Waarala Zachary M S, Comins Logan, Laumet Sophie, Folger Joseph K, Laumet Geoffroy
Department of Physiology, Michigan State University, East Lansing, MI 48824, USA.
College of Osteopathic Medicine, Michigan State University, East Lansing, MI 48824, USA.
Neurobiol Pain. 2023 Dec 24;15:100149. doi: 10.1016/j.ynpai.2023.100149. eCollection 2024 Jan-Jun.
Chronic pain treatment remains a major challenge and pharmacological interventions are associated with important side effects. Manual medicine treatments such as massage, acupuncture, manipulation of the fascial system (MFS), and osteopathic manipulative treatments produce pain relief in humans, but the underlying mechanism is poorly understood limiting leverage and optimization of manual medicine techniques as safe pain therapy. To decipher the physiological mechanisms of manipulative medicine treatments, we have established a preclinical model. Here, we established a murine model of massage-like stroking (MLS)-induced analgesia. We characterized that the analgesia effects were present in both sexes, and were independent of the experimenters, handling, consciousness, and opioid receptors. MLS alleviates thermal pain in naive mice and postoperative pain hypersensitivity. This novel model will allow discovery of the physiological mechanisms involved in MLS-induced analgesia and identification of new therapeutic strategies.
慢性疼痛治疗仍然是一项重大挑战,药物干预会带来严重的副作用。诸如按摩、针灸、筋膜系统手法治疗(MFS)和整骨手法治疗等手法医学治疗可缓解人类疼痛,但其潜在机制尚不清楚,这限制了手法医学技术作为安全疼痛疗法的应用和优化。为了解开手法医学治疗的生理机制,我们建立了一个临床前模型。在此,我们建立了一个类似按摩抚摸(MLS)诱导镇痛的小鼠模型。我们发现镇痛作用在两性中均存在,且与实验者、处理方式、意识和阿片受体无关。MLS可减轻未处理小鼠的热痛和术后疼痛超敏反应。这个新模型将有助于发现MLS诱导镇痛所涉及的生理机制,并确定新的治疗策略。