Pain Flashcards
Pain
-Unpleasant, physical or emotional experience
- somatic sensation
Fast pain
Felt within 1 seconds of the stimulus
Sharp
Slow pain
Begins after one second or more an increases slowly
Throbbing or aching
Pain receptors
Free nerve endings
Widely distributed
Pain receptor activation
Mechanical
Thermal
Chemical
Non-adaptive nature
Adapt very little
Hyperlalgesia
Increased excitation of pain fibers
Intensity of pain
Closely related with the rate of tissue damage
Type 1A Delta fibers
Gross touch
Fast pain
High heat
Capsaicin insensitive
Precisely localized
Type 2 A Delta fibers
Gross touch
Fast pain
Low heat
Capsaicin sensitive
Precisely localized
C fibers
Slow pain
Low pH
Heat
Capsaicin sensitive
Not well localized
Transmission of pain signals through spinal cord and brain
- Neospinalthalamic tract
- Paleospinalthalamic tract
Cordotomy
Partially cut spinal cord in the thoracic region that interrupts the anterolateral pathway
Anal Jesus system of the brain and spinal cord
- inhibition of incoming pain signals at the cord level
- enkephalin secreting neurons suppress pain signals in the cord and brain stem
The brains opiate system
- opiate receptors in many areas of the brain
- endogenous opioids act like exogenous opioids
- endogenous opioids help control pain