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ALL   ABOUT   PAIN
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],So, What is Pain, Anyway?
There are Two “Waves” of Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Just a little touch/pain humor…. … .and something else to ponder.
Notice that the nociceptors labeled here are located in the EPIDERMIS and that they are FREE NERVE ENDINGS, or afferent nerve dendrites  that are not encapsulated (as  touch, heat, and pressure  nerve endings are)  Cutaneous (“In the Skin”) Receptors
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gate Control Theory
[object Object],[object Object],[object Object],[object Object],Gate Control Theory Cont’d
[object Object],[object Object],[object Object],Gate Control Theory: In-Depth
Transmission: -Damaged Tissue -Thalamus -Parietal lobe and Limbic System -Cerebral Cortex Pain and the Brain
When humans’ brains are mapped for response to lasers, this area activates. While controversial, one area, the Vmpo, causes pain or temperature-related sensations when stimulated. It gets messages from lamina I through the thalamus. Lesions in the parieto-insular cortex reduces pain. The Parieto-Insular Cortex
Medial Frontal Cortex This is part of an area involved in controlling motivational behavior It activates in response to perceiving the unpleasantness of pain
The parieto-insular cortex is responsible for the physical sensation processing The anterior cingulate is responsible for the emotional response to pain This theory suggests that pain in primates is “phylogenetically novel” because involved areas are large in primates, but especially large in humans It could explain the effects of pain and the autonomic system on feelings Simpler animals experience pain in the brainstem, but do not experience it cortically One Possible Theory
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The Neurotransmitters of PAIN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Remarkable Discovery with Fos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How the Pain We Feel is Different ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chronic Pain
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],More Causes of Pain and Nerve Damage
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sensitization
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
But Don’t Forget  the Most Curious Substance of All..... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
P A I N   C O N T R O L Which Leads Us To……
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Tolerance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More connections to regions  of the brain associated with external functions  More connections to regions  of the brain associated with internal functions
And Now, Some Weird Stuff……
Music and Pain An hour a day keeps the doctor away
[object Object],[object Object],[object Object],[object Object]
SCN9A, CIPA and Evolution ,[object Object],[object Object],[object Object]
In a study of people who had too much of SCN9A, the people experienced chronic burning in their extremities
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bibliography Andreae-Jones, Sarah, MB BS. “Capsaicin, Corticosteroids, and CCK Antagonists.”  A.S.A.M. Society . July 2000.  < http://www.arachnoiditis.info/content/capsaicin_corticosteroids_cck_antagonists/capsaicin_cortico steroids_cck_antagonists.html >. 2 Feb. 2010.  Barrett, Julia, Ken R. Wells, and Jacqueline L. Longe. “Pain. (Disease/Disorder overview).” The  Gale  Encyclopedia of Medicine. Jan. 1, 2008. Gale.  Academic OneFile.  Web. 31 Jan. 2010.  < http://find.galegroup.com/gtx/start.do?prodId=AONE&userGroupName=ntn >. Brownstein, M. J. “A brief history of opiates, opioid peptides, and opioid receptors.”  Proc. Natl.  Acad. Sci. USA .   Vol. 90, pp. 5391-5393, June 1993.  < http://www.ncbi.nlm.nih.gov/pmc/articles/PMC46725/pdf/pnas01469-0022.pdf >. 2 Feb. 2010.  Calandra, Bob M. “Feeling your pain.”  MedicineNet.com .  Aug. 27, 2002.  < http://www.medicinenet.com/script/main/art.asp?articlekey=51160 >. 3 Feb. 2010.    Chudler, Eric H.  Neuroscience for Kids: Conduction Velocity . 2008.  < http://faculty.washington.edu/chudler/cv.html >. 31 Jan. 2010.   Chudler, Eric H.  Pain and Why It Hurts.  < http://faculty.washington.edu/chudler/pain.html >.31  Jan. 2010. “ CIPA.”  Sick Du Jour . March 19, 2009.  < http://sickdujour.blogspot.com/search?updated‑max=2009‑03‑20T08%3A50%3A00‑04%3A00&m ax‑results=4  >. 3 Feb. 2010.  “ Congenital Insensitivity to Pain with Anhidrosis.”  Science Online .  < http://www.scionline.org/index.php/Congenial_Insensitivity_to_Pain_with_Anhidrosis >. 30 May  2009.  Connors, Barry W., Mark F. Bear, and Michael Paradiso.  Neuroscience Exploring the Brain 2nd Edition B01_0829 .  Maryland: Lippincott Williams & Wilkins, 2001. Print.  Craig, A. D. (Bud). “Mapping pain in the brain.” The Wellcome Trust.  < http://www.wellcome.ac.uk/en/pain/microsite/science2.html >. 2 Feb. 2009.
