Quiz 2-- Lectures 3, 4 Flashcards
Role of pain
functional role for survival– pain stimuli induce escape and withdrawal responses. it can also activate behavior
what is pain?
tissue destruction induced by thermal or chemical stimuli or mechanical force
T or F: Pain reception is highly localized
False
Relationship between pain and emotion
pain involves an emotional component to modify the magnitude of pain perception
who is pain most prevalent for?
adults in poverty, less than high school education, and public health insurance
nociception
the neural encoding and processing of noxious stimuli
what are noxious stimuli?
stimuli that elicit tissue damage and activate nociceptors
nociceptors
sensory receptors that detect signals from damage tissue– free nerve endings found in skin, muscles, joints, bone, viscera
how do peripheral nociceptive axons end?
free nerve endings
axon types for nociceptors
a delta, C– slowerr, C is unmyelinated
A delta fibers
respond to intense mechanical and thermal stimuli
type 1 a delta– mechanical, not thermal
type 2– thermal, not mechanical
what do c fibers respond to
thermal, mechanical, and chemical stimuli
true or false: non-pain somatosensory neurons increase in intensity for painful stimuli
false
t or f: nociceptive afferents always fire at stimuli
false, only when high intensities of stimuli are reached– 43 c is threshold for pain
fast pain
a delta fibers– sharp, first pain
slow pain
unmyelinated c fibers– give a dull, longer lasting burning pain
type 1 a delta fibers
respond to intense mechanical and chemical, have high heat thresholds
type 2 a delta
low heat threshold, but high threshold for mechanical stimulation
type c fibers
respond equally to all types of nociceptive stimuli
what is the pain and temperature pathway?
the anterolateral system
first order neurons in the anterolateral system
the dorsal root ganglia and immediately synapse on second order neurons
second order neurons
located in rexed’s alminae 1,11, and V of spinal cord– 1 anf 5 go to brainstem and thalamus, 2 has interneurons
C fibers go to 1 ans 2, A delta go to 1 and 5
projections immedately cross midline and give rise to the anterolateral tract and brainstem and thalamus vpl
difference between dorsal column medial lemniscus vs the anterolateral system
dorsal crosses near top, anterolateral immediately decussates
anterolateral system 3rd order neurons
go to somatosensory cortex
trigeminothalamic tract
first order neurons in trigemical ganglia descend to medulla and synapse on spinal trigeminal nugleus, second order decussate and ascent to brainstep and VPM thalamus in trigeminothalamic tract, third order to somatosensory
visceral (internal) pain pathway
pain from visceral organs
first order in dorsal root ganglia synapse in dorsal horn or in the intermediate gray region of spinal cord
intermediate second orders ascend through dorsal columns to dorscale column nuclei (gracile nucleus
third orders decussate and ascent to vpl thalamus
midline myelotomy
transection of axons in medial dorsal column brings pain relief from visceral cancers in abdominal area
Referred pain
visceral pain misperceived as cutaneous pain– angina (poor perfusion of heart muscle perceived as pain in shoulder/chest)
lamina 5
receives inputs from nociceptive and non-nociceptive afferents, and multimodal neurons in the area integrate both
threshold for thermal stimulus as pain
43 C
TRP channels
receptors sensitive to ranges of heat and cold
trpv1
sensitivity to heat and caspaicin
capsacin
first pain pathway
anterolateral–vpl—somatosensory cortex
affective-motivational pathway
goes to reticular formation, periaqueductal gray, superior colliculus, hypothalamus, amygdala, anterior cingulate cortex and insula, medial thalamic nuclei, parabrachial nucleus
interpretation of pain
reality of stimulus and how responsive the subject is– this means pain perception is subject to modulation due to context specificity (soldiers in battle w no pain) or placebo (perceived relief)