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  4. rTMS and TENS Relieve Neuropathic Pain in CCI Model Rats by Modulating Central Nervous System TRPV1 and Neuroinflammation

rTMS and TENS Relieve Neuropathic Pain in CCI Model Rats by Modulating Central Nervous System TRPV1 and Neuroinflammation

Mediators of Inflammation, 2024 · DOI: https://doi.org/10.1155/mi/8500317 · Published: October 30, 2024

NeurologyPain Management

Simple Explanation

This study compares rTMS and TENS for neuropathic pain relief in rats with chronic constriction injury (CCI). rTMS targets the prefrontal cortex (PFC), while TENS stimulates peripheral nerves. The study investigates how these treatments affect neuroinflammation and TRPV1 expression in the brain and spinal cord. The findings suggest both rTMS and TENS can alleviate neuropathic pain, but rTMS shows superior performance, potentially through better modulation of neuroinflammation and TRPV1.

Study Duration
4 weeks
Participants
18 adult male Sprague–Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Both rTMS and TENS effectively ameliorated CCI-induced NP, with rTMS of the PFC showing superior performance.
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    rTMS treatment triggered a significant decrease in IL-1β, IL-6, and TNF-α levels in the PFC and spinal cord, while TENS only decreased IL-1β expression in these regions.
  • 3
    In both treatment groups, TRPV1 expression was significantly lower in the spinal cord.

Research Summary

This study compared the effects of rTMS and TENS on neuropathic pain (NP) in rats with chronic constriction injury (CCI), focusing on TRPV1 expression and neuroinflammatory factors. rTMS significantly outperformed TENS in alleviating mechanical pain, downregulating TRPV1 expression, and reducing inflammatory factors (IL-1β, IL-6, and TNF-α) in the PFC and spinal cord. The findings suggest that both rTMS and TENS can mitigate NP by inhibiting the central inflammatory response, but rTMS provides superior pain relief due to its more substantial effects on TRPV1 and inflammatory factors.

Practical Implications

Clinical Application

rTMS may be a more effective neuromodulation technique than TENS for neuropathic pain management.

Mechanism Understanding

The study provides insights into the mechanisms by which rTMS and TENS alleviate neuropathic pain, involving TRPV1 and neuroinflammation.

Combined Therapy Potential

The findings offer a theoretical basis for the combined use of rTMS and TENS in mitigating neuropathic pain.

Study Limitations

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