Chapter 8. General Principles of Sensory Processing, Touch, and Pain

Follow us on Facebook and Twitter, or subscribe to our mailing list, to receive news updates. Learn more.


Links 41 - 60 of 1181

By Jia Naqvi Sixty percent of the calls to poison control centers for help with prescription opioid exposure involved children younger than 5. (Rich Pedroncelli/Associated Press) The phone rings once approximately every 45 minutes — that is how often poison control centers in the United States receive calls about children being exposed to prescription opioids, according to a study published Monday. Over a span of 16 years, from January 2000 until December 2015, about 188,000 calls were placed to poison control centers regarding pediatric and teenage exposure to opioids, the study published in the journal Pediatrics found. Sixty percent of the children exposed to opioids were younger than 5, while teenagers accounted for 30 percent. Pediatric exposure to opioids increased by 86 percent from 2000 to 2009 but decreased overall for all ages under 20 from 2009 until 2015, the study found. Increasing awareness among people with prescription drugs, physicians putting more thought into prescribing opioids, and prescription drug monitoring programs implemented by many states and efforts by different organizations could have contributed to the decrease in exposure, said Marcel Casavant, study author, medical director of the Central Ohio Poison Center and chief toxicologist at Nationwide Children’s Hospital in Columbus. “We are not quite sure, and so it would be good to try to sort out of all the things that we are trying, which ones are the most effective and how can we spend more time doing that,” Casavant said. © 1996-2017 The Washington Post

Keyword: Pain & Touch; Drug Abuse
Link ID: 23377 - Posted: 03.20.2017

Doctors who limit the supply of opioids they prescribe to three days or less may help patients avoid the dangers of dependence and addiction, a new study suggests. Among patients without cancer, a single day's supply of a narcotic painkiller can result in 6 per cent of patients being on an opioid a year later, the researchers said. The odds of long-term opioid use increased most sharply in the first days of therapy, particularly after five days of taking the drugs. The rate of long-term opioid use increased to about 13 per cent for patients who first took the drugs for eight days or more, according to the report. "Awareness among prescribers, pharmacists and persons managing pharmacy benefits that authorization of a second opioid prescription doubles the risk for opioid use one year later might deter overprescribing of opioids," said senior researcher Martin Bradley. He is from the division of pharmaceutical evaluation and policy at the University of Arkansas for Medical Sciences. "The chances of long-term opioid use, use that lasts one year or more, start increasing with each additional day supplied, starting after the third day, and increase substantially after someone is prescribed five or more days, and especially after someone is prescribed one month of opioid therapy," Bradley said. The odds of chronic opioid use also increase when a second prescription is given or refilled, he noted. ©2017 CBC/Radio-Canada.

Keyword: Drug Abuse; Pain & Touch
Link ID: 23373 - Posted: 03.19.2017

By Linda Geddes A gentle touch can make all the difference. Premature babies – who miss out on the sensory experiences of late gestation – show different brain responses to gentle touch from babies that stay inside the uterus until term. This could affect later physical and emotional development, but regular skin-to-skin contact from parents and hospital staff seem to counteract it. Infants who are born early experience dramatic events at a time when babies that aren’t born until 40 weeks are still developing in the amniotic fluid. Premature babies are often separated from their parents for long periods, undergo painful procedures like operations and ventilation, and they experience bigger effects of gravity on the skin and muscles. “There is substantial evidence that pain exposure during early life can cause long-term alterations in infant brain development,” says Rebeccah Slater at the University of Oxford. But it has been less clear how gentle touches shape the brains of babies, mainly because the brain’s response to light touch is about a hundredth of that it has to pain, so it’s harder to study. Nathalie Maitre of the Nationwide Children’s Hospital in Columbus, Ohio, and her colleagues have gently stretched soft nets of 128 electrodes over the heads of 125 preterm and full-term babies, shortly before they were discharged from hospital. These were used to record how their brains responded to a gentle puff of air on the skin. © Copyright Reed Business Information Ltd.

