Asian Pain Academy

Core Concept - Role of Glial Cells in Chronic Pain Chronic pain is no longer viewed as purely a neuronal phenomenon. Current neuroscience firmly establishes that glial cells — once dismissed as passive support cells — are active orchestrators of pain chronification, neuroinflammation, and central sensitisation. Understanding glial biology is essential to every modern clinician practising pain medicine. Introduction: Why Pain Medicine Needed a New Paradigm For decades, pain wa

Chronic pain has traditionally been classified into two major categories: nociceptive pain and neuropathic pain. While this framework has guided clinicians for decades, a significant number of patients continue to experience persistent pain that does not fit neatly into either category. These individuals often have widespread pain, fatigue, sensory hypersensitivity, sleep disturbances, and emotional distress despite minimal tissue injury or clear nerve damage. To address this