Exam 3 Flashcards
(156 cards)
What are the 3 types of pain
inflammatory, neuropathic, nociceptive
Inflammatory pain
cause by damage to tissue or inflammation of joints or by tumor cells
Neuropathic pain
caused by lesions or other damage to the nervous system (ex. carpal tunnel, brain damage from stroke)
Nociceptive pain
pain caused by activation of receptors in the skin called nocicpetors
Nociceptors
specialized cell receptors that respond to tissue damage or potential damage
What is the direct pathway model of pain? What evidence led researchers to question this model of pain perception?
This model says that pain occurs when specific nociceptor receptors in the skin are stimulated and send their signals directly from the skin to the brain. Researchers started questioning this when pain was noted to be affected by factors in addition to stimulation of the skin.
What is the gate control model of pain?
In this model there are additional pathways that influence the signals sent from the spinal cord to the brain. Nociceptors, mechanoreceptors, and central control impact the transmission cell that “creates” pain.
How do nociceptors impact the gate control model of pain?
They send excitatory signals to the transmission cell (causing pain). Excitatory signals from the neurons in the dorsal horn “open the gate” and increase the firing of the transmission cells (more pain).
Mechanoreceptors
specialized cell receptors that respond to non-painful tactile stimulation
How do mechanoreceptors impact the gate control model of pain?
When activity in the mechanoreceptors reach the dorsal horn inhibitory signals “close the gate” and decrease the firing of the transmission cells (less/no pain).
Central control
information related to cognitive functions such as expectation, attention, and distraction
How does central control impact the gate control model of pain?
Similar to mechanoreceptors, activity coming down from the brain also closes the gate and decreases transmission cell activity, thus decreasing pain.
Give an example of when expectation influenced pain
the placebo effect makes a patient expect some sort of medical relief, thus creating relief completely or partially. An interesting fact about placebos is that they can attach themselves to particular parts of the body (meaning your hand can be in pain while your foot is impacted by a placebo)
Give an example of when shifting attention influenced pain
not feeling pain until you see the blood, or playing a video game while changing the bandages of burn victims.
Give an example of when emotional distraction influenced pain
showing pictures of positive actions (playing sports) vs. negative actions (breaking a leg) impact the way a person feels as they stick their hand in a bucket of cold water.
Pain matrix
subcortical structors (hypothalamus, amygdala, thalamus, and areas of the cortex: somatosensory cortex/S1, anterior cingulate cortex/ACC, the prefrontal cortex/PFC, and the insula)
Describe the multimodal nature of pain
Pain is made up of both sensory (throbbing, dull, prickly) and emotional/affective (torturing, annoying, sickening) experiences
Pain
an unpleasant sensory and emotional experience
Opiods
chemicals such as opium and heroin that impact pain perception and attach themselves to receptor sites. These receptor sites are the same receptors that are activated by endorphines
Endorphines
endogenous (naturally occurring) morphine
Explain how people are impacted by watching other people being touched/hurt/etc.
Empathetic people are more likely to experience more pain while watching someone else in pain than people who are not classified as highly empathetic
What is the relation between heat and cold receptors–do we use the same receptors to sense both heat and cold?
We use thermo-receptors to feel temperature. They do not respond to anything other than temp. And there a different receptors for each. These receptors can feel radiant and touched temp.
Where are thermo-receptors located?
embedded in the epidermis and dermis
Where do the heat receptors project to? Where do the cold receptors project to?
Heat is projected to S1 and cold is projected to SII.