Keyword: Development of the Brain; Pain & Touch
Link ID: 23371 - Posted: 03.17.2017

By Catherine Offord A few years ago, UK composer and technology reporter LJ Rich participated in a music technology competition as part of a project with the BBC. The 24-hour event brought together various musicians, and entailed staying awake into the wee hours trying to solve technical problems related to music. Late into the night, during a break from work, Rich thought of a way to keep people’s spirits up. “At about four in the morning, I remember playing different tastes to people on a piano in the room we were working in,” she says. For instance, “to great amusement, during breakfast I played people the taste of eggs.” It didn’t take long before Rich learned, for the first time, that food’s association with music was not as universally appreciated as she had assumed. “You realize everybody else doesn’t perceive the world that way,” she says. “For me, it was quite a surprise to find that people didn’t realize that certain foods had different keys.” Rich had long known she had absolute pitch—the ability to identify a musical note, such as B flat, without any reference. But that night, she learned she also has what’s known as synesthesia, a little-understood mode of perception that links senses such as taste and hearing in unusual ways, and is thought to be present in around 4 percent of the general population. It’s a difficult phenomenon to get to the bottom of. Like Rich, many synesthetes are unaware their perception is atypical; what’s more, detecting synesthesia usually relies on self-reported experiences—an obstacle for standardized testing. But a growing body of evidence suggests that Rich is far from being alone in possessing both absolute pitch and synesthesia. © 1986-2017 The Scientist

Keyword: Hearing
Link ID: 23353 - Posted: 03.14.2017

Susan Milius Catch sight of someone scratching and out of nowhere comes an itch, too. Now, it turns out mice suffer the same strange phenomenon. Tests with mice that watched itchy neighbors, or even just videos of scratching mice, provide the first clear evidence of contagious scratching spreading mouse-to-mouse, says neuroscientist Zhou-Feng Chen of Washington University School of Medicine in St. Louis. The quirk opens new possibilities for exploring the neuroscience behind the spread of contagious behaviors. For the ghostly itch, experiments trace scratching to a peptide nicknamed GRP and areas of the mouse brain better known for keeping the beat of circadian rhythms, Chen and colleagues found. They report the results in the March 10 Science. In discovering this, “there were lots of surprises,” Chen says. One was that mice, nocturnal animals that mostly sniff and whisker-brush their way through the dark, would be sensitive to the sight of another mouse scratching. Yet Chen had his own irresistible itch to test the “crazy idea,” he says. Researchers housed mice that didn’t scratch any more than normal within sight of mice that flicked and thumped their paws frequently at itchy skin. Videos recorded instances of normal mice looking at an itch-prone mouse mid-scratch and, shortly after, scratching themselves. In comparison, mice with not-very-itchy neighbors looked at those neighbors at about the same frequency but rarely scratched immediately afterward. |© Society for Science & the Public 2000 - 2017.

Keyword: Pain & Touch; Learning & Memory
Link ID: 23341 - Posted: 03.10.2017

By Colin Barras What a difference 1000 kilometres make. Neanderthals living in prehistoric Belgium enjoyed their meat – but the Neanderthals who lived in what is now northern Spain seem to have survived on an almost exclusively vegetarian diet. This is according to new DNA analysis that also suggests sick Neanderthals could self-medicate with naturally occurring painkillers and antibiotics, and that they shared mouth microbiomes with humans – perhaps exchanged by kissing. Neanderthals didn’t clean their teeth particularly well – which is lucky for scientific investigators. Over time, plaque built up into a hard substance called dental calculus, which still clings to the ancient teeth even after tens of thousands of years. Researchers have already identified tiny food fragments in ancient dental calculus to get an insight into the diets of prehistoric hominins. Now Laura Weyrich at the University of Adelaide, Australia, and her colleagues have shown that dental calculus also carries ancient DNA that can reveal both what Neanderthals ate and which bacteria lived in their mouths. The team focused on three Neanderthals – two 48,000-year-old specimens from a site called El Sidrón in Spain and a 39,000-year-old specimen from a site called Spy in Belgium. The results suggested that the Spy Neanderthal often dined on woolly rhinoceros, sheep and mushrooms – but no plants. The El Sidrón Neanderthals ate more meagre fare: moss, bark and mushrooms – and, apparently, no meat. © Copyright Reed Business Information Ltd.

