomic neuropathy. If you have diabetes, a compromised immune system or another chronic medical condition, see your doctor regularly to be checked for nerve damage.

Causes
Autonomic neuropathy can be caused by a large number of diseases and conditions or as a side effect of treatment for diseases unrelated to the nervous system. Some common causes of autonomic neuropathy include:

  • Alcoholism, a chronic, progressive disease that can lead to nerve damage.
  • Abnormal protein buildup in organs (amyloidosis), which affects the organs and the nervous system.
  • Autoimmune diseases, in which your immune system attacks and damages parts of your body, including your nerves. Examples include Sjogren's syndrome, systemic lupus erythematosus and rheumatoid arthritis. Autonomic neuropathy may also be caused by an abnormal attack by the immune system that occurs as a result of some cancers (paraneoplastic syndrome).
  • Diabetes, which is the most common cause of autonomic neuropathy, can gradually cause nerve damage throughout the body.
  • Multiple system atrophy, a degenerative disorder that leads to loss and malfunction of some portions of the central nervous system.
  • Injury to nerves caused by surgery or trauma.
  • Treatment with certain medications, including some drugs used in cancer chemotherapy and anticholinergic drugs, sometimes used to treat irritable bowel syndrome and overactive bladder.
  • Other chronic illnesses, such as Parkinson's disease and HIV/AIDS.
Risk factors
Factors that may increase your risk of autonomic neuropathy include:

  • Diabetes. Diabetes, especially poorly controlled diabetes, increases your risk of developing nerve damage, including autonomic neuropathy. The risk is greatest for people who've had the disease for more than 25 years and have difficulty controlling their blood sugar. Additionally, people with diabetes who are overweight or have high blood pressure or high cholesterol have a higher risk of autonomic neuropathy.
  • Alcoholism. People who abuse alcohol have a higher risk of nerve damage.
  • Other diseases. A number of other diseases also increase your risk of autonomic neuropathy, including amyloidosis, cancer, systemic lupus erythematosus and other autoimmune diseases, HIV/AIDS, Parkinson's disease, and botulism.
Preparing for your appointment
You're likely to start by seeing your primary care physician. However, you may then be referred to a doctor who specializes in disorders of the nerves (neurologist). In addition, depending on the part of your body that's affected by autonomic neuropathy, you may need to see other specialists, such as a cardiologist for problems with your blood pressure or heart rate, or a gastroenterologist for digestive difficulties.

Because appointments can be brief, and there's often a lot of ground to cover, it's a good idea to arrive well prepared. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet for certain tests.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Make a list of all medications, as well as any vitamins or supplements, that you're taking.
  • Ask a family member or friend to come with you, if possible. Sometimes it can be difficult to remember all of the information provided to you during an appointment. Someone who accompanies you may remember details that you missed or forgot. Additionally, family members may need education about your illness. For example, if you don't know when your blood sugar levels are dropping rapidly (hypoglycemia unawareness), you may pass out from low blood sugar levels. Your family members will need to know what action to take.
  • Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For autonomic neuropathy, some basic questions to ask your doctor include:

  • Why did I develop autonomic neuropathy?
  • Are there any other possible causes for my symptoms?
  • What kinds of tests do I need? Do these tests require any special preparation?
  • Is autonomic neuropathy temporary or long lasting?
  • What treatments are available, and which do you recommend?
  • What types of side effects can I expect from treatment?
  • Are there any alternatives to the primary approach that you're suggesting?
  • Is there anything I can do on my own that will help?
  • I have other health conditions. How can I best manage these conditions together?
  • Are there any activity or diet restrictions that I need to follow?
  • Are there any brochures or other printed material that I can take home with me? What Web sites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.

What to expect from your doctorYour doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • Does anything seem to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
Tests and diagnoses
Autonomic neuropathy is a possible complication of a number of diseases, and the tests you'll need often depend on whether or not you have known risk factors for autonomic neuropathy.

When you have known risk factors for autonomic neuropathyIf you have conditions that increase your risk of autonomic neuropathy, such as diabetes, your doctor can often make the diagnosis based on your signs and symptoms. Similarly, if you have cancer and it's being treated with a drug known to cause nerve damage, your doctor will be on the lookout for signs of neuropathy.

When you don't have risk factors for autonomic neuropathyIf your symptoms point to autonomic neuropathy and you're unaware of an underlying cause, the diagnosis is more difficult. Your doctor is likely to review your medical history, ask for a thorough description of your symptoms and do a physical exam. Tests that your doctor may use to help with diagnosis will evaluate the reaction of several body functions controlled by the autonomic nervous system. These may include:

  • Breathing tests. These tests measure how your heart rate and blood pressure respond to breathing exercises such as the Valsalva maneuver, in which you exhale forcibly.
  • Tilt-table test. This test monitors how your blood pressure and heart rate respond to changes in posture and position, simulating what occurs when you stand up after lying down. You lie flat on a table, which is then tilted to raise the upper part of your body. Normally, your body compensates for the drop in blood pressure that occurs when you stand up by narrowing your blood vessels and increasing your heart rate. This response may be slowed or abnormal if you have autonomic neuropathy.
  • Gastrointestinal tests. Gastric-emptying tests are the most common tests to check for slowed movement of food through your system, delayed emptying of the stomach and other abnormalities. The testing can take various forms. One test may measure the rate at which food leaves your stomach, while another checks how well your stomach muscles relax after you eat. These tests are usually done by a doctor who specializes in digestive disorders (gastroenterologist).
  • Quantitative sudomotor axon reflex test (QSART). This test evaluates how the nerves that regulate your sweat glands respond to stimulation. A small electrical current passes through four capsules placed on your forearm, foot and leg, while a computer analyzes how your nerves and sweat glands react. You may feel warmth or a tingling sensation during the test.
  • Thermoregulatory sweat test. During this test, you're coated with a powder that changes color when you sweat. You then enter a chamber with slowly increasing temperature, which will eventually make you perspire. Digital photos document the results. Your sweat pattern may help confirm a diagnosis of autonomic neuropathy or other causes for decreased or increased sweating.
  • Urinalysis and bladder function (urodynamic) tests. If you have bladder or urinary symptoms, a series of urine tests can evaluate bladder function.
  • Ultrasound. If you have bladder symptoms, your doctor may do an ultrasound, in which high-frequency sound waves create an image of the bladder and other parts of the urinary tract.
Treatment and drugs
Treatment of autonomic neuropathy includes:

