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1. COMPONENTS OF PAIN
1. Fast pain
2. Slow pain.
The receptors of both the components of pain are the free nerve endings. The
free nerve endings are distributed throughout the body.
First order neurons are the cells in the posterior nerve root ganglia. These
neurons receive impulses of pain sensation from the pain receptors through
their dendrites and their axons reach the spinal cord.
After reaching the spinal cord, the fibers synapse with marginal cells in the
posterior gray horn.
The fibers transmitting impulses of slow pain belong to C type and these
fibers synapse with substantia gelatinosa in the posterior gray horn (Fig.
143-4).
• The third order neurons of pain pathway are the neurons of thalamic
nucleus, reticular formation, tectum and gray matter around aqueduct
of Sylvius.
• Axons from these neurons reach the sensory area of cerebral cortex.
• Some fibers from reticular formation reach hypothalamus.
The center for pain sensation is in the post central gyrus of parietal cortex.
Fibers reaching hypothalamus are concerned with arousal mechanism due to
pain stimulus.
PATHWAY OF PAIN SENSATION FROM VISCERA AND FACE
REFERRED PAIN
DEFINITION
• The pain sensation produced in some parts of the body is felt in other
structures away from the place of development. This is called referred
pain.
• The deep pain and some visceral pain are referred to other areas. But
the superficial pain is not referred.
The central nervous system has got its own control system. This inhibits the
impulses of pain sensation.
This is called analgesia system. This control system is present in both brain
and spinal cord.
Gate Theory
APPLIED PHYSIOLOGY