Central Sensitization in Migraine: A Narrative Review

J Pain Res. 2022 Sep 7:15:2673-2682. doi: 10.2147/JPR.S329280. eCollection 2022.

Abstract

Central sensitization (CS) is an increase in the responsiveness of nociceptive neurons in the central nervous system to their normal afferent input. As a result, even minor irritation can induce severe pain, leading to the chronicity and severity of various diseases, such as neurological disorders. CS is associated with migraine, which is a major neurological disorder that inflicts a high disability in daily life. Specifically, CS is thought to be involved in the pathogenesis of cutaneous allodynia as well as chronification of migraine. In this article, we reviewed the association between CS and migraine, including pathophysiological aspects and evidence from clinical studies. We suggest that appropriate screening and management of CS in migraine could further improve the quality of life of migraine patients.

Keywords: central sensitization; cutaneous allodynia; migraine; restless legs syndrome.

Publication types

  • Review

Grants and funding

This work was supported by the Ministry of Health, Labour and Welfare’s Research Project on Rare and Intractable Diseases (grant number 20FC1056).