  • Treating the underlying disease. The first goal of treating autonomic neuropathy is to manage the disease or condition damaging your nerves. For example, if the underlying cause is diabetes, you'll need to control your blood sugar to keep it as close to normal as possible. In some cases, treating the underlying disease stops autonomic neuropathy from progressing, and the damaged nerves can even repair themselves or regenerate.
  • Managing specific symptoms Beyond managing the underlying disease, other treatments can relieve the symptoms of autonomic neuropathy. Treatment is based on which organ system is most affected by nerve damage.

Gastrointestinal symptomsYour doctor may recommend:

  • Modifying your diet. This could include increasing the amount of fiber you eat and fluids you drink. Supplements containing fiber, such as Metamucil or Citrucel, also may help. Be sure to increase the fiber in your diet slowly to avoid gas and bloating.
  • Metoclopramide (Reglan). This prescription drug helps your stomach empty more rapidly by increasing the contractions of the digestive tract. This medication may cause drowsiness, and its effectiveness wears off over time.
  • Medications to ease constipation. Over-the-counter laxatives may help ease constipation. In addition, increasing the amount of fiber in your diet may help relieve constipation.
  • Antidepressants. Tricyclic antidepressants, such as imipramine (Tofranil) or nortriptyline (Pamelor), can help treat diarrhea and abdominal pain. Dry mouth and urine retention are possible side effects of these medications.

Urinary symptomsYour doctor may suggest:

  • Retraining your bladder. Following a schedule of when to drink fluids and when to urinate can help increase your bladder's capacity and retrain your bladder to empty completely at the appropriate times.
  • Bethanechol (Urecholine). This medication helps facilitate complete emptying of the bladder. Potential side effects include headache, abdominal cramping, bloating, nausea and flushing.
  • Intermittent urinary catheterization. During this procedure, a tube is threaded through your urethra to empty your bladder.
  • Medications that decrease overactive bladder. These include tolterodine (Detrol) or oxybutynin (Ditropan). Possible side effects include dry mouth, headache, fatigue, constipation and abdominal pain.

Sexual dysfunctionFor men with erectile dysfunction, your doctor may recommend:

  • Medications that enable erections. Drugs such as sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis) can help you achieve and maintain an erection. Possible side effects include mild headache, flushing, upset stomach and altered color vision. Men with a history of heart disease, stroke or high blood pressure need to use these medications with caution and medical supervision. Seek immediate medical assistance if you have an erection that lasts longer than four hours.
  • An external vacuum pump. This device helps pull blood into the penis using a hand pump. A tension ring helps keep the blood in place, maintaining the erection for up to 30 minutes.

For women with sexual symptoms, your doctor may recommend:

  • Vaginal lubricants. If vaginal dryness is a problem, vaginal lubricants may make sexual intercourse more comfortable and enjoyable.

Heart rhythm and blood pressure symptomsAutonomic neuropathy can cause a number of heart rate and blood pressure problems. Your doctor may prescribe:

  • Fludrocortisone acetate (Florinef). If you get dizzy or feel faint when you stand up, this medication helps your body retain salt.
  • Midodrine (ProAmatine) or pyridostigmine (Mestinon). This drug can raise your blood pressure if you get dizzy or feel faint when you stand up. High blood pressure when lying down is a possible side effect of midodrine.
  • Beta blockers. This class of medications helps to regulate your heart rate if your heart rate doesn't respond normally to changes in activity level.
  • A high-salt, high-fluid diet. If your blood pressure drops when you stand up, a high-salt, high fluid diet may help maintain your blood pressure.

SweatingIf you experience excessive sweating, your doctor may prescribe:

  • A medication that decreases perspiration. The drug glycopyrrolate (Robinul, Robinul Forte) can decrease sweating. Side effects may include dry mouth, urinary retention, blurred vision, changes in heart rate, loss of taste and drowsiness.

There is no medication to increase sweating if you have lost the ability to sweat.

Lifestyle and home remedies
Posture changes. To decrease dizziness when standing, try standing slowly, in stages. It may also help to flex your feet and grip your hands for a few seconds before standing up, to increase blood flow. After you stand up, try tensing your leg muscles while crossing one leg over the other a few times to increase blood pressure.

It also may help to raise the head of your bed by about one foot (30 centimeters) and sit with your legs dangling over the side of the bed for a few minutes before getting out of bed.

  • Digestion. If you have gastrointestinal symptoms, try eating small, frequent meals. Increase the amount of fluid you drink, and choose foods that are low in fat and high in fiber, which typically improves digestion.
  • Diabetes management. Try to keep your blood sugar as close to normal as possible if you have diabetes. Not only will tight blood sugar control lessen symptoms, but also it may prevent or delay new problems from developing

  • Alternative medicine
    Several alternative medicine treatments may help people with autonomic neuropathy. However, because autonomic neuropathy is a serious condition, discuss any new treatments with your doctor to ensure that they won't interfere with treatments you're already receiving or cause you any harm.

