Clinical Pain Research
Pain research includes a large number of projects aimed at understanding how pain occurs, why some people develop long-term pain and how pain can best be treated.
Chronic pain is a major health problem affecting approximately 10% of the general population in Europe and is globally a dominating cause of reduced function and disability. Pain is generally regarded as a symptom of tissue injury or inflammation (nociceptive pain) or as a symptom of a disease or a lesion in the nervous system (neuropahtic pain). However, there are also primary pain conditions, where the pain results from altered nociception (nociplastic pain) and is classified as a disease, rather than a symptom. The pain research at the Department of Surgical Sciences, Uppsala University consists of several projects with the aim to determine the causes of chronic pain, why certain individuals develop chronic pain while others, with similar injuries/diseases do not, and how the treatment of the various types of chronic pain can be optimized.
The goup's main research questions are: How does the nervous- and the immune-system interact in different types of chronic pain? Why does a certain type of nerve injury lead to the development of chronic neuropathic pain in certain individuals but not in others? What are the associations between sleep and pain? How do psychological mechanism affect pain and how can psychological treatments in the context of persistent pain be optimized? Why does opioid tolerance, dependence and addiction develop and how can it be prevented? How does invasive neurostimulation work and when to use it?
The projects:
- Neuroimmune interactions in chronic pain
- The development of neuropathic pain following peripheral nerve injury
- Pain and sleep
- Psychological processes in persistent pain
- Opioid treatment and addiction
- Pain treatment using invasive nerve stimulation techniques
- Postoperative pain
Group members
Publications
Part of PLOS ONE, 2024
- DOI for Quantitative somatosensory assessments in patients with persistent pain following groin hernia repair: A systematic review with a meta-analytical approach
- Download full text (pdf) of Quantitative somatosensory assessments in patients with persistent pain following groin hernia repair: A systematic review with a meta-analytical approach
Part of The Lancet Rheumatology, 2024
Contesting the BACPAP consortium's consensus: Authors' reply
Part of The Lancet Rheumatology, 2024
Part of Scientific Reports, 2024
Part of Pain, p. 1404-1412, 2024
- DOI for Increased risk of persistent neuropathic pain after traumatic nerve injury and surgery for carriers of a human leukocyte antigen haplotype
- Download full text (pdf) of Increased risk of persistent neuropathic pain after traumatic nerve injury and surgery for carriers of a human leukocyte antigen haplotype
Nocturnal sleep phenotypes in idiopathic hypersomnia: A data-driven cluster analysis
Part of Sleep Medicine, p. 127-133, 2024
Part of Biomedicines, 2023
- DOI for The Vastus Lateralis Muscle Interstitium Proteome Changes after an Acute Nociception in Patients with Fibromyalgia Compared to Healthy Subjects-A Microdialysis Study
- Download full text (pdf) of The Vastus Lateralis Muscle Interstitium Proteome Changes after an Acute Nociception in Patients with Fibromyalgia Compared to Healthy Subjects-A Microdialysis Study
Part of Seminars in Arthritis & Rheumatism, 2023
Part of Pain, 2023
Identification of Lipid Biomarkers for Chronic Joint Pain Associated with Different Joint Diseases
Part of Biomolecules, 2023
Part of Pain, p. 666-673, 2023
- DOI for Impact of spinal cord stimulation on sick leave and disability pension in patients with chronic neuropathic pain: a real-world evidence study in Sweden
- Download full text (pdf) of Impact of spinal cord stimulation on sick leave and disability pension in patients with chronic neuropathic pain: a real-world evidence study in Sweden
Part of Scandinavian Journal of Pain, p. 184-199, 2023
- DOI for Association between systemic inflammation and experimental pain sensitivity in subjects with pain and painless neuropathy after traumatic nerve injuries
- Download full text (pdf) of Association between systemic inflammation and experimental pain sensitivity in subjects with pain and painless neuropathy after traumatic nerve injuries
Emotion regulation and the salience network: a hypothetical integrative model of fibromyalgia
Part of Nature Reviews Rheumatology, p. 44-60, 2023
Part of Neuroscience and Biobehavioral Reviews, 2023
Reply to: Hypothetical model ignores many important pathophysiologic mechanisms in fibromyalgia
Part of Nature Reviews Rheumatology, p. 322-323, 2023
Part of Nature Reviews Rheumatology, p. 319-320, 2023
Part of Pain, p. 1128-1137, 2023
Part of Pain, p. 1828-1840, 2023
Part of Journal of Pain, p. 1731-1743, 2023
- DOI for Dysfunctional Activation of the Dorsolateral Prefrontal Cortex During Pain Anticipation Is Associated With Altered Subsequent Pain Experience in Fibromyalgia Patients
- Download full text (pdf) of Dysfunctional Activation of the Dorsolateral Prefrontal Cortex During Pain Anticipation Is Associated With Altered Subsequent Pain Experience in Fibromyalgia Patients
Part of Brain, behavior, and immunity, p. 371-382, 2023
- DOI for Anti-satellite glia cell IgG antibodies in fibromyalgia patients are related to symptom severity and to metabolite concentrations in thalamus and rostral anterior cingulate cortex.
- Download full text (pdf) of Anti-satellite glia cell IgG antibodies in fibromyalgia patients are related to symptom severity and to metabolite concentrations in thalamus and rostral anterior cingulate cortex.