Keyword: Evolution; Pain & Touch
Link ID: 23331 - Posted: 03.09.2017

By Joshua A. Krisch Alcian blue-stained skateUCSF/JULIUS LABSharks, rays, and skates can detect minute fluctuations in electric fields—signals as subtle as a small fish breathing within the vicinity—and rely on specialized electrosensory cells to navigate, and hunt for prey hidden in the sand. But how these elasmobranch fish separate signal from noise has long baffled scientists. In an environment full of tiny electrical impulses, how does the skate home in on prey? See “Sensory Biology Around the Animal Kingdom” In a study published this week (March 6) in Nature, researchers at the University of California, San Francisco (UCSF), have analyzed the electrosensory cells of the little skate (Leucoraja erinacea). They found that voltage-gated calcium channels within these cells appear to work in concert with calcium-activated potassium channels, both specifically tuned in the little skate to pick up on weak electrical signals. “We have elucidated a molecular basis for electrosensation, at least in the little skate, which accounts for this unusual and highly sensitive mechanism for detecting electrical fields,” said coauthor Nicholas Bellono, a postdoc at USCF. “How general it is, we don’t know. But this is really the first instance in which we’ve been able to drill down and ask what molecules could be involved in this kind of system.” © 1986-2017 The Scientist

Keyword: Pain & Touch
Link ID: 23330 - Posted: 03.09.2017

By Alistair Steele, CBC News The opioid crisis that's claiming lives across the country has taken a particularly sinister turn in the nation's capital. Or so it appears. Much of the public discussion — and a good deal of the news coverage — surrounding the growing number of deaths by opioid overdose in Ottawa has concentrated on the cruel toll the drugs are taking on the city's teenagers, particularly those living in the western suburb of Kanata. The fake prescription pills they take recreationally are cheap and easy to find, but they can also be laced with potentially lethal doses of fentanyl. This tragic trend was given a fresh, young face when Grade 9 student Chloe Kotval, just 14, died from an overdose on Valentine's Day. Police later confirmed pills found near the girl's body contained fentanyl. In a statement released the day of their daughter's funeral, Kotval's parents wrote: "We are concerned about the epidemic nature of the use of high-grade pharmaceuticals amongst young people and their lack of knowledge about them — the consequences of using them are real and terrible." While families have every right to be concerned and to prepare for the worst, there's no evidence showing young people are any more susceptible to opioid overdoses than any other group of drug users in Ottawa. Sean O'Leary, whose own teenage daughter became addicted to counterfeit percocets, told CBC about coming home one night to find a 17-year-old boy who had overdosed in his garage. ©2017 CBC/Radio-Canada.

Keyword: Drug Abuse; Pain & Touch
Link ID: 23312 - Posted: 03.04.2017

By NICHOLAS BAKALAR Acupuncture can relieve wrist pain, and researchers have tracked the brain and nervous system changes that may help explain why. Scientists randomized 80 people with mild or moderate carpal tunnel syndrome — pain caused by nerve compression at the wrist — to one of three groups. The first received acupuncture at the wrist and ankle. The second got acupuncture at the wrist alone. And the third received sham acupuncture, using “fake” needles near the affected wrist, as a placebo. Using functional M.R.I. and nerve conduction tests before and after the procedures, they measured the effect on brain and nerves. All three groups found relief from pain, but both of the true acupuncture groups showed measurable physiological improvements in pain centers in the brain and nerves, while sham acupuncture did not produce such changes. Improvement in brain measures predicted greater pain relief three months after the tests, a long-term effect that placebo did not provide. The study is in Brain. “What’s really interesting here is that we’re evaluating acupuncture using objective outcomes,” said the senior author, Vitaly Napadow, a researcher at Harvard. Sham acupuncture was good at relieving pain temporarily, he said, but true acupuncture had objective physiological — and enduring — effects. “Acupuncture is a safe, low-risk, low side-effect intervention,” he continued. “It’s perfect for a first-line approach, and it’s something patients should consider before trying more invasive procedures like surgery.” © 2017 The New York Times Company