    Alpha-lipoic acidPreliminary research suggests this antioxidant may be helpful in slowing or even reversing neuropathy that's causing blood pressure or heart rate problems. However, more study is needed.

    AcupunctureThis therapy, which uses numerous thin needles placed on specific points in the body, was found to help treat slow stomach emptying. More studies are needed to confirm these findings.

    Coping and Support
    Living with a chronic condition presents daily challenges. Some of these suggestions may make it easier for you to cope:
    • Set priorities. Decide which tasks you need to do on a given day, such as paying bills or shopping for groceries, and which can wait until another time. Stay active, but don't overdo.
    • Seek and accept help from friends and family. Having a support system and a positive attitude can help you cope with the challenges you face. Ask for or accept help when you need it. Don't shut yourself off from family and friends.
    • Talk to a counselor or therapist. Depression and impotence are possible complications of autonomic neuropathy. If you experience either, you may find it helpful to talk to a counselor or therapist in addition to your primary care doctor. There are treatments that can help.
    • Consider joining a support group. Ask your doctor about support groups in your area. If there isn't a specific group for people with neuropathies, you may find that there's a support group for your underlying condition, such as diabetes. Some people find it helpful to talk to other people who truly understand what they're going through. In addition to offering camaraderie, support group members may also have tips or tricks to make living with autonomic neuropathy easier.
    Prevention
    While certain inherited diseases that put you at risk of developing autonomic neuropathy can't be prevented, you can slow the onset or progression of symptoms by taking good care of your health in general and managing your medical conditions. Follow your doctor's advice on healthy living to control diseases and conditions, which may include these recommendations:

    • Control your blood sugar if you have diabetes.
    • Seek treatment for alcoholism.
    • Get appropriate treatment for any autoimmune disease.
    • Take steps to prevent or control high blood pressure.
    • Achieve and maintain a healthy weight.
    • Stop smoking.
    • Exercise regularly.
    http://edition.cnn.com/HEALTH/library/autonomic-neuropathy/DS00544.html

    Can Medical Cannabis Really Reduce Your Nerve Pain



    Today's post from crescolabs.com (see link below) is one about which many may comment: 'They would say that wouldn't they' because it comes from a medical cannabis company, promoting cannabis as a nerve pain reliever. There are also inaccuracies in the first two paragraphs that may put off the experienced neuropathy patient. However (and it's a big however) there is very little wrong with what is said in the article and the research is bearing this out all over the world on a monthly basis. Medical cannabis is a strong option if you want to avoid chemical pain killers, or have tried them all and very little works. It may be worth exploring, possibly in conjunction with your doctor, depending on his or her openness to the possibility because let's face it - sometimes you'll try anything to reduce the symptoms of neuropathy and medical marijuana is way more than its reputation as a recreational drug. Worth a read to help you make up your mind.


    NEUROPATHY
    A Brief Description Cresco Labs 2016

    Neuropathy, arguably one of the most painful sensations experienced by humans, occurs as a result of damage, dysfunction or injury to nerves. The two commonly diagnosed types of neuropathy — peripheral and diabetic — produce similar symptoms, but whereas peripheral is usually caused by injury, the diabetic counterpart is brought on by damage from high blood sugar. As a result of neuropathy, nerves essentially become confused and send false pain signals to the brain that are often described by patients as feeling of tingling and numbness, shooting and burning, or prickly pins and needles. Neuropathy patients, suffering from a condition that is often described as chronic, have limited treatment options with the most common being pharmaceutical pain killers.

    Although opiates have been the most common treatment option in recent decades for the more than 380 million people suffering from neuropathy worldwide, the use of medical cannabis as a successful reliever of chronic pain has been highlighted again in recent years. Cannabis has been used to treat many different medical conditions —including several different types of pain — for centuries, and recent research and anecdotal evidence has brought it back to the forefront of neuropathic pain treatments.

    How Can
    Cannabis Help?


    Cannabinoids, the organic chemical compounds possessing much of the healing powers of medical cannabis, bind to the same endocannabinoid receptors throughout the body and brain that are responsible the regulation of several physiological body systems, including pain, mood, memory and appetite. While pharmaceuticals are also designed to react with the same receptors, they rarely bind as naturally as the cannabinoids in medical cannabis. This is why medical cannabis is such an effective treatment option for conditions that may otherwise be difficult to treat, like neuropathy. Where pharmaceutical therapies may not provide enough symptom relief to outweigh the negative side effects and potentials for addiction, cannabis can often react with the body’s receptors more efficiently and without risk of life-threatening addiction.

    Multiple research studies reveal that cannabis is often a preferred method of symptom relief for neuropathy patients because it is effective, even to those who have not responded to pharmaceutical therapies, and the psychoactive side effects are not as debilitating as those presented by opiates. Several medical cannabinoids are known to treat individual symptoms like pain, anxiety, inflammation, sleep deprivation and mood disorders. While those single cannabinoid therapies are extremely successful, as highlighted by the pure CBD oils that are significantly reducing the severity and duration of many children suffering from severe forms of epilepsy, when multiple cannabinoids work together in a process called the entourage effect, the medical efficacy can increase dramatically.

