PAIN PATHWAYS AND GATING Flashcards
What is pain
An unpleasant sensory and emotional experience associated with or resembling that associated with actual or potential tissue
What is nociception
The reception, conduction and CNS processing of nerve signals from nociceptors resulting in the perception of pain
What might affect how pain is perceived
Descending controls from the lambic brain such as sleep, fear and anxiety
What are the 2 types of cutaneous pain
- noxious mechanical stimulus
- noxious heat and chemical stimuli
Describe noxious mechanical stimulus
- A fibre type
- usually form the first response
Describe noxious heat and chemical stimuli
- C fibre type
- responsible for the lasting pain after an injury
Describe type a nerve fibres
Myelinated
Fast conducting
Well localised sharp pain
Describe type c nerve fibres
Unmyelinated
Slow
Dull aching pain, not well localised
What are the 2 significant pain pathways
- Spinocervicothalamic tract
- Spinoreticular tract
Describe the spinocervicothalamic tract
- 3 neurons (4 in carnivores)
- associated with touch and superficial pain
- discriminatory- cant tell the exact location of pain
Describe the spinooreticular tract
- 3 neurons
- associated with deep pain and visceral sensations
- less discriminatory - cant tell exact location of the pain
- less type a fibres present in this system
What pain system is associated with the head
The trigeminal system
What are the different types of modulation in the CNS
- peripheral modulation
- dorsal horn modulation
- suprasegmental modulation
What is allodynia
When an innocuous stimulus can be perceived as painful
What is hyperalgesia
The pain evoked by a noxious stimulus is exaggerated in both amplitude and duration