Keyword: Pain & Touch
Link ID: 23299 - Posted: 03.02.2017

By Robert F. Service Scientists are chasing a new lead on a class of drugs that may one day fight both pain and opioid addiction. It’s still early days, but researchers report that they’ve discovered a new small molecule that binds selectively to a long-targeted enzyme, halting its role in pain and addiction while not interfering with enzymes critical to healthy cell function. The newly discovered compound isn’t likely to become a medicine any time soon. But it could jumpstart the search for other binders that could do the job. Pain and addiction have many biochemical roots, which makes it difficult to treat them without affecting other critical functions in cells. Today, the most potent painkillers are opioids, including heroin, oxycodone, and hydrocodone. In addition to interrupting pain, they inhibit enzymes known as adenylyl cyclases (ACs) that convert cells’ energy currency, ATP, into a molecule involved in intracellular chemical communication known as cyclic AMP (cAMP). Chronic opioid use can make cells increase the activity of ACs to compensate, causing cAMP levels to skyrocket. When opioid users try to stop using, their cAMP levels remain high, and drugs that reduce those levels—like buprenorphine—have unwanted side effects. A promising candidate for selectively reducing cAMP is one particular AC enzyme, known as AC1. Humans have 10 ACs, all of which convert ATP to cAMP. But they are expressed at different levels in different tissues, suggesting they serve disparate purposes. Over the last 15 years, experiments on mice without the gene for AC1 have shown they have reduced sensitivity to pain and fewer signs of opioid dependence. But the enzyme, along with its close relative AC8, also appears to be heavily involved in memory formation in a brain region known as the hippocampus. © 2017 American Association for the Advancement of Science.

Keyword: Pain & Touch
Link ID: 23291 - Posted: 02.28.2017

Allison Aubrey If you drink more alcohol than you want to or should, you're not alone. A nationwide survey by the National Institutes of Health found that 28 percent of adults in the U.S. are heavy drinkers or drink more than is recommended. Yet, most heavy drinkers don't get the help they need. "The biggest problem we have in the field is that less than 10 percent of individuals with an alcohol use disorder get any treatment whatsoever," says George Koob, director of the National Institute on Alcohol Abuse and Alcoholism. Part of the challenge, researchers say, is that many drinkers don't realize that a medicine long used to help people addicted to opioids quit their drug habit can help alcoholics and other heavy drinkers cut back, too. "I thought my only option was AA," John tells NPR. We've agreed to use only his middle name; disclosing his trouble with alcohol publicly, he says, would jeopardize his business. He's a 47-year-old professional who says he started out as a social drinker — a few beers with his softball team after a game. But he sank into a deep depression after several deaths in his family, and sought "solace the bottle," he says. "I wanted to numb my thoughts," says John. He'd often start with hard liquor in the morning, John says, and it wasn't uncommon to have eight drinks or more before the end of the day. © 2017 npr