    The success of the entourage effect is demonstrated in the use of medical cannabis to treat neuropathic pain. THC, the most abundant psychoactive cannabinoid, has proven to be an extremely effective analgesic (pain reliever), and is also helpful in the treatment of the depression that can often accompany chronic pain conditions like neuropathy. Unlike THC, CBD is a non-psychoactive reliever of inflammation and pain. Research has linked the inflammation-reducing characteristics of CBD, and it’s ability to eliminate excessive immune-related oxidative stress in order to allow the body to better heal itself, to significant symptom reduction in neuropathy patients. Another medical cannabinoid, CBC, displays sedative properties that are known to help those suffering from pain get some much coveted rest.

    What Does The
    Research Say?


    As with other conditions, there is a countless amount of anecdotal research that has proven the pain relieving efficacy of cannabis – going back to the beginning of documented cannabis use over 5,000 years ago, pain relief has been a consistent physiological effect seen from cannabis use. The experience of the leading medical experts has revealed that medical cannabis can be used to safely and effectively treat a wide variety of medical conditions, including pain, and it is often a successful therapy option when nothing else works. Where neuropathic pain can be resistant to pharmaceutical therapies, even very low doses of medical cannabis have shown to effectively reduce symptoms, and experts report that the benefits of medical cannabis far outweigh the risks.

    A study released in 2011 from the scientific journal for Clinical Pharmacology & Therapeutics found that the combination of cannabis with opiates may have a synergistic effect. When patients received regular doses of cannabis along with their twice-daily doses of prescribed opioids, on average participants reported a 27 percent greater decrease in pain.

    An article published in the AMA Journal of Ethics analyzed several of the studies available. The Center for Medicinal Cannabis Research (CMCR) at the University of California complete five placebo-controlled phase II clinical trials with cannabis. Another study reported from Canada studied patients with HIV neuropathy and other neuropathic conditions, and one study focused on a human model of neuropathic pain. Overall, the efficacy of cannabis was comparable to that of traditional medications prescribed for neuropathic pain. The article concluded that there is increasing evidence that cannabis may represent a useful alternative or adjunct in the management of painful peripheral neuropathy.

    Is Cannabis As Safe As
    Traditional Prescription Medicine?


    One of the most important aspects of using medical cannabis in lieu of opiates for the treatment of pain is directly tied to the comparable risks for lethal overdose – as you’ll see below, the statistics and facts are compelling.

    Opiates:

    According to the Centers for Disease Control and Prevention (CDC), since 1999 the amount of prescription painkillers prescribed and sold in the U.S. has nearly quadrupled.
    Every day in the U.S. 44 people die as a result of prescription opioid overdose.
    Drug overdose was the leading cause of injury death in 2013 – among people 25 to 64 years old, drug overdose caused more deaths than motor vehicle traffic crashes.
    Of the 22,767 deaths related to prescription drug overdose, approximately 16,235 involved prescription opioid painkillers (71.3%).
    In 2007, the aggregate cost of prescription opioid abuse (lost productivity, healthcare costs and criminal justice cost) totaled $55.7 billion.

    Cannabis:

    In 1988, Drug Enforcement Agency (DEA) Administrative law Judge Francis L. Young, Docket No. 86-22 found the following facts to be uncontroverted:
    There is no record in the extensive medical literature describing a proven, documented cannabis-induced fatality.
    Despite a long history of use and the extraordinarily high numbers of social smokers, there are simply no credible medical reports to suggest that consuming marijuana has caused a single death.
    Drugs used in medicine are routinely given what is called an LD-50. This rating indicates at what dosage fifty percent of test animals receiving a drug will die as a result of drug induced toxicity.
    The LD-50 rating for aspirin is 1:20. In layman’s terms this means that if the recommended dosage of aspirin is two pills, in order to induce death a person would need to consume 40 pills (20xs the recommended dosage). For valium it’s 1:10 and for some cancer medications it can be as low as 1:1.5.
    In strict medical terms, marijuana is far safer than many foods we commonly consume.

    Links To
    Research


    Cannabidiol as an emergent therapeutic strategy for lessening the impact of inflammation on oxidative stress.

    Read Study

    Cannabidiol for neurodegenerative disorders: important new clinical applications for this phytocannabinoid?

    Read Study

    Non-psychoactive cannabinoids modulate the descending pathway of antinociception in anaesthetized rats through several mechanisms of action.

    Read Study

    While research has shown cannabis to be effective in providing palliative and therapeutic effects for some patients, always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition and before starting any new treatment utilizing medical cannabis or discontinuing an existing treatment. The content on this site is not intended to be a substitute for professional medical advice, diagnosis or treatment.

    http://www.crescolabs.com/conditions/neuropathy/


    Thursday, June 29, 2017

    LOWER CHOLESTEROL NATURALLY 12 FOODS THAT LOWER CHOLESTEROL


    If you're already eating plenty of the following cholesterol lowering foods   keep up the good work! But if your idea of eating well is to opt for the "buttered popcorn" instead of the "extra-buttered popcorn," consider adding these healthy eats to your diet today: 
    1. Oats
    If you're looking to lower your cholesterol, the key may be simply changing your morning meal. Switching up your breakfast to contain two servings of oats can lower LDL cholesterol (the bad kind) by 5.3% in only 6 weeks. The key to this cholesterol buster is beta-glucan, a substance in oats that absorbs LDL, which your body then excretes. . 

    2. Red wine
    Scientists are giving us yet another reason to drink to our health. It turns out that high-fiber Tempranillo red grapes, used to make red wine like Rioja, may actually have a significant effect on cholesterol levels. A study conducted by the department of metabolism and nutrition at Universidad Complutense de Madrid in Spain found that when individuals consumed the same grape supplement found in red wine, their LDL levels decreased by 9%. In addition, those who had high cholesterol going into the study saw a 12% drop in LDL.

