Latent pain sensitization (LS) engages pronociceptive signaling pathways in the dorsal horn that include N-methyl-D-aspartate receptor (NMDAR) → adenylyl cyclase-1 (AC1) → protein kinase A (PKA) and Exchange factor directly activated by cAMP (Epac). To determine whether these pathways operate similarly between males and females or are under the inhibitory control of spinal kappa opioid receptors (KOR), we allowed hyperalgesia to resolve after plantar incision and then blocked KOR with intrathecal administration of LY2456302. LY2456302 reinstated hyperalgesia and facilitated touch-evoked immunoreactivity of phosphorylated extracellular signal-regulated kinase (pERK) in neurons (NeuN) but neither astrocytes (GFAP) nor microglial (Iba1). LY2456302 reinstated hyperalgesia even when administered 13 months later, indicating that chronic postoperative pain vulnerability persists for over a year in a latent state of remission. In both sexes, intrathecal MK-801 (an NMDAR competitive antagonist) prevented LY2456302-...