Simultaneous brain, brainstem, and spinal cord pharmacological-fMRI reveals involvement of an endogenous opioid network in attentional analgesia

V Oliva, R Hartley-Davies, R Moran, AE Pickering… - Elife, 2022 - elifesciences.org
Pain perception is decreased by shifting attentional focus away from a threatening event.
This attentional analgesia engages parallel descending control pathways from anterior …

[HTML][HTML] Parallel cortical-brainstem pathways to attentional analgesia

V Oliva, R Gregory, WE Davies, L Harrison, R Moran… - Neuroimage, 2021 - Elsevier
Pain demands attention, yet pain can be reduced by focusing attention elsewhere. The
neural processes involved in this robust psychophysical phenomenon, attentional …

Resolving the brainstem contributions to attentional analgesia

JCW Brooks, WE Davies, AE Pickering - Journal of Neuroscience, 2017 - Soc Neuroscience
Previous human imaging studies manipulating attention or expectancy have identified the
periaqueductal gray (PAG) as a key brainstem structure implicated in endogenous …

Brainstem mechanisms of pain modulation: a within-subjects 7T fMRI study of placebo analgesic and nocebo hyperalgesic responses

LS Crawford, EP Mills, T Hanson… - Journal of …, 2021 - Soc Neuroscience
Pain perception can be powerfully influenced by an individual's expectations and beliefs.
Although the cortical circuitry responsible for pain modulation has been thoroughly …

[HTML][HTML] Dissociable neural mechanisms underlying the modulation of pain and anxiety? An FMRI pilot study

K Wiech, R Edwards, GL Moseley, C Berna, M Ploner… - PloS one, 2014 - journals.plos.org
The down-regulation of pain through beliefs is commonly discussed as a form of emotion
regulation. In line with this interpretation, the analgesic effect has been shown to co-occur …

Spinal cord–midbrain functional connectivity is related to perceived pain intensity: a combined spino-cortical fMRI study

C Sprenger, J Finsterbusch, C Büchel - Journal of Neuroscience, 2015 - Soc Neuroscience
The dynamic interaction between ascending spinocortical nociceptive signaling and the
descending control of the dorsal horn (DH) by brain regions such as the periaqueductal gray …

Cortical and subcortical modulation of pain

M De Felice, MH Ossipov - Pain management, 2016 - Future Medicine
Pain is more than merely nociception and response, but rather it encompasses emotional,
behavioral and cognitive components that make up the pain experience. With the recent …

Functional connectivity modulations during offset analgesia in chronic pain patients: an fMRI study

T Li, S Zhang, E Ikeda, H Kobinata - Brain Imaging and Behavior, 2022 - Springer
Patients with neuropathic pain and fibromyalgia showed reduced or absent offset analgesia
(OA) response and attenuated cerebral activity in descending pain modulatory and reward …

[HTML][HTML] Spinal fMRI reveals decreased descending inhibition during secondary mechanical hyperalgesia

T Rempe, S Wolff, C Riedel, R Baron, PW Stroman… - PloS one, 2014 - journals.plos.org
Mechanical hyperalgesia is one distressing symptom of neuropathic pain which is explained
by central sensitization of the nociceptive system. This sensitization can be induced …

Opioid analgesia alters corticospinal coupling along the descending pain system in healthy participants

A Tinnermann, C Sprenger, C Büchel - Elife, 2022 - elifesciences.org
Opioids are potent analgesic drugs with widespread cortical, subcortical, and spinal targets.
In particular, the central pain system comprising ascending and descending pain pathways …