    3. Salmon & fatty fish
    Omega-3 fats are one of the natural health wonders of the world and have been shown to ward off heart disease, dementia, and many other diseases. Now these fatty acids can add yet another health benefit to their repertoire: lowering cholesterol. According to research from Loma Linda University, replacing saturated fats with omega-3s like those found in salmon, sardines, and herring can raise good cholesterol as much as 4%. 

    4. Nuts
    If you're looking to lower cholesterol levels, research shows that you should get cracking! In a study published by the American Journal of Clinical Nutrition, people who noshed on 1.5 ounces of whole walnuts 6 days a week for 1 month lowered their total cholesterol by 5.4% and LDL cholesterol by 9.3%. Almonds and cashews are other good options. However, while nuts are heart healthy, they're also high in calories, so practice portion control—1.5 ounces is about a shot glass and a half. Use a shot glass to measure out your portion so you can see exactly how it looks.

    5. Tea


    While tea has become well known for its cancer-fighting antioxidants, it is also a great defense against LDL cholesterol levels. According to research conducted with the USDA, black tea has been shown to reduce blood lipids by up to 10% in only 3 weeks. These findings were concluded in a larger study of how tea may also help reduce the risk of coronary heart disease.
    6. Beans
    Beans, beans—they really are good for your heart. Researchers at Arizona State University Polytechnic found that adding ½ cup of beans to soup lowers total cholesterol, including LDL, by up to 8%. The key to this heart-healthy food is its abundance of fiber, which has been shown to slow the rate and amount of absorption of cholesterol in certain foods. Try black, kidney, or pinto beans; each supplies about one-third of your daily fiber needs.

    7. Chocolate
    Ah, the sweet side of a heart-healthy diet: This powerful antioxidant helps build HDL cholesterol levels. In a 2007 study published in AJCN, participants who were given cocoa powder had a 24% increase in HDL levels over 12 weeks, compared with a 5% increase in the control group. Remember to choose the dark or bittersweet kind. Compared to milk chocolate, it has more than 3 times as many antioxidants, which prevent blood platelets from sticking together and may even keep arteries unclogged.

    8. Margarine
    Switching to a margarine with plant sterols, such as Promise activ or Benecol, could help lower cholesterol. Plant sterols are compounds that reduce cholesterol absorption; a study published in AJCN found that women who had a higher plant sterol–based diet were able to lower total cholesterol by 3.5%.

    9. Garlic
    Aside from adding zing to almost any dish, garlic has been found to lower cholesterol, prevent blood clots, reduce blood pressure, and protect against infections. Now research finds that it helps stop artery-clogging plaque at its earliest stage by keeping cholesterol particles from sticking to artery walls. Try for two to four fresh cloves a day.

    10. Olive oil


    Good news: This common cooking ingredient can help your health. Olive oil is full of heart-healthy monounsaturated fatty acids (MUFAs), which lower LDL cholesterol—and have the welcome side effect of trimming belly fat. Use it to make your own salad dressings, marinate chicken and fish, or roast vegetables.
    11. Spinach
    This popular green contains lots of lutein, the sunshine-yellow pigment found in dark green leafy vegetables and egg yolks. Lutein already has a "golden" reputation for guarding against age-related  macular deneration, a leading cause of blindness. Now research suggests that just ½ cup of a lutein-rich food daily also guards against heart attacks by helping artery walls "shrug off" cholesterol invaders that cause clogging. Look for bags of baby spinach leaves that you can use for salads or pop in the microwave for a quick side dish. 

    12. Avocado
    Avocados are a great source of heart-healthy monounsaturated fat, a type of fat that may actually help raise HDL cholesterol while lowering LDL. And, more than any other fruit, this delectable food packs cholesterol-smashing beta-sitosterol, a beneficial plant-based fat that reduces the amount of cholesterol absorbed from food. Since avocados are a bit high in calories and fat (300 calories and 30 g fat per avocado), use them in moderation.




    What Will Help Tracking Genetic Reasons For Neuropathic Pain


    Today's post from sciencedaily.com (see link below) looks at a problem scientists have faced when confronted with the question: is neuropathy genetic? The problem is the lack of a standard approach to assessing its clinical characteristics (otherwise known as a 'phenotype'). However, recently there seems to have been a breakthrough and they have developed criteria which categorise what neuropathy 'looks like' genetically and clinically. It's thought that this will help in understanding how neuropathic pain develops, leading to new approaches to treatment and prevention. Hopefully this is the case and we can look forward to effective treatments reaching our doctors' prescription pads sooner rather than later.
     
    Standard phenotypes will aid in genetic research on neuropathic pain 
    Date:October 26, 2015 Source:Wolters Kluwer HealthSummary:

    Research on the genetic factors contributing to neuropathic pain has been hindered by the lack of a standard approach to assessing its clinical characteristics or "phenotype." Now, a report from an expert panel published in the journal PAIN® presents a consensus approach to assessing the phenotype of neuropathic pain. The journal is the official publication of the Wolters Kluwer.

    Standardized "entry level" criteria for defining the phenotype of neuropathic pain were developed by an international panel of experts assembled by the IASP's Special Interest Group on Neuropathic Pain (NeuPSIG). Along with other recommendations for research reporting, the consensus criteria will achieve "greater consistency and transparency in studies of neuropathic pain in adult humans." Dr. Blair H. Smith of the University of Dundee, Scotland, is lead author of the expert panel report.

    Setting Standard Criteria to Define Neuropathic Pain Phenotypes


    Neuropathic pain is a common and complex pain condition caused by damage or diseases of the sensory nerves. Patients may experience shooting or burning pain, numbness, or exaggerated pain responses. Neuropathic pain can be caused by diabetes, trauma, shingles, and a wide range of other conditions.