Keyword: Drug Abuse; Pain & Touch
Link ID: 23286 - Posted: 02.27.2017

By Christine Vestal NEW YORK — After a 12-year battle with debilitating abdominal conditions that forced her to stop working, marijuana has helped Lynn Sabulski feel well enough to look for a job. Sabulski is among nearly 14,000 patients in New York state who are certified to use medical marijuana for one of 10 ­conditions, including her ­primary diagnosis, inflammatory bowel disease. Marijuana doesn’t address her underlying disease, but it does relieve her painful symptoms. Nationwide, an estimated 1.4 million patients in 28 states and the District of Columbia use legal medical marijuana for a varying list of conditions. A much smaller number of patients in 16 states use limited extracts of the plant, primarily to treat seizure disorders. In the midst of an opioid crisis, some medical practitioners and researchers say they think that greater use of marijuana for pain relief could result in fewer people using the highly addictive prescription painkillers that led to the epidemic. A 2016 study by researchers at Johns Hopkins Bloomberg School of Public Health found that states with medical marijuana laws had 25 percent fewer opioid overdose deaths than states that do not have medical marijuana laws. And another study published in Health Affairs last year found that prescriptions for opioid painkillers such as OxyContin, Vicodin and Percocet paid for by Medicare dropped substantially in states that adopted medical marijuana laws. © 1996-2017 The Washington Post

Keyword: Drug Abuse; Pain & Touch
Link ID: 23285 - Posted: 02.27.2017

By Diana Kwon Neuroscientists have long debated how itch and pain overlap in the nervous system. Although itch was once thought to arise from the same neurons that generate pain, later observations disputing this theory led many to believe these sensations had distinct neural circuits. In a study published today (February 22) in Neuron, researchers report that a subset of “itch-specific” nerve cells in the murine spinal cord are also involved in sensing pain, bringing the specificity theory into question. “We were surprised that contrary to what the field believes, neurons [in the spinal cord] coded for both pain and itch sensations,” coauthor Shuhao Sun, a neuroscience graduate student at Johns Hopkins University, told The Scientist. “[This] means there can be some crosstalk between these two sensations in the central nervous system.” Historically, the observation that pain could quell itch led many neuroscientists to subscribe to the intensity theory, which suggested that, in the same neurons, weak stimulation generated itch, while strong activation led to pain. However, this theory was largely abandoned around the 1980s when several groups discovered that weak painful stimuli did not lead to itch and that strong itch stimuli did not lead to pain. Instead, many researchers adopted the labeled-line theory, which proposed that there were separate neurons dedicated to each sensation. © 1986-2017 The Scientist

Keyword: Pain & Touch
Link ID: 23273 - Posted: 02.24.2017

By Amitha Kalaichandran, When pain researcher Diane Gromala recounts how she started in the field of virtual reality, she seems reflective. She had been researching virtual reality for pain since the early 1990s, but her shift to focusing on how virtual reality could be used for chronic pain management began in 1999, when her own chronic pain became worse. Prior to that, her focus was on VR as entertainment. Gromala, 56, was diagnosed with chronic pain in 1984, but the left-sided pain that extended from her lower stomach to her left leg worsened over the next 15 years. "Taking care of my chronic pain became a full-time job. So at some point I had to make a choice — either stop working or charge full force ahead by making it a motivation for my research. You can guess what I chose," she said. Diane Gromala Pain researcher Diane Gromala found that taking care of her own chronic pain became 'a full-time job.' (Pain studies lab at Simon Fraser University) Now she's finding that immersive VR technology may offer another option for chronic pain, which affects at least one in five Canadians, according to a 2011 University of Alberta study. "We know that there is some evidence supporting immersive VR for acute pain, so it's reasonable to look into how it could help patients that suffer from chronic pain." Gromala has a PhD in human computer interaction and holds the Canada Research Chair in Computational Technologies for Transforming Pain. She also directs the pain studies lab and the Chronic Pain Research Institute at Simon Fraser University in Burnaby, B.C. ©2017 CBC/Radio-Canada.

