• Expert Rev Neurother · Nov 2013

    Review

    Losses and gains: chronic pain and altered brain morphology.

    • David Borsook, Nathalie Erpelding, and Lino Becerra.
    • Center for Pain and the Brain, P.A.I.N. Group, Boston Children's Hospital, Harvard Medical School, c/o 9 Hope Avenue, Waltham, MA, USA.
    • Expert Rev Neurother. 2013 Nov 1;13(11):1221-34.

    AbstractAs in many fields of neuroscience, alterations in brain morphology, and specifically gray matter volume and cortical thickness, have been repeatedly linked to chronic pain disorders. Numerous studies have shown changes in cortical and subcortical brain regions suggesting a dynamic process that may be a result of chronic pain or contributing to a more generalized phenomenon in chronic pain including comorbid anxiety and depression. In this review, we provide a perspective of pain as an innate state of pain based on alterations in structure and by inference, brain function. A better neurobiological understanding of gray matter changes will contribute to our understanding of how structural changes contribute to chronic pain (disease driver) and how these changes may be reversed (disease modification or treatment).

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