    Information on genetic factors may help in understanding how neuropathic pain develops, leading to new approaches to treatment and prevention. But so far, genetic studies have produced inconsistent results that are difficult to confirm. This is partly because of differing approaches used to identify and classify the clinical expression and characteristics of this condition, which can vary widely.

    To address this problem, the expert panel "aimed to provide guidelines on collecting and reporting phenotypes" of neuropathic pain. After a thorough review of previous research evidence, panel members followed a formal consensus process to develop a set of "entry level" phenotype data to identify and classify patients with neuropathic pain, as well as appropriate comparison (control) groups.

    Following this process, the NeuPSIG panel identified three basic elements:
    Pain with neuropathic characteristics (described as "hot/burning" or "evoked by light touch") or assessed using a validated screening tool
    Pain distributed or located in a pattern that is anatomically consistent with underlying nerve damage or disease (in other words, the pain is consistent with the anatomy of the affected sensory nerves)
    Additional information on pain history and characteristics and other factors relevant to the disease or group of patients being studied

    Reflecting the challenges of diagnosing neuropathic pain, the report emphasizes that these "entry level" criteria identify only "possible" cases of neuropathic pain. Depending on the situation, additional criteria could be used to identify "probable" or "definite" cases, or additional sensory or psychological assessments could be conducted to further characterize the phenotype.

    The new criteria are published as IASP concludes its 2014-2015 Global Year Against Neuropathic Pain campaign. By improving awareness among patients and health-care providers, IASP hopes to improve recognition and management of this disabling and difficult-to-treat condition.

    The consensus phenotype criteria will be an important step toward a more productive approach to studying the genetic factors contributing to neuropathic pain, the NeuPSIG panel members believe. They conclude, "These improvements will facilitate advancements in the field by enabling collaboration between research groups, replication of discoveries of contributing genetic variants, meta-analyses, and translation from the laboratory to the general population, and back again."

    Story Source:


    The above post is reprinted from materials provided by Wolters Kluwer Health. Note: Materials may be edited for content and length.

    Journal Reference:

    Oliver van Hecke, Peter R. Kamerman, Nadine Attal, Ralf Baron, Gyda Bjornsdottir, David L.H. Bennett, Michael I. Bennett, Didier Bouhassira, Luda Diatchenko, Roy Freeman, Rainer Freynhagen, Maija Haanpää, Troels S. Jensen, Srinivasa N. Raja, Andrew S.C. Rice, Zeʼev Seltzer, Thorgeir E. Thorgeirsson, David Yarnitsky, Blair H. Smith. Neuropathic pain phenotyping by international consensus (NeuroPPIC) for genetic studies. PAIN, 2015; 156 (11): 2337 DOI: 10.1097/j.pain.0000000000000335


    http://www.sciencedaily.com/releases/2015/10/151026132144.htm

    Wednesday, June 28, 2017

    WHY MEN ARE THE WEAKER SEX WHEN IT COMES TO BONE HEALTH



    Alarming new data published today by the International Osteoporosis Foundation (IOF), shows that one-third of all hip fractures worldwide occur in men, with mortality rates as high as 37% in the first year following fracture. This makes men twice as likely as women to die after a hip fracture. Osteoporosis experts warn that as men often remain undiagnosed and untreated, millions are left vulnerable to early death and disability, irrespective of fracture type.

    The report entitled 'Osteoporosis in men: why change needs to happen' is released ahead of World Osteoporosis Day on October 20, and highlights that the ability of men to live independent pain-free lives into old age is being seriously compromised. Continued inaction will lead to millions of men being dependent on long-term care with health and social care systems tested to the limit.
    Often mistakenly considered a woman's disease, osteoporotic fractures affect one in five men aged over 50 years. However, this number is predicted to rise dramatically as the world's men are aging fast. From 1950-2050 there will have been a 10-fold increase in the number of men aged 60 years or more -- rising from 90 million to 900 million -- the age group most at risk of osteoporosis.
    Men are the 'weaker sex' in terms of death and disability caused by osteoporosis as their bone health is simply being ignored by health-care systems. A study from the USA has shown that men were 50% less likely to receive treatment than women. As governments and health-care systems focus on diseases such as cancer and heart disease, this 'silent killer' is not being recognized as a threat and affecting an increasing number of victims.
    Professor John A. Kanis, President, IOF said "It is estimated that the lifetime risk of experiencing an osteoporotic fracture in men over the age of 50 years is up to 27%, higher than that of developing prostate cancer. Yet, an inadequate amount of health-care resources are being invested in bone, muscle and joint diseases. We have proven cost-effective solutions available, such as Fracture Liaison Services that can help identify those at risk and avoid a continuous cascade of broken bones. People should not have to live with the pain and suffering caused by osteoporosis as we can help prevent and control the disease."
    Osteoporosis is a disease that affects the bones, causing them to become weak and fragile and more likely to break/fracture. All types of fractures, e.g. spine and hip, lead to higher death rates in men when compared to women. If health-care professionals identified osteoporotic men after their first bone break this would dramatically reduce their risk of future fractures and early death. Yet fewer than 20% of these men are being assessed and treated.
    Lead author of the report, Professor Peter Ebeling (IOF board member and Head, Department of Medicine, Monash University, Victoria, Australia) said, "In the EU, projections suggest that by 2025 the total number of fractures in men will increase by 34%, to almost 1.6 million cases per year. In the USA the number of hip fractures among men is expected to increase by 51.8% from the year 2010 to 2030, and in contrast the number among women is expected to decrease 3.5%. A battle is set to rage between the quantity and quality of life. We must act now to ensure men not only live longer but also have a future free of the pain and suffering caused by osteoporotic fractures."




