|
|
Dr. Gold is a Professor of Anesthesiology whose research is focused around the clinical features of a number of pain syndromes. These observations include the following: 1) many pain syndromes are unique to a particular part of the body such as the head in migraine, the temporomandibular joint in temporomandibular disorder (TMD), or the colon in inflammatory bowel disease (IBD); 2) many pain syndromes such as migraine, TMD, and IBD occur with a greater prevalence, severity, and/or duration in women than in men; 3) many pain syndromes are associated with changes in the excitability of primary afferent neurons; 4) there are time dependent changes in the mechanisms underlying pain syndromes; and 5) different types of injuries (i.e., inflammation or nerve injury) are differentially sensitive to therapeutic interventions. These observations led to specific hypotheses that are tested in ongoing studies in the Gold laboratory. These include 1) characterizing the mechanisms underlying inflammation-induced changes in the evoked Ca2+ transients in sensory neurons, 2) characterizing the mechanisms underlying the inflammatory mediator-induced sensitization of dural afferents, 3) characterizing the influence of estrogen on the excitability of spinal and trigeminal ganglion neurons, 4) characterizing the mechanisms underlying the link between stress and migraine, 5) characterizing the role of changes in inhibitory receptors, in particular GABA, in injury-induced increases in sensitivity, and 6) identification of ways to maximize the therapeutic utility of local anesthetics. The ultimate goal of these studies is to identify novel targets for the development of therapeutic interventions for the treatment of pain.
|
