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← Human Body & HealthWhy does chronic intense musculoskeletal pain from nerve damage persist despite taking NSAIDs?
A)NSAIDs inhibit prostaglandin synthesis centrally
B)NSAIDs upregulate substance P release
C)Neuropathic pain involves non-prostaglandin pathways✓
D)Descending modulation directly amplifies nociception
💡 Explanation
Chronic neuropathic pain often bypasses typical prostaglandin-mediated inflammation because the primary mechanism involves direct nerve damage and altered pain processing pathways, rather than peripheral inflammation targeted by NSAIDs. Therefore, NSAIDs are ineffective, rather than influencing substance P release or directly altering descending modulation.
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