Part of Disability and Rehabilitation, p. 1-8, 2023
Part of Pain Reports, 2023
Part of British Journal of Pain, 2023
Part of Clinical Nutrition ESPEN, p. 222-229, 2023
Part of Pain Reports, 2023
- DOI for Real-world outcomes in spinal cord stimulation: predictors of reported effect and explantation using a comprehensive registry-based approach
- Download full text (pdf) of Real-world outcomes in spinal cord stimulation: predictors of reported effect and explantation using a comprehensive registry-based approach
Part of Neurobiology of pain, 2023
- DOI for The effects of a 15-week physical exercise intervention on pain modulation in fibromyalgia: Increased pain-related processing within the cortico-striatal- occipital networks, but no improvement of exercise-induced hypoalgesia.
- Download full text (pdf) of The effects of a 15-week physical exercise intervention on pain modulation in fibromyalgia: Increased pain-related processing within the cortico-striatal- occipital networks, but no improvement of exercise-induced hypoalgesia.
Part of Pain, p. 274-286, 2022
- DOI for The translocator protein gene is associated with endogenous pain modulation and the balance between glutamate and gamma-aminobutyric acid in fibromyalgia and healthy subjects: a multimodal neuroimaging study
- Download full text (pdf) of The translocator protein gene is associated with endogenous pain modulation and the balance between glutamate and gamma-aminobutyric acid in fibromyalgia and healthy subjects: a multimodal neuroimaging study
Part of Pain, p. 538-547, 2022
Part of Medicine & Science in Sports & Exercise, p. 232-246, 2022
Part of International Journal of Environmental Research and Public Health, 2022
Part of Pain, p. 1812-1828, 2022
Cerebrospinal Fluid in Classical Trigeminal Neuralgia: An Exploratory Study on Candidate Biomarkers
Part of Biomedicines, 2022
Part of Pain, 2022
Part of Pain, p. 1999-2013, 2022
Part of Pain Reports, 2022
- DOI for Sex-related differences in experimental pain sensitivity in subjects with painful or painless neuropathy after surgical repair of traumatic nerve injuries
- Download full text (pdf) of Sex-related differences in experimental pain sensitivity in subjects with painful or painless neuropathy after surgical repair of traumatic nerve injuries
Part of Frontiers in Neuroscience, 2022
- DOI for Multiple spatial scale mapping of time-resolved brain network reconfiguration during evoked pain in patients with rheumatoid arthritis
- Download full text (pdf) of Multiple spatial scale mapping of time-resolved brain network reconfiguration during evoked pain in patients with rheumatoid arthritis
Part of Medicine, 2022
Part of Cognitive Behaviour Therapy, p. 408-434, 2022
- DOI for Tailored internet-based cognitive behavioral therapy for individuals with chronic pain and comorbid psychological distress: a randomized controlled trial
- Download full text (pdf) of Tailored internet-based cognitive behavioral therapy for individuals with chronic pain and comorbid psychological distress: a randomized controlled trial
Part of Clinical and Experimental Rheumatology, p. 1073-1075, 2022
Part of Molecular Psychiatry, p. 3452-3459, 2022
Part of Molecules, 2022
- DOI for Non-Peptide Opioids Differ in Effects on Mu-Opioid (MOP) and Serotonin 1A (5-HT1A) Receptors Heterodimerization and Cellular Effectors (Ca2+, ERK 1/2 and p38) Activation
- Download full text (pdf) of Non-Peptide Opioids Differ in Effects on Mu-Opioid (MOP) and Serotonin 1A (5-HT1A) Receptors Heterodimerization and Cellular Effectors (Ca2+, ERK 1/2 and p38) Activation
Part of Scandinavian Journal of Pain, 2022
- DOI for “Opioids are opioids” – a phenomenographic analyses of physicians’ understanding of what makes the initial prescription of opioids become long-term opioid therapy
- Download full text (pdf) of “Opioids are opioids” – a phenomenographic analyses of physicians’ understanding of what makes the initial prescription of opioids become long-term opioid therapy
Swedish Chronic Pain Biobank: protocol for a multicentre registry and biomarker project
Part of BMJ Open, 2022
Sensor-Based Measurement of Nociceptive Pain: An Exploratory Study with Healthy Subjects
Part of Pervasive computing technologies for healthcare, pervasive health 2021, p. 88-95, 2022
U-PAIN cohort study among patients with chronic pain in specialised pain care: a feasibility study
Part of BMJ Open, 2022
Part of PLOS ONE, 2022
- DOI for The OPRM1 gene and interactions with the 5-HT1a gene regulate conditioned pain modulation in fibromyalgia patients and healthy controls
- Download full text (pdf) of The OPRM1 gene and interactions with the 5-HT1a gene regulate conditioned pain modulation in fibromyalgia patients and healthy controls
Part of European Burn Journal, p. 156-164, 2022
- DOI for Two Modified Questionnaires for the Assessment of Nutrition Impact Symptoms in the Rehabilitation Phase after Burn Injury: A Content Validation Study
- Download full text (pdf) of Two Modified Questionnaires for the Assessment of Nutrition Impact Symptoms in the Rehabilitation Phase after Burn Injury: A Content Validation Study
Part of European Burn Journal, p. 156-164, 2022
Hot Air Sauna Burns and Coma Resulted from Fentanyl Patch Overdose
Part of International Journal of Clinical Studies & Medical Case Reports, 2021
Part of Clinical and Experimental Rheumatology, 2021