Pain mediators and wound healing - Establishing the connection

Alan D. Widgerow, Shana Kalaria

Research output: Contribution to journalReview article

Abstract

Pain accompanies every disruption of the skin surface in a normal sensate individual. The intensity and duration of the pain varies depending on the nature of trauma, the healing trajectory and various host factors. Pain mediator release is the mechanism for pain perception following peripheral stimulus and central interpretation. The various mediators may have promoting effects on wound healing in the short term, but it appears that protracted release of these mediators may well have detrimental effects on wound healing. The exaggerated release of pain mediators may result in nociceptor hypersensitization, hyperinflammatory cellular and extracellular matrix (ECM) changes, and in some cases, the potential for a fibrotic healing pattern. This relates to an imbalance between mediators with differing healing characteristics arising in certain pathological conditions. In this respect, it may be worth examining pain mediator agonists or antagonists, not only on compassionate grounds of pain control, but relating to the potential effects on overall wound healing.

Original languageEnglish (US)
Pages (from-to)951-959
Number of pages9
JournalBurns
Volume38
Issue number7
DOIs
StatePublished - Nov 2012
Externally publishedYes

Keywords

  • Bradykinin
  • C-GRP
  • Chronic inflammation
  • Fibrosis
  • Histamine
  • Hyperalgesia
  • Pain mediators
  • Serotonin
  • Substance P
  • Wound healing

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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