    HOMOEOPATHIC REMEDIES FOR AILMENTS OF RETINA


    The retina is the light-sensitive layer of tissue at the back of the inner eye. It acts like the film in a camera. Images come through the eye's lens and are focused on the retina. The retina then converts these images to electric signals and sends them via the optic nerve to the brain.
    The retina is normally red due to its rich blood supply. An ophthalmoscope allows a health care provider to see through your pupil and lens to the retina. If the provider sees any changes in the color or appearance of the retina, it may indicate a disease.
    Anyone who experiences changes in sharpness or color perception, flashes of lights, floaters, or distortion in vision should get a retinal examination.
    HOMOEOPATHIC REMEDIES
    APIS MEL. 30- Fluid beneath the retina. Passive pain in the lower part of the ball with flushed face and head. Stinging pain through the eyes. Edematous swelling of the lids
    ARNICA MON. 200- Detachment of retina due to injury . Retinal haemorrhage
    ARSENIC ALB. 30- Inflammation of retina with restlessness, especially after midnight with thirst for small quantities of water. Urine scanty and albuminous
    AURUM METALLICUM 200- Upper half vision seems as if covered a black body, lower half visible.Retinal infiltration. Deposits on the retina
    BRYONIA ALB 30- Inflammation of the retina. Severe sharp pain through the eye , worse by motion
    BELLADONNA 30- Sudden sensitiveness to light. Aching pain in eyes and the retina
    CONIUM MACULATUM 200- Retina oversensitive to the light. Pain deep in the eyes
    CROTALUS HOR. 200- Blood in retina in cases of snake poisoning . Inflammation of the retina
    GELSEMIUM 30- Inflammation of retina during pregnancy. Sudden dimness of vision. Detachment of retina due to injury or myopia
    NAPHTHALINE 30- Detachment of retina . Exudation on the retina.Retina is inflamed . Pain and soreness in the head and around the eyes, sadness
    PHOSPHORUS 200- When the eyes are sensitive to light, patient sees ring shaped halo around the light. Inflammation of the retina. Craving for cold drinks

    RUTA GRAVEOLENS  30- Disturbance of accommodation. Dim vision

    Shrimp During Pregnancy


    Preg Ts Comcan You Eat Shrimp While Pregnant Html Shrimp

    Preg Ts Comcan You Eat Shrimp While Pregnant Html Shrimp


    WebMD experts and contributors provide answers to your health questions.. Diabetes And Pregnancy Symptoms ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES AND PREGNANCY SYMPTOMS ] The REAL . Diabetes Medication During Pregnancy :: physical symptoms of diabetes - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES .Autoimmune Diabetes Autoimmune Diabetes :: early symptoms diabetes - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days..


    Preg Ts Comcan You Eat Shrimp While Pregnant Html Shrimp

    Preg Ts Comcan You Eat Shrimp While Pregnant Html Shrimp

    Fish That Eat Salmon

    Fish That Eat Salmon


    Are you wondering if eating shrimp during pregnancy safe for you and your baby? This article covers the effects of eating shrimp while pregnant. Member Login..Video embedded Moderation is key during pregnancy. The website all say not to eat more than 3 servings of 6oz of seafood/fish that will contain mercury. There are some . Can I Eat Shrimp While Pregnant? Shrimp is safe to eat because it falls into the category of low-mercury Tips for Eating Right During Pregnancy?.Pregnancy and fish can be a healthy combination. Find out about the possible benefits for your baby, what types of seafood are best and what to avoid.. Five of the most commonly eaten fish that are low in mercury are shrimp, canned light tuna, salmon, but don't consume any other fish during that .Dying to gorge on some sea foods like shrimps when pregnant? But, is it safe to consume shrimp during pregnancy? Read here to know whether is it safe or not.Mercury levels in fish is a common question for expecting moms who like fish but want American Pregnancy Association . tilapia, shrimp, tuna canned light . What Pregnant Women and Parents Should Know. Share; Tweet; Linkedin; shrimp, pollock, tuna Should I avoid all fish during pregnancy in order to avoid .Optimal nutritional intake is highly recommended during pregnancy; however, women should take extra caution while consuming seafood. Unsupervised and excessive .Is it safe to eat shrimp while pregnant? I have heard that eating shrimp during pregnancy is dangerous to the fetus because of the Zinc in shrimp..



    Feet Swelling During Pregnancy


    Causes Of Swelling On Top Of The Foot

    Causes Of Swelling On Top Of The Foot


    WebMD experts and contributors provide answers to your health questions..Features Diabetes Medications During Pregnancy :: foot sores diabetes - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days..Symptom Checker. Health Concern On Your Mind? Treatment For Diabetic Ulcers On Feet ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.. Diabetes Feet Swelling ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES FEET SWELLING ] The REAL cause of Diabetes . Diabetes Leg Swelling ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES LEG SWELLING ] The REAL cause of Diabetes and .


    Causes Of Swelling On Top Of The Foot

    Causes Of Swelling On Top Of The Foot

    Swelling Of Feet And Ankles During Pregnancy

    Swelling Of Feet And Ankles During Pregnancy


    Diabetes Feet Swelling ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES FEET SWELLING ] The REAL cause of Diabetes .Features Diabetes Medications During Pregnancy :: foot sores diabetes - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.. Diabetes Leg Swelling ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES LEG SWELLING ] The REAL cause of Diabetes .WebMD experts and contributors provide answers to your health questions..Symptom Checker. Health Concern On Your Mind? Treatment For Diabetic Ulcers On Feet ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days..



