Certain pathological types of afferent input are supposed to lead to long-term changes in the responsiveness of dorsal horn neurones. This mechanism might be of importance for the development of neurological disturbances such as chronic pain. The present study was undertaken in order to find out whether dorsal horn neurones— particularly those processing input from deep tissues— exhibit long-lasting changes in response behaviour after a short-lasting noxious stimulation of deep tissue. In anaesthetized cats, the impulse activity of single dorsal horn cells was recorded extracellularly with glass microelectrodes. In a small number of cells that had multiple receptive fields (RFs), the algesic agent bradykinin was injected into a muscle RF and the properties of all RFs retested at regular time intervals. Following noxious chemical stimulation of one RF, the injected and the other RFs of the same neurone often showed changes which consisted of an increase in size, a lowering of mechanical threshold and appearance of new RFs. In an attempt to assess the influence of a single noxious stimulus on the entire population of dorsal horn cells, the properties of a greater sample of neurones were compared before and after injection of bradykinin into the deep tissues of the hind limb. Every cell encountered was classified as being driven by (1) cutaneous receptors only, (2) deep receptors only, (3) both input sources, or (4) electrical stimulation only (cell without receptive field). Following injection of bradykinin, the proportion of cells with both deep and cutaneous input and of those having background activity rose, and the percentage of cells without a receptive field decreased. The data indicate that any noxious manipulation of the hind limb may elicit long-lasting changes in the response behaviour of dorsal horn neurones. This assumption was supported by the finding that in animals in which the hind limb had been operated on, the proportion of cells with deep and cutaneous input was significantly higher and that of cells with exclusively deep input lower than in animals with an intact hind limb. Transferring these findings to the clinical situation, the data suggest that the increase in size of the RFs and the appearance of new RFs after a noxious stimulus might reflect the spread or irradiation of deep pain. Likewise, the increase in convergence of deep and cutaneous afferents might be of relevance for the referral of deep pain to the skin, while the decrease in mechanical threshold of deep RFs remote to the location of the noxious stimulus might be the neurophysiological basis of referred tenderness.
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