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Pain pathway
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The most common and well described pain transmission is “gate control theory of pain”. This theory was first proposed by Melzack and Wall in 1965 whereby they used the analogy of gate to explain the inhibition of pain which exists within the dorsal horn of the spinal cord. For instance, when tissue damage occurs, substances such as prostaglandin, serotonin, histamine and bradykinin are released from the injured cell. Individual usually consume or apply pain medications such as NSAIDs whereby these medications will cause electrical nerve impulse at the end of the sensory nerve fiber via nociceptor. Nociceptor is a pain receptor that is commonly found in the skin, cornea of eye and organ of motion such as muscles and ligaments. These nerve impulses
are carried out along with the sensory nerve fibers and activate nociceptor whereby it is said that the so-called gate is located in the dorsal horn of the spinal cord where activation of nociceptor takes place.
It has been shown that intrathecal administriton of GABA receptor antagonists cause hyperalgesia and allodynia. Constitutive, the increase in the endogenous GABA activity in the spinal cord alleviate pain resulting from noxious and innoxious mechanical and thermal stimuli. Different GABA receptors have different roles in alleviating thermal and mechanical pain in different animal pain models. There is no study to date that has examined the involvement of GABA A and GABA B in sensory dimension of neuropathic pain resulting from compression of spinal cord. The current study tests the hypothesis that GABA A or GABA B receptors contributes to the allodynia and hyperalgesia observed after spinal cord injury. The results showed that the effect of GABA A and GABA B receptors on mechanical hyperalgesia is similar but these receptors have different effects on thermal hyperalgesia. While using baclofen as GABA B receptor agonist does not affect the thermal pain, thermal hyperalgesia resulting from spinal cord injury was greatly alleviated by different doses of GABA A agonist, muscimol. Both Baclofen and muscimol are able to reduce the mechanical and cold allodynia has been seen after spinal cord injury but the effect of baclofen is dose dependent with no effect in higher doses used in this study. While almost all doses of muscimol were used in this study reduce the amount of cold and mechanical allodynia. The other result obtained in this study is the short term effect of GABA agonist. The anitinociceptive effect of Baclofen and muscimol appear to be maxium at 15 min after injection and gradually diminished by time and their analgesic effect disappeared 3 hours after injection.
Have you ever wondered why when you stub your toe on the chair in the living room, it helps tremendously to yell out an expletive or two and vigorously rub the area? I may not be able to discuss the basis for such language in this paper, but we will explore the analgesic response to rubbing that toe, in addition to the mechanism of pain and alternative treatments such as acupuncture and transcutaneous electrical nerve stimulation.
Physicalism is the position that nothing can exceed past what is physically present, and what is physical is all that there can be. This idea is reductive in that it suggests there is no more to the universe than physical matters, including brain processes, sensations, and human consciousness. J.J.C. Smart explains sensations as a means of commentary on a brain process. He believes that, essentially, brain processes and what we report as sensations are essentially the same thing in that one is an account of the other. He writes in “Sensations and Brain Processes” that “…in so far as a sensation statement is a report of something, that something is in fact a brain process. Sensations are nothing over and above brain processes,” (145). Though
“The Pain Tree” written by Olive Senior tells the story of a woman who comes back home after many years and begins to think about her childhood in a new light, which changes much of what she thought she knew of her family and childhood. The story shows the main character, Lorraine, revisiting the memories of her family and the woman who had taken care of her as a child, Larissa. Children mainly focus on the happy memories which may be tied to more important topics that they do not understand until they are older. Most children do not pick up on many of the complicated things happening around them. Lorraine can now see the bigger picture of her relationship with Larissa and how large the divides were between Lorraine’s family and Larissa’s
Hemmings H.C.and Hopkins P.M., (2006) Foundations of Anesthesia 2sd ed. Elsevier. Hudspith M.J., Siddall P.J. and Munglani R. Physiology of Pain.
The novel, the Agony and Ecstasy written by Irving Stone portrays Michelangelo's big ego and determination, taking the reader through his childhood to the moment he takes his last breath. Similar to the movie Ender's game, it shows Ender's determination to win the war with himself and the Formics . The main characters in the movie and book both endure thick and thin to face the desire to overcome obstacles.
Circumcision, the removal of the foreskin over the penis, was long thought to be a painless experience for an infant and was treated accordingly with little or no anesthesia. Most of the times during the surgical procedure, the babies cry very forcefully. This was for a long time thought to be normal and healthy. Other times, they lie still without making a sound from either shock or the act of passing out from the pain (1). This unresponsiveness was always thought to be from undeveloped pain receptors, or Nociceptors in the Somatosensory system (2) . These pain receptors send information to the spinal cord, then to the brain stem, thalamus, and somatosensory cortex. Modulation can occur through these pathways by way of suppression using large mechanosensitive fibers that enter the spinal cord or by endorphine release. This modulation involves changing the information about the pain to lessen the perception of its magnitude.
