title: Painful muscle stimulation preferentially activates emotion-related brain regions compared to painful skin stimulation.
abstract: Skin pain and muscle pain are categorically distinct from each other. While skin pain is a sharp, spatially localized sensation, muscle pain is a dull, poorly localized and more unpleasant one. We hypothesized that there are specific brain regions preferentially activated by muscle pain compared to skin pain. To test this hypothesis, brain responses were recorded from 13 normal male subjects in response to repeated painful electrical stimulation of the muscle and skin of the left leg, using 3-T magnetic resonance imaging scanner. The common brain regions that responded to painful stimulations of both skin and muscle were the thalamus, anterior cingulate cortex, bilateral insula, contralateral primary and secondary somatosensory cortices, and ipsilateral cerebellum. Brain regions specifically activated by muscle stimulation were the midbrain, bilateral amygdala, caudate, orbitofrontal cortex, hippocampus, parahippocampus and superior temporal pole, most of which are related to emotion. Regions except the midbrain showed contralateral preference. These results suggest that dull sensation, which is characteristic of muscular pain, is related with processing in these brain regions.
authors.affiliation: Research Institute of Environmental Medicine, Nagoya University, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Toru
authors.initials: T
authors.lastname: Taguchi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tanaka
authors.forename: Norihiro
authors.initials: N
authors.lastname: Sadato
authors.forename: Yunhai
authors.initials: Y
authors.lastname: Qiu
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Kakigi
authors.forename: Kazue
authors.initials: K
authors.lastname: Mizumura
mesh_terms: D000328:Adult; D000344:Afferent Pathways / Q000502:physiology; D001921:Brain / Q000502:physiology*; D004558:Electric Stimulation / Q000379:methods; D004644:Emotions / Q000502:physiology*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000294:innervation / Q000503:physiopathology*; D010146:Pain / Q000503:physiopathology* / Q000523:psychology; D012867:Skin / Q000294:innervation / Q000503:physiopathology*; D055815:Young Adult