Evidence map›Paper›PMID 38755449›Full record

ReviewNature reviews. Neurology2024

Deciphering nociplastic pain: clinical features, risk factors and potential mechanisms.

Chelsea M Kaplan, Eoin Kelleher, Anushka Irani, Andrew Schrepf, Daniel J Clauw, Steven E Harte

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 139 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07038434 narecruitingnot on this mapstarted 2025, after this paper: background citation

Refining mUltiple Artificial intelliGence strateGies for Automatic Pain Assessment Investigations: RUGGI Study

TypeinterventionalSponsorValentina CerroneRan2025 to 2026Enrolled200ConditionsChronic Pain, Cancer Pain, Neuropathic Pain, Pain AssessmentArmsMultimodal AI-Based Pain Assessment
NCT07497425 narecruitingnot on this mapstarted 2025, after this paper: background citation

Neuroimmune Responses to Physical Exercise Training in Chronic Primary Low Back Pain

TypeinterventionalSponsorMcGill UniversityRan2025 to 2029Enrolled216ConditionsChronic Low Back Pain (CLBP)ArmsPhysical Exercise
3 · Its place in the literature

Who cites it

139 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. The Implementation of Persistent Spinal Pain Syndrome (PSPS): Mechanism-Based Recommendations.Pain practice : the official journal of World Institute of Pain · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Observational
  7. Effects ofPain reports · 2026
    Article
  8. Review
  9. C-low threshold mechanoreceptors: a novel target for health-tech in an increasingly touch-deprived world.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. A Scoping Review of Pharmacologic and Nonpharmacologic Interventions to Treat Chronic Ocular Pain.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

79 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chelsea M KaplanChronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA. chelsmar@umich.edu.ORCID 0000-0001-9324-655X
Eoin KelleherNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0003-2025-5556
Anushka IraniNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-7831-4208
Andrew SchrepfChronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Daniel J ClauwChronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.ORCID 0000-0002-8114-7818
Steven E HarteChronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.ORCID 0000-0002-2929-8694

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nociplastic pain is a mechanistic term used to describe pain that arises or is sustained by altered nociception, despite the absence of tissue damage. Although nociplastic pain has distinct pathophysiology from nociceptive and neuropathic pain, these pain mechanisms often coincide within individuals, which contributes to the intractability of chronic pain. Key symptoms of nociplastic pain include pain in multiple body regions, fatigue, sleep disturbances, cognitive dysfunction, depression and anxiety. Individuals with nociplastic pain are often diffusely tender - indicative of hyperalgesia and/or allodynia - and are often more sensitive than others to non-painful sensory stimuli such as lights, odours and noises. This Review summarizes the risk factors, clinical presentation and treatment of nociplastic pain, and describes how alterations in brain function and structure, immune processing and peripheral factors might contribute to the nociplastic pain phenotype. This article concludes with a discussion of two proposed subtypes of nociplastic pain that reflect distinct neurobiological features and treatment responsivity.

Indexed as

Nociceptive PainHumansNociceptionRisk Factors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.