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Wandering Pains

Psychiatrist, sexologist, psychotherapist
  • Published:
    07 November 2024
  • Updated:
    08 November 2024
Wandering Pains

Did you know that there are pains that "wander" through the body, not localizing in one place? These can attack the head, back, legs, arms, or even big toes. Various factors cause this pathology and is often associated with complex pain perception mechanisms, including the functioning of the vagus nerve.

Wandering Pains and the Vagus Nerve - What's the Connection?

The vagus nerve is the longest cranial nerve and is key in regulating many body functions. Its name comes from the Latin word "vagus" (wandering). Its connection to such pains is not accidental.

Extensive Innervation

The vagus nerve innervates many organs and tissues, including the heart, lungs, gastrointestinal tract, and other internal organs. This explains why unpleasant sensations can "wander" through various body parts.

Neuromodulation

The vagus transmits pain signals and can influence pain perception in various body parts. Nerve dysfunction leads to abnormal pain perception and lack of localization.

Connection with the Central Nervous System

The vagus nerve transmits information to various brain areas associated with pain processing, including the thalamus, hypothalamus, and amygdala. This is why unpleasant sensations can appear in different body parts without an apparent cause.

Influence on Inflammation

The vagus nerve plays an important role in regulating inflammatory processes in the body: It releases acetylcholine, which interacts with receptors on immune cells, suppressing the production of pro-inflammatory substances, stimulating cortisol production, and reducing the production of inflammatory substances in the spleen.

Areas that "Respond" to Vagus Nerve Issues

  • Joints: knees, hips, fingers and toes, wrists, elbows, shoulders, ankles, big toe.

  • Spine sections: cervical, thoracic, lumbar.

  • Muscles: back, neck, limbs. Pain can be felt in the pelvic area, sometimes spreading to the lower limbs.

Pain is also observed in internal organs (referred): the chest (which may be related to heart problems), the abdomen, and the liver and gallbladder areas.

In some conditions (fibromyalgia or allodynia), increased skin sensitivity may occur in different body parts.

The migrating problem can manifest as headaches that change their location.

Causes of Wandering Pains

In addition to the aforementioned causes, pains associated with the vagus nerve can occur due to nerve compression. For example, compression in the neck area can cause pain in different body parts.

The vagus nerve is a key component of the parasympathetic nervous system, and its dysfunction can lead to a wide range of symptoms, including wandering pains.

Changes in vagus nerve functioning can affect neuroplasticity, leading to the emergence and persistence of chronic wandering pains.

Summary

The nature and localization of wandering pains can vary depending on the underlying disease or body condition. Accurate diagnosis and treatment require consultation with a neurologist who conducts examinations and prescribes appropriate treatment.

Understanding the role of the vagus in wandering pains opens new perspectives for improving quality of life, including non-invasive vagus nerve stimulation (nVNS) as an effective therapy method.

Sources

Role of Vagus Nerve Stimulation in the Treatment of Chronic Pain (https://pmc.ncbi.nlm.nih.gov/articles/PMC10614462/), Neuroimmunomodulation. 2023 Jun 27;30(1):167–183. doi: 10.1159/000531626. Accessed 7 Nov. 2024.

“The Wandering Nerve Linking Heart and Mind” – The Complementary Role of Transcutaneous Vagus Nerve Stimulation in Modulating Neuro-Cardiovascular and Cognitive Performance (https://pmc.ncbi.nlm.nih.gov/articles/PMC9245542/), Front Neurosci. 2022 Jun 16;16:897303. doi: 10.3389/fnins.2022.897303. Accessed 7 Nov. 2024.

Vagus Nerve and Vagus Nerve Stimulation, a Comprehensive Review: Part I (https://pubmed.ncbi.nlm.nih.gov/26364692/), Headache. 2016 Jan;56(1):71-8. doi: 10.1111/head.12647. Epub 2015 Sep 14. Accessed 7 Nov. 2024.


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