Keyword: Pain & Touch; Vision
Link ID: 23232 - Posted: 02.15.2017

By GINA KOLATA Dr. James Weinstein, a back pain specialist and chief executive of Dartmouth-Hitchcock Health System, has some advice for most people with lower back pain: Take two aspirin and don’t call me in the morning. On Monday, the American College of Physicians published updated guidelines that say much the same. In making the new recommendations for the treatment of most people with lower back pain, the group is bucking what many doctors do and changing its previous guidelines, which called for medication as first-line therapy. Dr. Nitin Damle, president of the group’s board of regents and a practicing internist, said pills, even over-the-counter pain relievers and anti-inflammatories, should not be the first choice. “We need to look at therapies that are nonpharmacological first,” he said. “That is a change.” The recommendations come as the United States is struggling with an epidemic of opioid addiction that often begins with a simple prescription for ailments like back pain. In recent years, a number of states have enacted measures aimed at curbing prescription painkillers. The problem has also led many doctors around the country to reassess prescribing practices. The group did not address surgery. Its focus was on noninvasive treatment.The new guidelines said that doctors should avoid prescribing opioid painkillers for relief of back pain and suggested that before patients try anti-inflammatories or muscle relaxants, they should try alternative therapies like exercise, acupuncture, massage therapy or yoga. Doctors should reassure their patients that they will get better no matter what treatment they try, the group said. The guidelines also said that steroid injections were not helpful, and neither was acetaminophen, like Tylenol, although other over-the-counter pain relievers like aspirin, naproxen or ibuprofen could provide some relief. © 2017 The New York Times Company

Keyword: Pain & Touch
Link ID: 23231 - Posted: 02.15.2017

By Abigail Zuger, M.D. It was in 2011 that the Centers for Disease Control first drew public attention to the ongoing nationwide opioid crisis. Much earnest commentary has explored the roots of this new killer epidemic since then, focusing on the broad highway between heroin and pain pills, and the online pharmacies, pill mills, and bad-apple doctors who fueled the two-way traffic and enabled catastrophe. Forgive me for rolling my eyes. Anyone with a prescription pad and a shred of common sense saw this whole thing coming down the pike decades ago, a speeding 18-wheeler, tires squealing, no brakes. Furthermore, it has long been clear that while the bad medical apples certainly did their share of damage, there is not a health policy guru or medical school dean in the country whose sins of omission and commission are not also partly responsible. Call it an epidemic of unconscious collusion or, as Dr. Anna Lembke bluntly states, a nation’s doctors “trapped in a system gone mad.” In less than 200 pages, this may be the most important medical book of the decade for finally getting the story of the opioid epidemic exactly right. As far as I am concerned, “Drug Dealer, M.D.,” in less than 200 unassuming, readable, and carefully referenced pages, may be the most important medical book of the decade for finally getting the story of this epidemic exactly right. And it’s not the medical bad apples Lembke is talking about in her title — it’s every doctor in the country. Copyright 2017 Undark

Keyword: Drug Abuse; Pain & Touch
Link ID: 23218 - Posted: 02.13.2017

Sarah Boseley Health editor Low back and neck pain is an increasingly widespread and expensive condition worldwide, costing the US alone $88bn a year – the third highest bill for any health condition – despite evidence most treatments do not work. Millions of people worldwide suffer from low back and neck pain, most of it unexplained, although some professionals think it may be worsened by sitting at desks all day, carrying bags and general bad posture. Episodes of acute pain are very common, but experts say that medical investigations only make things worse and the best cure is often to take painkillers, exercise gently and wait for the pain to pass. The rising bill for treatment in the US has been uncovered in a new study by the Institute of Health Metrics and Evaluation (IHME) at the University of Washington, which looked at public and private spending on all diseases in 2013. Diabetes was in first place on $101.4bn and heart disease was second with $88.1bn. But neck and lower back pain treatment costs were close behind, at $87.6bn. The team split cancer into 29 separate conditions, which meant that none of them made the top 20, although combined the costs of treatment came to $115bn. The most remarkable thing, said Joseph Dieleman, lead author of the paper published in the Journal of the American Medical Association, was the increase in treatment costs for lower back and neck pain, running at 6.5% a year against 3.5% overall. “In absolute terms, there was an increase from $30bn in 1996 to $88bn in 2013,” he told the Guardian. © 2017 Guardian News and Media Limited