    Faulty Circuitry In The Spine Responsible For Nerve Pain


    Today's post from sciencedaily.com (see link below) looks at new findings which show that a neural mechanism in the spinal cord is capable of sending faulty and erroneous pain signals to the brain. Sounds familiar doesn't it? Symptoms that everyone with neuropathy will recognise but finding why and where this happens in the nervous system is always a question of looking for needles in haystacks. Many people don't appreciate just how complex the nervous system actually is and how many intricate neural processes are involved with every action we take and everything we sense in our daily lives. Mapping these processes and discovering the reasons for malfunction and where in the system this occurs, is a life's work for many scientists. Consequently, every discovery like the one described in this article, helps map the system and make sense of the incredible circuitry that makes up the human nervous system.
     

    Spinal circuitry responsible for chronic pain charted 
    December 5, 2014 Salk Institute for Biological Studies
     

    Summary:

    Pain typically has a clear cause–but not always. When a person touches something hot or bumps into a sharp object, it’s no surprise that it hurts. But for people with certain chronic pain disorders, including fibromyalgia and phantom limb pain, a gentle caress can result in agony. Findings of new research could lead to new therapeutics for disorders such as fibromyalgia and phantom limb pain.

    Pain typically has a clear cause–but not always. When a person touches something hot or bumps into a sharp object, it’s no surprise that it hurts. But for people with certain chronic pain disorders, including fibromyalgia and phantom limb pain, a gentle caress can result in agony.

    In a major breakthrough, a team led by researchers at the Salk Institute and Harvard Medical School have identified an important neural mechanism in the spinal cord that appears to be capable of sending erroneous pain signals to the brain.

    By charting the spinal circuits that process and transmit pain signals in mice, the study, published online November 20, 2014 in Cell, lays the groundwork for identifying ways to treat pain disorders that have no clear physical cause.

    “Until now, the spinal cord circuitry involved in processing pain has remained a black box,” says Martyn Goulding, Salk professor in the Molecular Neurobiology Laboratory and a co-senior author of the paper. “Identifying the neurons that make up these circuits is the first step in understanding how chronic pain stems from dysfunctional neural processing.”

    In many instances, people who suffer from chronic pain are sensitive to stimuli that don’t normally cause pain, such as a light touch to the hand or a subtle change in skin temperature. These conditions, referred to generally as forms of allodynia, include fibromyalgia and nerve damage that is caused by diseases such as diabetes, cancer and autoimmune disorders.

    In other instances, the mysterious pain arises after amputation of a limb, which often leads to discomfort that seems to be centered on the missing appendage. These sensations often subside in the months following the amputation, but may linger indefinitely, causing long-term chronic pain for the sufferer.

    “These disorders are extremely frustrating for patients, because there is still no effective treatment for such chronic pain disorders,” says Qiufu Ma, a professor of neurobiology at Harvard Medical School and co-senior author on the paper.

    Scientists have long theorized that pain signals are sent from sensory neurons in the limbs and other extremities to transmission neurons in the spinal cord, which then relay the information to the brain. At each of these three steps–extremities, spinal cord and brain–the pain information can be altered or even blocked before being relayed onward through the nervous system to the brain. The circuitry in the spinal cord is particularly important, as it is able to gate painful stimuli, thereby acting as a checkpoint between the body and the brain to make sure that only the most important pain signals are transmitted.

    Previous studies had determined that two types of sensory neurons appeared to be involved in these circuits: pain receptors and touch receptors.

    In their new study, the Salk and Harvard researchers set out to precisely identify the spinal neurons involved in these circuits. They deciphered the role each of two neuronal cell types play in the processing of pain signals in the dorsal horn, the location where the sensory neurons connect with the spinal cord.

    The scientists discovered that a class of mechanoreceptors in the skin that detect painful mechanical stimuli are part of a feedback circuit in which excitatory neurons that produce the hormone somatostatin are inhibited by neurons that synthesize dynorphin (a natural analgesic molecule that produces effects similar to opiates). The inhibitory neurons they identified appear to control whether touch activates the excitatory neurons to send a pain signal to the brain.

    This finding begins to explain how a light touch can cause discomfort in someone with allodynia: if something is awry in the pain circuitry, then the sensations of touch that normally travels through the mechanoreceptors could instead activate other neurons that trigger a pain signal. Similarly, mechanoreceptor fibers that project to the spinal cord from a missing limb might spur erroneous pain signals.

    “Normally, only pain receptors are involved in sending pain signals to the brain, but when the spinal dynorphin inhibitory neurons are lost, touch sensation are now perceived as painful,” says Goulding, holder of Salk’s Frederick W. and Joanna J. Mitchell Chair. “This really opens the door to understanding what’s happening in these pain disorders where the cause of the pain is seemingly innocuous or not known. It could be that something has gone awry in how this spinal circuitry is operating, so sensations become jumbled together and emerge as pain.”

    Story Source:


    The above story is based on materials provided by Salk Institute for Biological Studies. Note: Materials may be edited for content and length.

    Journal Reference:

    Bo Duan, Longzhen Cheng, Steeve Bourane, Olivier Britz, Christopher Padilla, Lidia Garcia-Campmany, Michael Krashes, Wendy Knowlton, Tomoko Velasquez, Xiangyu Ren, Sarah E. Ross, Bradford B. Lowell, Yun Wang, Martyn Goulding, Qiufu Ma. Identification of Spinal Circuits Transmitting and Gating Mechanical Pain. Cell, 2014; 159 (6): 1417 DOI: 10.1016/j.cell.2014.11.003


    http://www.sciencedaily.com/releases/2014/12/141205142349.htm