Preoperative housing in an enriched environment significantly reduces the duration of post-operative pain in a rat model of knee inflammation.

The influence of the environment on clinical post-operative pain received recently more attention in human. A very common paradigm in experimental pain research to model the effect of housing conditions is the enriched environment (EE). During EE-housing, rats are housed in a large cage (i.e. social stimulation), usually containing additional tools like running wheels (i.e. physical stimulation). Interestingly, only postsurgical housing effect on post-operative pain was developed during clinical and experimental studies while little is known on the influence of preoperative housing. In this study, our aim was to investigate the influence of housing conditions prior to an operation on the development of post-operative pain, using a rat model of carrageenan-induced inflammatory pain. Four housing conditions were used: a 3-week pre-housing in standard conditions (S-) followed by a post-housing in an EE; a 3-week pre-housing in EE followed by a post-operation S-housing; a pre- and post-housing in EE; a pre- and post-S-housing. The development of mechanical allodynia was assessed by the means of the von Frey test, preoperatively and at day post-operative (DPO) 1, 3, 7, 10, 14, 17, 21, 24 and 28. Our results show that a 3-week preoperative exposure to EE leads to a significant reduction in the duration of the carrageenan-induced mechanical allodynia, comparable with a post-operative exposure to EE. Strikingly, when rats were housed in EE prior to as well as after the carrageenan injection into the knee, mechanical allodynia lasted only 2 weeks, as compared to 4 weeks in S-housed rats.

Enriched environment and the recovery from inflammatory pain: Social versus physical aspects and their interaction.

In this study, we aimed at comparing the effect of the social versus the physical enrichment of the environment on inflammatory pain. Hence, a rat model of carrageenan-induced knee inflammation was used. Four housing conditions were investigated: a physically enriched environment (PE), a socially enriched environment (SE), an enriched environment (EE) (i.e. physically and socially enriched) and a restricted environment (RE) (i.e. non-physically or socially enriched housing). Mechanical allodynia was assessed using the von Frey test preoperatively and at day post-operative (DPO) 1, 3, 7, 10, 14, 17, 21, 24 and 28. Besides, anxiety was evaluated at DPO29, using the Elevated Plus-Maze test. Results show that RE housing resulted in a duration of mechanical allodynia of 4 weeks and of only 3 weeks in EE housing. Housing in a physically enriched environment also resulted in a reduction of the duration of mechanical allodynia of 1 week. Finally, if housed in a SE, the mechanical allodynia lasted for 3 weeks and an half. From these data, we conclude that both physical and social aspects of the environment are involved in the reduction of inflammatory pain duration, although the PE has a larger effect than the SE in this experimental setting. Interestingly, an inter-dependent relationship was noted between the PE and SE. Moreover, no significant difference in the rat anxiety was measured between groups, suggesting that the pain outcomes are likely not biased by the mean of potential housing condition-induced anxiety.

Environmental housing affects the duration of mechanical allodynia and the spinal astroglial activation in a rat model of chronic inflammatory pain.

In this study, we aimed at investigating the effect of an enriched environment (EE) on the recovery from chronic inflammatory pain. Inflammatory pain was induced by the injection of 2 mg of carrageenan (CAR) into the right knee of male Sprague-Dawley rats (n=34). Rats were housed either singly (S-housed) or in an EE (EE-housed). The EE consisted of a large cage (L x W x H=2.0 x 1.0 x 0.8 m) containing various attributes (e.g. running wheels, shelter house, climbing frame). Withdrawal response to von Frey filament was used to assess mechanical allodynia at days post-operative (DPO) -1, 1, 7, 14, 21 and 28. S-housed animals showed a marked tactile sensitivity in the ipsilateral paw from DPO1 to DPO21. Four weeks after the CAR injection, S-housed rats were no longer allodynic. In contrast, EE-housed rats showed a significantly faster recovery: already at DPO21, they were no longer allodynic. In a first attempt to analyse the possible role of astroglial cells in the EE-induced effect, histological analysis at DPO21 was performed. Immunohistochemical staining of the spinal dorsal horn at L3-L5 indeed showed that spinal levels of astroglial activation are different between the two housing groups and therefore may play a role in the EE-induced effect on the duration of mechanical allodynia. In conclusion, our results showed that EE-housing results in a reduced duration of mechanical allodynia in chronic inflammatory pain in rats. Astroglial activation is suggested to be involved in this housing effect.

The CatWalk method: assessment of mechanical allodynia in experimental chronic pain.

The CatWalk gait analysis system has recently been suggested as a rapid and objective alternative method over the von Frey test to assess mechanical allodynia in chronic neuropathic pain models. Our results demonstrate that no correlation exists between the development of mechanical allodynia and changes in CatWalk-gait parameters in a chronic inflammatory pain model. Hence, the use of the CatWalk in assessment of experimental chronic pain is discussed.