Pain & Nociception Overview Flashcards
Pain is an extraordinarily complex sensory modality, both _____ and _____?
structurally and functionally
What are the mechanisms and pathways widespread and redundant?
Due to the importance of warning an organism about the dangerous circumstance
Nociceptors that transduce noxious stimuli send afferents to where?
to the dorsal horn neurons in the spinal cord
Where do axons of the second order neurons (dorsal horn neurons) ascend?
to the thalamic nuclei
- relay nociceptive info to higher cortical regions
Additional pathways involving regions of the brainstem, thalamus, and the cortex mediate?
the affective-emotional and behavioral responses of painful stimuli
Recruitment of descending pain-gating systems require activation of what?
periaqueductal grey (PAG) in the brainstem
Descending pathways interact with local circuits in the spinal cord to regulate?
transmission of pain signals to higher regions
Who are going to be the most distressed patients we see?
those suffering from chronic pain
Can pain seem more destructive to the sufferer than required by physiological purposes?
yes
What is the purpose of excessive effects of pain?
they may just be by-products of the protective benefits of the vital sensory modality