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Abstract
Objective: To assess the effects of heat and cold on quantifiable pain behaviors in an animal model of arthritis that minimizes the motivational-affective component of pain.
Design: The effects of superficial heat (40°C) and cold (4°C) on pain behaviors in rats with knee joint inflammation were tested before and after induction of inflammation and after treatment with heat or cold.
Subjects: Joint inflammation was induced in male Sprague-Dawley rats by intra-articular injection of the knee joint with 3% kaolin and 3% carrageenan.
Main Outcome Measures: Withdrawal latency to heat applied to the paw (PWL) assessed secondary hyperalgesia; spontaneous pain behaviors assessed degree of weight bearing/guarding; and joint circumference assessed joint swelling.
Results: Cold treatment of the inflamed knee joint significantly reversed the PWL immediately after treatment (p = .003) without affecting spontaneous pain behaviors or joint circumference. In contrast, heat treatment produced a small but significant decrease in spontaneous pain behaviors (p = .03) without affecting PWL or joint circumference.
Conclusion: Acute arthritic pain can be treated with either superficial heat for reducing guarding or with cold for reducing pain or hyperalgesia outside the injury site.
References
- Sensory mechanisms of the spinal cord.2nd ed. Plenum, New York1991
- Effects of an experimental arthritis on the sensory properties of fine articular afferent units.J Neurophysiol. 1985; 54: 1109-1122
- Time course of mechanosensitivity changes in articular afferents during a developing experimental arthritis.J Neurophysiol. 1988; 60: 2180-2194
- Enhancement of the responses of ascending tract cells in the cat spinal cord by acute inflammation of the knee joint.Exp Brain Res. 1987; 66: 489-499
- Involvement of substance P and neurokinin-1 receptors in the hyperexcitability of dorsal horn neurons during development of acute arthritis in rat's knee joint.J Neurophysiol. 1995; 73: 1574-1583
- Neural changes in acute arthritis in monkeys. I. Parallel enhancement of responses of spinothalamic tract neurons to mechanical stimulation and excitatory amino-acids.Brain Res Rev. 1992; 17: 1-13
- Behavioral and immunohistochemical changes in an experimental arthritis model in rats.Pain. 1993; 55: 367-377
- A new and sensitive method for measuring thermal nociception in cutaneous hyperalgesia.Pain. 1988; 32: 77-88
- The intrathecal administration of excitatory amino-acid receptor antagonists selectively attenuated carrageenan-induced behavioral hyperalgesia in rats.Eur J Pharmacol. 1992; 219: 235-243
- Conservative options in the management of spinal disorders. Part I: bed rest, mechanical and energy-transfer therapies.Am J Orthop. 1995; 24: 109-116
- The effect of local heat and cold therapy on the intraarticular and skin surface temperature of the knee.Arthritis Rheum. 1992; 35: 146-151
- The effects of therapeutic forms of heat and ice on the pain threshold of the normal shoulder.Rheumatol Rehabil. 1974; 13: 101-104
- The influences of physical therapy procedures on the intraarticular temperature of normal and arthritic subjects.Am J Med Sci. 1949; 218: 543-548
- Treating arthritis with locally applied heat or cold.Semin Arthritis Rheum. 1994; 24: 89-90
- Ice freezes pain?.in: A review of the clinical effectiveness of analgesic cold therapy. 3rd ed. J Pain Symptom Manage. 9. 1994: 56-59
- The cooling, analgesic and rewarming effects of ice massage on localized skin.Phys Ther. 1995; 55: 11-19
- Physical modalities in rheumatological rehabilitation.Arch Phys Med Rehabil. 1994; 75: 994-1001
- An experimental arthritis model in rats: the effects of NMDA and non-NMDA antagonists on aspartate and glutamate release in the dorsal horn.Neurosci Lett. 1993; 149: 99-102
- Further evidence for “pain-related” behaviors in a model of unilateral peripheral mononeuropathy.Pain. 1990; 41: 235-251
- Centrally administered non-NMDA but not NMDA receptor antagonists block peripheral knee joint inflammation.Pain. 1993; 55: 217-225
- Use of superficial heat versus ice for the rheumatoid arthritic shoulder: a pilot study.Physiother. 1986; 38: 8-13
- The influence of heat and cold on the pain threshold in rheumatoid arthritis.Z Rheumatol. 1997; 52: 289-291
- A trial of ice therapy and exercise in chronic arthritis.Physiother. 1969; 55: 51-56
- Ice massage and transcutaneous electrical stimulation: comparison of treatment for low-back pain.Pain. 1980; 9: 209-217
- Heat, cold and inflammation (review).Z Rheumatol. 1979; 38: 391-404
- Therapeutic heat and cold.Clin Orthop. 1974; 99: 207-245
- Individual comparison of effectiveness of whole body cold therapy and hot packs therapy in patients with generalized tendomyopathy (fibromyalgia).Z Rheumatol. 1992; 51: 25-31
- Effects of ice on nerve conduction velocity.Physiother. 1978; 64: 2-6
- Effect of tissue temperature and blood flow on motor nerve conduction velocity.JAMA. 1966; 198: 1082-1088
- Effect of induced pain on pain threshold.in: 3rd ed. Proc Soc Exp Biol Med. 60. 1945: 327-329
- Connective tissue activation: VIII. The effect of temperature studied in vitro.Arch Phys Med Rehabil. 1976; 57: 5-9
- The influence of temperature and fibril stability on degradation of cartilage collagen by rheumatoid synovial collagenase.N Engl J Med. 1974; 290: 1-6
- Deep heat in the treatment of inflammatory joint disease.Med Hypotheses. 1988; 25: 231-233
- Thermal agents in rehabilitation.3rd ed. F.A. Davis Company, Philadelphia (PA)1996
- Effects of cold and heat on urate crystal-induced synovitis in the dog.Arthritis Rheum. 1974; 17: 563-571
- Clinical evaluation of ice therapy for acute ankle sprain injuries.N Z J Physiother. 1989; 17: 7-9
- Treatment of articular effusions with local deep microwave hyperthermia.Clin Rheumatol. 1989; 4: 461-466
- Ice treatment of injured ligaments: an experimental model.N Z Med J. 1980; 9: 12-14
- Injury-induced plasticity of the flexor reflex in chronic decerebrate rats.Neuroscience. 1985; 16: 395-404
- Injury-induced plasticity of spinal reflex activity: NK1 neurokinin receptor activation and enhanced A- and C-fiber mediated responses in the rat spinal cord in vitro.J Neurosci. 1994; 14: 3672-3687
- Long term alterations in the excitability of the flexion reflex produced by peripheral tissue injury in the chronic decerebrate rat.Pain. 1984; 18: 325-343
- Effects of temperature on the discharges of muscle spindles and tendon organs.Pflugers Arch. 1978; 374: 159-168
- Physiological responses to heat and cold.in: Licht S Therapeutic heat and cold. 2nd ed. Waverly Press, Baltimore (MD)1965: 126-169
Article Info
Publication History
Accepted:
September 10,
1998
Received:
July 7,
1998
Footnotes
☆No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
Identification
Copyright
© 1999 Published by Elsevier Inc.