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Papers of the Week

Papers: 14 Nov 2020 - 20 Nov 2020

Human Studies

2020 Nov

Br J Pain



Changes in peripheral and central sensitization in patients undergoing occipital nerve stimulation.


Wodehouse T, Bahra A, Mehta V
Br J Pain. 2020 Nov; 14(4):250-255.
PMID: 33194189.


Central sensitization and impaired conditioned pain modulation (CPM) response have been reported to contribute to migraine progression. Migraine patients can present with allodynia possibly attributed to increased sensitivity of peripheral ends of nociceptors with both peripheral and central sensitization. Occipital nerve stimulation (ONS) works by stimulating the distal branches of C1, C2 and C3 possibly altering the nociceptive traffic to the trigemino-cervical complex, brainstem and supranuclear connections.