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	<id>https://wikimd.org/index.php?action=history&amp;feed=atom&amp;title=Pain_wind-up</id>
	<title>Pain wind-up - Revision history</title>
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	<updated>2026-04-26T22:02:03Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=6517414&amp;oldid=prev</id>
		<title>Prab: CSV import</title>
		<link rel="alternate" type="text/html" href="https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=6517414&amp;oldid=prev"/>
		<updated>2025-03-17T22:48:45Z</updated>

		<summary type="html">&lt;p&gt;CSV import&lt;/p&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 22:48, 17 March 2025&lt;/td&gt;
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		<author><name>Prab</name></author>
	</entry>
	<entry>
		<id>https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=6258006&amp;oldid=prev</id>
		<title>Prab: CSV import</title>
		<link rel="alternate" type="text/html" href="https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=6258006&amp;oldid=prev"/>
		<updated>2025-02-10T20:46:40Z</updated>

		<summary type="html">&lt;p&gt;CSV import&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 20:46, 10 February 2025&lt;/td&gt;
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		<author><name>Prab</name></author>
	</entry>
	<entry>
		<id>https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=5207679&amp;oldid=prev</id>
		<title>Prab: CSV import</title>
		<link rel="alternate" type="text/html" href="https://wikimd.org/index.php?title=Pain_wind-up&amp;diff=5207679&amp;oldid=prev"/>
		<updated>2024-02-22T04:47:01Z</updated>

		<summary type="html">&lt;p&gt;CSV import&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Pain wind-up&amp;#039;&amp;#039;&amp;#039; is a phenomenon that occurs in the [[nervous system]] where the body&amp;#039;s response to pain becomes progressively greater with each stimulus. This is due to the increased excitability of [[neurons]] in the [[spinal cord]] to the input from the [[peripheral nerves]]. &lt;br /&gt;
&lt;br /&gt;
==Mechanism==&lt;br /&gt;
The mechanism of pain wind-up involves the activation of [[NMDA receptors]] on neurons in the spinal cord. These receptors are normally blocked by [[magnesium ions]], but when a strong or repeated pain stimulus is applied, the magnesium block is removed and the NMDA receptors become activated. This leads to an influx of [[calcium ions]] into the neuron, which triggers a series of events that result in the neuron becoming more responsive to future pain stimuli.&lt;br /&gt;
&lt;br /&gt;
==Clinical significance==&lt;br /&gt;
Pain wind-up is thought to play a role in the development of [[chronic pain]] conditions. It is believed that the increased excitability of neurons in the spinal cord can lead to a state of [[hyperalgesia]], where a person experiences an increased sensitivity to pain. This can make it difficult to manage pain in conditions such as [[fibromyalgia]], [[neuropathic pain]], and [[migraine]].&lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
Treatment strategies for pain wind-up focus on preventing the activation of NMDA receptors. This can be achieved through the use of medications such as [[ketamine]] and [[dextromethorphan]], which are known to block NMDA receptors. Other treatments may involve [[physical therapy]] or [[cognitive behavioral therapy]] to help manage the psychological aspects of chronic pain.&lt;br /&gt;
&lt;br /&gt;
==See also==&lt;br /&gt;
* [[Nociception]]&lt;br /&gt;
* [[Pain management]]&lt;br /&gt;
* [[Central sensitization]]&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
{{stub}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Neurology]]&lt;br /&gt;
[[Category:Pain]]&lt;br /&gt;
[[Category:Chronic pain]]&lt;/div&gt;</summary>
		<author><name>Prab</name></author>
	</entry>
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