Pain Flashcards
What are pain receptors called?
Nociceptors
Nociceptors are usually ______ _____ __________.
Free Nerve Endings
Nociception constitutes an _________ ________ _______ from discriminative perception and thermoception.
anatomically distinct modality
Where do the nerve cell bodies of nociceptors reside?
Dorsal Root Ganglion (like mechanosensors)
What are the two classifications of nociceptors?
Conduction velocity of AP’s
Conduction velocity and modality
What are the two types of fibers for classifying conduction velocity?
A-Delta fibers
C fibers
Conduct at about 20 m/s
Associated with sharp, first pain
A-Delta fibers
Conduct at about 2 m/s
Associated with dull, slow pain
C fibers
What are the three types bases on conduction velocity and modality?
A-Delta mechanosensitive
A-Delta Mehcanothermal
C polymodal
Sensitive to chemicals
Low sensitivity to temperature
A-delta mechanosensitive
Wide variety of stimuli
C polymodal
Sensitive to mechanical stimuli and temperature.
A-Delta mechanothermal
What is the major central pain pathway?
Spinothalamic Tract
Pain fibers are associated with ____________ _____________ of pain.
discriminative aspect
What is discriminative aspect?
Location, intensity, and quality from body
Overview of Major Central Pain Pathway
Enter via dorsal tract of Lissauer
Ascend a couple of spinal segments
Penetrate gray matter and synapse with targets in several of Rexed’s laminae.
Axons ascend via anterolateral tract (continuing into the brain) via the spinothalamic tract to the thalamus
Synapse on 3rd order neurons in thalamus, which project to post-central gyrus (somatosensory cortex)