You are not logged in. Press here to login.

Content

List volumes - List articles in this issue

Cortical reorganisation and chronic pain: implications for rehabilitation

doi: 10.1080/16501960310010179

Open access

Abstract:

Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorganisation in both the somatosensory and the motor system was observed in neuropathic and musculoskeletal pain. In patients with chronic low back pain and fibromyalgia the amount of reorganisational change increases with chronicity; in phantom limb pain and other neuropathic pain syndromes cortical reorganisation is correlated with the amount of pain. These central alterations may be viewed as pain memories that influence the processing of both painful and nonpainful input to the somatosensory system as well as its effects on the motor system. Cortical plasticity related to chronic pain can be modified by behavioural interventions that provide feedback to the brain areas that were altered by somatosensory pain memories or by pharmacological agents that prevent or reverse maladaptive memory formation.

Authors:

Herta Flor
Department of Clinical and Cognitive Neuroscience University of Heidelberg Central Institute of Mental Health Mannheim Germany



Related articles

There are no related articles.


Actions


Abstract

PDF

Supplementary


There is no supplementary for this article.

Related articles


Click here to show related articles

Print information


Volume 35, Issue 41

DOI: 10.1080/16501960310010179

Pages: 66-72

View at PubMed