lecture 9 - pain and social pain Flashcards
(37 cards)
pain
An unpleasant sensory and emotional experience associated with actual or potential tissue damage
has intensity, implying that it can be measured
- Has character (ex. Sharp, Dull, Burning, Aching)
- Pain is subjective
list what pain can be modulated by
Ascending and Descending Pathways
o Salience Network (what to pay attention to)
o Modulation Network (top-down control, neurochemical pain killers)
o Physically manipulations (ex. medication, massage, etc)
what is acute pain
<6 months
immediate response from injury or disease (with limited duration)
responsive to pharmacological treatments
what is chronic pain
> 6 months
not responsive to pharmacological treatments
touch receptors come from …
hair (vibrational)
stretch receptors respond to…
pulling and condensing of muscles
wide, ridged receptors respond to…
vibration and pressure (texture)
list 3 types of sensory receptors
touch receptors
stretch receptors
wide ridged receptors
free nerve endings
pain receptors that are closest to the surface of the skin and don’t have caps that other nerve endings have
nociceptors
sensory neurons that respond to damaging / potentially damaging stimuli (specifically pain receptors)
transmit pain info to ipsilateral side of spinal cord (the side stimulated is the side that is received in spinal cord)
what are free nerve endings specific for
pain and temperature
what is the purpose of myelin in A-delta fibres
AP can be propageted down the axon faster thanks to the myelin
Why are C fibres different from A fibres?
C fibres have no myelin so the AP moves slower
specificity theory
causal relationship between pain stimulus and receptors
stimulus intensity is also called
pain intensity
issues with specificity theory
- there is no specific cortical location for pain
- pain fibres can be used for other purposes (like pressure and temperature)
- it doesn’t explain the diffs in peoples reports of pain
describe the spinothalamic tract process of pain
sensory neurons conduct and transmit painful stimuli from peripheral nervous system to CNS (the spinal cord)
nociceptors transmit pain information to ipsilateral (same) side of the spinal cord
pain signal crosses to the contralateral (opposite) side of spinal cord
transmission ascends spinal cord through brainstem VPL nucleus of thalamus
signal transmitted from thalamus to somatosensory areas of cerebral cortex
pain received on the right side of the body will be processed in the left hemisphere of the brain and vice versa
pattern theory
nociceptors generate repeated or very large signal in the spinal cord which gets passed to the brain to perceive the pain
the signal is only transmitted if it passes the threshold
flaws of pattern theory
doesnt explain deferred pain (like feeling period cramps in legs or back instead of uterus)
doesn’t explain pain without injury (or injury without pain) bc there is no stimulus to drive the APs
gate control theory
c fibre activates the inhibitory interneuron since no pain is observed. the signal therefore is not sent to the brain
c fibre inhibits the inhibitory neuron if pain is observed. signal is then sent to the brain.
pain can reactivate the inhibitory interneuron, partially allowing the inhibitory interneuron to do its job (block the pain signal ascension). the signal to the brain conveys slight pain.
- example of this is rubbing your knee after u bang it to make it feel better
pain modulators
can be physical or psychosocial
physical
- block pain from being transmitted up to brain (ex; medication)
psychosocial
- how much attention u have on the pain, how u interpret the pain, and diff coping strategies used
operant conditioning and pain
pain is a unpleasant sensation and leads to behaviour
classical conditioning and pain
pain is a particular situation or environment that is associated w pain/ anxiety/ depression
fear avoidance model
avoidance is associated w catastrophizing patients. if pain is interpreted as threatening, this fear evolves
avoidance behaviour leads to mainteneance or exacerbation of fear, hypervigilance to internal and external illness information, and muscular reactivity
confrontation leads to reduction of fear over time