Keyword: Pain & Touch
Link ID: 23214 - Posted: 02.11.2017

By Anil Ananthaswamy Next time a nurse sticks a needle into your arm, don’t look away: it’ll be less painful. A new study shows that we feel less pain when we are looking at our body – and that this effect works with virtual reality too. In 2009, Patrick Haggard and Matthew Longo of University College London showed that looking at your own body has an analgesic effect. The researchers shone infrared laser light on the skin of volunteers. Those who were looking at their body rather than at a neutral object said that they felt less pain. Scalp electrodes revealed that this analgesic effect was linked to weaker activity in parts of the brain’s cortex that process pain – although why this happens is unclear. Since then, two different teams have tested the effect using the rubber hand illusion – in which a rubber hand is placed next to a person’s real hand, which is hidden from view. Stroking both the real and rubber hands with paint brushes convinces them that the rubber hand is their own. Extending this illusion, the teams wanted to know: can looking at a rubber hand that feels like one’s own alleviate pain in your real hand? The studies were contradictory: one study showed an analgesic effect, but the other did not. Maria Sanchez-Vives at the University of Barcelona, Spain, and her colleagues argue that differences in the position of the rubber hand and real hand may have led to the differing results. To test the effect of the rubber hand’s position, her team used virtual reality to induce the illusion. Instead of seeing a real rubber hand, participants were shown one via a VR headset instead. © Copyright Reed Business Information Ltd.

Keyword: Pain & Touch
Link ID: 23198 - Posted: 02.08.2017

Sara Constantino Certain multisensory conditions can alter the experience of bodily ownership. For instance, in the rubber hand illusion, simultaneous visual and haptic inputs lead to the adoption of sensations applied to an artificial limb as one's own. Understanding body ownership, and its malleability, has implications for the development of prosthetics. In a recent paper, Kelly Collins and colleagues at the University of Washington and Karolinska Institute elicited the illusion of ownership of an artificial hand in two epilepsy patients with embedded electrodes through the direct electrical stimulation of the hand area in somatosensory cortex (SI) applied in synchrony with visible touches to a rubber hand. When stimulation was asynchronous or administered to a different SI area, feelings of ownership were no longer induced, stressing the importance of temporal and spatial congruence. They also found that the details of the visual signal (for example, type of touch) affected the sensation. This method extends previous studies by eliciting ownership without stimulation of the peripheral nervous system, which is damaged in patients with spinal cord or nerve lesions. Human–technology mixtures have a long history, with the first known prosthesis, a wooden toe, dating as far back as 950 bc. Today, recent materials, electronics and neuroscience advances are enabling the development of prosthetic limbs that both look and feel real. © 2017 Macmillan Publishers Limited,

Keyword: Pain & Touch
Link ID: 23168 - Posted: 01.31.2017

By Roni Caryn Rabin Neuromas of the foot, a painful condition caused by an inflamed nerve in the ball of the foot, can be effectively treated at home with daily massage and stretches and over-the-counter painkillers, said Dr. Jacqueline Sutera, a doctor of podiatric medicine and surgery. “Of all the patients with neuromas I see in the office, I would say that ultimately only two of 10 might need surgery,” said Dr. Sutera, who practices in New York City and New Jersey. Neuromas of the foot, also known as Morton's neuromas, typically cause sharp, stabbing pain in the second, third and fourth toes. The goal of massaging and stretching is to open up the space between the bones — the metatarsals — in the ball of the foot and increase circulation, which can help reduce the pain and inflammation. Focus on the ball of the foot, not the toes, since the pain in the toes is referred pain from the ball of the foot. Dr. Sutera recommends placing the thumbs at the top of the foot and the other fingers on the bottom of the foot — or vice versa — and pressing and massaging the bones of the ball of the foot, “creating pressure on both sides, top and bottom.” Follow massages with stretches, using your hands to “grab your forefoot and pull it apart so you’re stretching the spaces between the metatarsals in the ball of the foot.” Massages and stretches are most effective at the end of the day, she said, ideally after a hot shower, bath or other heat application. After the massage and stretching, the area should be iced. © 2017 The New York Times Company

Keyword: Pain & Touch
Link ID: 23161 - Posted: 01.28.2017