Colvin says she already sees strong evidence
of hyperalgesia in high - dose opioid users at the clinic where she works.
Surgical patients given large amounts of the opioid remifentanil have shown signs
of hyperalgesia; they have larger areas of soreness around their wounds and seem predisposed to chronic pain following surgery.
After the drug treatment, the team found signs
of hyperalgesia: On average, the subjects registered pain from the ice water about 2 seconds earlier, and removed their hands about 8 seconds earlier, than they had beforehand.
He believes the risk
of hyperalgesia should motivate doctors to try tapering patients off their opioids when their pain worsens without an obvious cause.
A research team in Israel reported evidence
of hyperalgesia in 17 of 30 patients with radiating spinal nerve pain by asking them to rate the intensity of heat pain on a numerical scale before and after a 4 - week course of hydromorphone.
Hutchinson thinks the majority of physicians are either unaware
of hyperalgesia or unconvinced of its importance.
Markers of inflammation in the blood might correlate with clinical signs
of hyperalgesia or declining pain thresholds on sensory tests.
Not exact matches
For some, this lack
of evidence makes research into
hyperalgesia look like a dead end.
«When I go to work every day, I don't think about opioid - induced
hyperalgesia,» says Gary Bennett, a pain researcher at the University
of California in San Diego.
His group found evidence in 91 patients tapering off opioids that those whose doses were higher at the start, forcing them to make greater reductions over the 3 - week program, had worse measures
of heat pain
hyperalgesia.
Some people also get opioid - induced
hyperalgesia — opioids ramp up their pain instead
of knocking it down.
There are already well established databases within the consortium, the London Pain Database (LPD) and QUAST (DFNS, Germany): The LPD is used for datamining
of functional genomics data to help identify individual genes and functional networks associated with chronic pain, QUAST on the other hand collects questionnaire data, clinical and neurophysiological findings and calculates valid clusters
of phenotypes with different interaction patterns
of sensory loss with and without different types
of peripheral and central
hyperalgesia based on QST (quantitative sensory testing) data.
In addition, chronic oral administration
of gabapentin (from day 24 — day 44) also reversed paclitaxel - induced mechanical
hyperalgesia when administered at 100mg / kg but not 50 mg / kg.
A combination
of peppermint oil and caraway oil attenuates the post-inflammatory visceral
hyperalgesia in a rat model.
[176] I accept the opinions
of Dr. Purtzki that the plaintiff has evidence
of allodynia and
hyperalgesia and seems to experience non-painful stimuli as painful and mildly painful stimuli as more painful, as a generalization to the area
of pain.