The International Association for the Study of Pain states that ‘Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage’ and can occur as acute or chronic ("IASP Taxonomy - IASP", 2012). As described in gate control theory by Melzack and Wall, (1965), physical pain occurs when noxious stimulation stimulates afferent nociceptors of the peripheral nervous system. There carry these injury signals to the dorsal horn of the spinal cord, which acts as a gate of pain perception. With myelinated A-delta nerve fibers transmits impulses quickly and are associated with sharp, well-located pain and unmyelinated, slow C-fibres are associated with dull, aching pain. In the spinal cord, the nociceptor signals inhibit the inhibitory interneuron and encourage the projection neuron to fire. The gate opens and pain messages get transmitted to the brain. However, efferent, large-diameter amyloid beta fibers can interfere with pain signals from nociceptors and inhibit pain, by activating the inhibitory interneuron, which inhibits the
...s that enter the dorsal horn of the spinal cord, and then cell carries the impulses from the spinal cord up to the brain. The signals produced from the primary afferent stimulation of the skin, and then transmitted into three regions in the spinal cord, the substantia gelatinosa, the dorsal column, and the transmission cells. The gate control theory proposed the gate in the spinal cord is the substantia gelatinosa within the dorsal horn, which then modulates the transmission of sensory information from the primary afferent neurons, then moving to the transmission cells in the spinal cord. Small and large fibers control the gating activity. The small fibers open the gate, whereas the large fibers close the gate. When nociceptor activity reaches a limit and activates pathway, opening the gate shows the pain behaviors and pain experiences (Moayedi & Davis, 2013).
Noxious heat stimuli detection can be understood through nociceptor function. Nociceptors are how pain is felt: these peripheral sensory neurons have nerve endings in places like skin, known as cutaneous nociceptors, which detect noxious external stimuli like heat. From these nerve endings in the skin, once an acceptable heat limit is exceeded, nociceptors transduct noxious thermal stimuli into electrical signals which conduct action potentials along the respective axon fibers to the central nervous system (Dubin et. al, 2010). On a broad scale, signals from activated cutaneous nociceptor nerve endings travel to respective cell bodies in the dorsal root ganglia, and from the spinal cord transmit pain
Pain and suffering are common sensations that all people will experience in today’s world. Most people would believe that there is a hierarchy to pain and that some individuals experience worse pain than others. This is not so with the Bodhisattva ideal where they have a belief that there should be no distinction between beings and ultimately, no distinction between pain (Jeffreys, April 12). I disagree with the Bodhisattva ideal because I stand with the opinion that suffering has a hierarchy and that pain has a subject.
"An aspirin a day keeps the doctor away." Although this saying can be true, it is not only aspirin that can cure the pains of life, but also several other types of analgesics. There are a wide variety of analgesics. More commonly known as painkillers. The narcotic analgesics act on the central nervous system and change the user's perception; they are more often used for severe pain and can make the user develop an addiction. The nonnarcotic analgesics, known as over the counter or OTC, work at the site of the pain. These do not create tolerance or dependence and do not vary the user's perception. OTC's are more commonly used everyday to treat mild pain.
Pain, a word that is always associated with getting hurt. The real question now is how it hurt. In life people experience many types of pain. There are two different kinds of pain; physical and mental. The physical part of pain is like falling from something, cutting your arm, or stubbing your toe. The mental part of pain is like hurting someone’s feeling from saying something harsh or doing something to them emotionally, which hurts inside. The causes and effects of physical and mental pain are very different but can be both equally devastating and even more dramatic with emotionally disturbed people.
"There is much pain that is quite noiseless; and that make human agonies are often a mere whisper in the of hurrying existence. There are glances of hatred that stab and raise no cry of murder; robberies that leave man of woman for ever beggared of peace and joy, yet kept secret by the sufferer-committed to no sound except that of low moans in the night, seen in no writing except that made on the face by the slow months of suppressed anguish and early morning tears. Many an inherited sorrow that has marred a life has been breathed into no human ear." George Eliot (1819-80), English novelist,editor. Felis Holt, the Radical, Introduction (1866).What is pain? In the American Heritage Dictionary, pain is referred to as "an unpleasant sensation occurring in varying degrees of severity as a consequence of injury, disease, or emotional disorder." The word is rooted in Middle English, from an Old French piene, from Latin poena, meaning "penalty or pain", and from Greek pointe, meaning "penalty." Pain is a very realistic problem that many individuals face daily.
The nerve fibers in the foot form part of a nociceptor, a special receptor found all over the body, and start the pain process. The receptors translate the stimulus into an electrical impulse and send the impulse up the leg and towards the spine. A cluster of specialized cells in the spinal cord forms the dorsal horn, which processes the impulse into the spinal cord. The dorsal horn then sends the signal on to the brain, but the horn may also inhibit or amplify the impulse before sending it onward. After the dorsal horn, the signal travels through the neurons of the spinal cord, into the brain, and to the thalamus. The thalamus relays the signal to the somatosensory cortex, the frontal cortex, the limbic system, and other regions of the brain. The somatosensory cortex senses the pain to localize the affected area. The frontal cortex “thinks” about the signal to determine how best to escape and avoid the pain. The limbic system reacts to the pain on an emotional level, determining how unpleasant or tolerable the pain feels. Pain to the head and face take a shortcut through the brain stem to the thalamus (“The trouble with treating pain,”