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Top Spinal Cord Inj Rehabil · Jan 2012
Effects of nicotine on spinal cord injury pain: a randomized, double-blind, placebo controlled crossover trial.
- Elizabeth J Richardson, J Scott Richards, Christopher C Stewart, and Timothy J Ness.
- Department of Physical Medicine and Rehabilitation , University of Alabama at Birmingham, Birmingham, Alabama.
- Top Spinal Cord Inj Rehabil. 2012 Jan 1; 18 (2): 101-5.
BackgroundOne factor affecting spinal cord injury (SCI)-related pain may be nicotine. Case reports have described a worsening of neuropathic pain from smoking and relief from abstinence. Neurobiological correlates also implicate the potential effect of nicotine on SCI-related pain.MethodThe current study employed a randomized, placebo-controlled crossover design to examine the effect of nicotine exposure on subtypes of SCI-related pain among smokers and nonsmokers.ResultsWhereas nonsmokers with SCI showed a reduction in mixed forms of pain following nicotine exposure, smokers with SCI showed a converse increase in pain with regard to both mixed and neuropathic forms of pain. The exacerbation of pain in chronic nicotine or tobacco users may not only elucidate possible pain mechanisms but may also be of use in smoking cessation counseling among those with SCI.
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