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Explore the intricate world of pain and temperature physiology, including nociceptors, fast versus slow pain, pain transmission neurons, gate control theory, descending inhibitory pathways, neuropathic pain, and referred pain. Learn about thermal, mechanical, and polymodal nociceptors, opiate receptors and peptides, peripheral mechanisms, neuropathic pain conditions, and thermoreceptors. Delve into the complexities of pain perception and modulation in the somatosensory system.
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Pain and Temperature • Pathways • Classes of nociceptors • Fast and slow pain • Pain transmission neurons • Gate control theory of pain
Pain and Temperature • Descending inhibitory pathways • Peripheral mechanisms • Neuropathic pain • Referred pain • Thermoreceptors
Anterolateral and Dorsal Column Systems From Kandel,Schwartz, and Jessell, 2000, 22-14
Pain • Unpleasant sensation or experience • Subjective and individualized • Moods and circumstances • Pain and nociceptors
Classes of Nociceptors • Thermal nociceptors • Mechanical nociceptors • Polymodal nociceptors
Spinal Cord Integration of Nociceptor Afferents and Descending Pathways From Kandel,Schwartz, and Jessell, 2000, 24-13
Opiates • Receptors • (gut, respiratory system, descending pathways) • Opiate peptides (morphine, codine) • Endogenous opiate peptides • Enkephalins – descending pathways • Dynorphins – descending pathways • -endorphins – hypothalamus
Peripheral Mechanisms From Kandel,Schwartz, and Jessell, 2000, 24-7
Agents That Activate or Sensitize Nociceptors * Calcitonin gene-related protein (CGRP)
Neuropathic Pain • Phantom Pain • Associated with amputations • Entrapment Lesions • Nerve irritation or inflammation • Thalamic Pain Syndrome • Vascular lesions involving thalamus (VPL) • Patients describe this pain as most excruciating pain ever experienced
Referred Pain From Kandel,Schwartz, and Jessell, 2000, 24-3
Temperature Sensitive Fibers From Byrne and Levy 1998