The Human Capsaicin Model of Allodynia and Hyperalgesia

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Presentation transcript:

The Human Capsaicin Model of Allodynia and Hyperalgesia Maywin Liu, MD, Mitchell B. Max, MD, Elaine Robinovitz, RN, MSN, Richard H. Gracely, PhD, Gary J. Bennett, PhD  Journal of Pain and Symptom Management  Volume 16, Issue 1, Pages 10-20 (July 1998) DOI: 10.1016/S0885-3924(98)00026-8

Fig. 1. Comparison of areas of mechanical allodynia (A) and pinprick hyperalgesia (B) with each method of administration over time. Results are shown as the mean of all subjects in cm2. 36 ID, intradermal capsaicin with skin temperature fixed at 36°C; VT ID, intradermal capsaicin with uncontrolled skin temperature; Topical, topical capsaicin with skin temperature fixed at 36°C. Journal of Pain and Symptom Management 1998 16, 10-20DOI: (10.1016/S0885-3924(98)00026-8)

Fig. 2. Between-session comparison of mechanical allodynia (MA) areas (cm2) (left) and pinprick hyperalgesia (PPH) areas (right) in response to the 36°C intradermal method (36 ID, top), uncontrolled skin temperature intradermal method (VT ID, center), and topical administration method (bottom). The area obtained by each subject in the first trial is plotted against the area of the second trial. Each point represents the mean area during the initial 15 min of each subject’s trial. (□) represents subjects who do not meet the minimum criteria greater than 5 cm2. (■) represents subjects with areas greater than 5 cm2. Correlation coefficients reflect comparisons only for subjects who have met the minimum area criteria during at least one session. Journal of Pain and Symptom Management 1998 16, 10-20DOI: (10.1016/S0885-3924(98)00026-8)

Fig. 3. Comparison of mean areas of mechanical allodynia (A) and pinprick hyperalgesia (B) over time at each site of administration. Results are shown as mean area in cm2 ± standard error of the mean (SEM). Journal of Pain and Symptom Management 1998 16, 10-20DOI: (10.1016/S0885-3924(98)00026-8)

Fig. 4. Blood flow (mL/100 g/min) as measured by a laser Doppler flowmeter on the foot dorsum with the lower leg in various degrees of dependency. Each subject’s capillary skin blood flow was measured on the foot dorsum with the lower leg placed at 90, 135, and 180 degrees to the thigh Journal of Pain and Symptom Management 1998 16, 10-20DOI: (10.1016/S0885-3924(98)00026-8)