(HY-per-al-JEE-zee-uh) An increased sensitivity to feeling pain and an extreme response to pain. Hyperalgesia may occur when there is damage to the nerves or chemical changes to the nerve pathways involved in sensing pain.

What is Antihyperalgesic effect?

Collectively, these results indicate that there is an increased effectiveness of modulation of thermal nociceptive thresholds by spinal cannabinoids during hyperalgesia. This antihyperalgesic effect may be the result of cannabinoid-induced inhibition of neurosecretion from certain primary afferent fibers.

What is Hypoalgesic?

Medical Definition of hypoalgesia : decreased sensitivity to pain.

What causes OIH?

Opioid-induced hyperalgesia (OIH) is defined as a state of nociceptive sensitization caused by exposure to opioids. The condition is characterized by a paradoxical response whereby a patient receiving opioids for the treatment of pain could actually become more sensitive to certain painful stimuli.

What contributes to hyperalgesia at the location of an injury?

Causes. Hyperalgesia is induced by platelet-activating factor (PAF) which comes about in an inflammatory or an allergic response. This seems to occur via immune cells interacting with the peripheral nervous system and releasing pain-producing chemicals (cytokines and chemokines).

Is allodynia a neuropathic pain?

Allodynia is a type of neuropathic pain (nerve pain). People with allodynia are extremely sensitive to touch. Things that don’t usually cause pain can be very painful. These may include cold temperatures, brushing hair or wearing a cotton t-shirt.

What does nociceptive pain feel like?

Nociceptive pain feels sharp, aching, or throbbing. It’s often caused by an external injury, like stubbing your toe, having a sports injury, or a dental procedure. People commonly experience nociceptive pain in the musculoskeletal system, which includes the joints, muscles, skin, tendons, and bone.

What is the difference between Hyperpathia and allodynia?

Hyperpathia is a clinical symptom of certain neurological disorders wherein nociceptive stimuli evoke exaggerated levels of pain. This should not be confused with allodynia, where normally non-painful stimuli evoke pain.

How is hyperalgesia diagnosed?

A doctor may increase a person’s pain medication to determine if hyperalgesia is the cause. If the additional pain medication does cause more pain, it is possible the condition is hyperalgesia. Currently, there are no definitive diagnostic tests for hyperalgesia.

How is opioid hyperalgesia treated?

To help with pain relief during this period, non-opioid medications like NSAIDs, gabapentin, antidepressants and acetaminophen may be used. Frequently, a rotation to a different opioid such as methadone is done to help taper down to improve opioid-induced hyperalgesia.

Can you be hypersensitive to pain?

‌Hyperalgesia is when you have extreme sensitivity to pain. If you have this condition, your body overreacts to painful stimuli, making you feel increased pain. You can develop hyperalgesia if you use opioid drugs or injure a body part.

What does opioid-induced hyperalgesia feel like?

The key symptom of hyperalgesia is feeling increased sensitivity to pain without additional injury or worsening of another condition. OIH has three main symptoms: an increase in the intensity of the pain that you feel over time. spread of the pain to another location other than the initial site.

Can gabapentin cause hyperalgesia?

In this case report, the authors present a preterm infant with a myelomeningocele treated with gabapentin for visceral hyperalgesia that manifested with irritability, hypertonicity, poor weight gain, and feeding intolerance.

Can hyperalgesia go away?

The side effects will usually go away and you might need more medicine over time, stretched out over a long period of time to achieve the desired effect. Opioid-induced hyperalgesia (OIH) is different. Not only is there tolerance but there’s actually an anti-analgesic effect.