Dray, A. “Mechanisms of action of capsaicin-like molecules on sensory neurons.” Life Sci. 1992;51(23):1759-65. < http://www.ncbi.nlm.nih.gov/pubmed/1331641 >.  Fields, Howard L. “Pain Perception—The Dana Guide.”  The Dana Foundation.  Nov. 2007.  < http://www.dana.org/news/brainhealth/detail.aspx?id=10072 >. 2  Feb. 2010.  Fisher, Brian D, Ph.D. “NSAIDs Case Analysis: New Approaches to Soft Tissue Injuries.”  NSAIDs .  July 7, 1999.  < http://www.nsaids.com />. 3 Feb. 2010.  Freudenrich, Ph.D., Craig.  &quot;How Pain Works.&quot;  Nov. 9, 2007.   HowStuffWorks.com.  < http://health.howstuffworks.com/pain.htm >. 3 Feb. 2010. “ Gender and Pain.” Society for Neuroscience. May 2007.  < http://www.sfn.org/index.aspx?pagename=brainBriefings_Gender_and_Pain >. 3 Feb. 2010.  Gray, Peter O. Psychology, Fourth Edition. null ed. New York: Worth Publishers, 2002. Print.  Holzer, Peter. “Neural Injury, Repair, and Adaptation in the GI Tract, II. The elusive action of capsaicin on the vagus  nerve.”  Am J Physiol Gastrointest Liver Physiol  July 1998: Vol. 275, Issue 1, G8-G13.  Hopley, Laura and Jo van Schalkwyk. “Pain Physiology.”  Oct. 24 2006.  < http://www.anaesthetist.com/icu/pain/Findex.htm#pain3.htm >. 2 Feb. 2010.  “ How you feel pain.”  Mayo Clinic.  Feb. 13, 2009. < http://www.mayoclinic.com/health/pain/PN00017 >. 3 Feb. 2010.  Leeman, Susan E. “Substance P and Neurotensin: Discovery, Isolation, Chemical Characterization and  Physiological Studies.”  J. Exp. Biol.  (1980), vol. 89. pp. 193-200.  < http://jeb.biologists.org/cgi/reprint/89/1/193.pd >. 29 Jan. 2010. Luttrell, Andy. “The Neurology of Pain Perception: How the Brain Feels Pain with Nociception.”  Oct. 28, 2009.  < http://biology.suite101.com/article.cfm/the_neurology_of_pain_perception >. 2 Feb. 2010.  Miranda, Claudia et al. “Novel Pathogenic Mechanisms of CIPA Genetic Disorders Unveiled by Functional Analysis  of  NTRK1/NGF  Receptor Mutations.”  JBC Papers in Press .  < http://www.jbc.org/cgi/reprint/M110016200v1.pdf >. Manuscript M110016200 (Nov. 21, 2001).
“ Nerve Pain and Nerve Damage: Symptoms and Causes.”  Brain & Nervous System Health Center; WebMD.  Oct. 8,  2008 .  < http://www.webmd.com/brain/nerve-pain-and-nerve-damage-symptoms-and-causes >.  3 Feb.  2010. &quot;Neuroscience for Kids - Receptors.&quot; UW Faculty Web Server.  < http://faculty.washington.edu/chudler/receptor.html  >. 1 Feb. 2010.  “ Neurotransmission.”  The Merck Manuals Online Medical Library.”  Nov. 2005.  < http://www.merck.com/mmpe/sec16/ch207/ch207a.html >. 3 Feb. 2010. Oliviera, Carlos R. D. et al. “Spinal Anesthesia in a Patient with Congenital Insensitivity to Pain with Anhidrosis.”  Pain Medicine . < http://www.anesthesia‑analgesia.org/cgi/content/full/104/6/1561104 >. (2007):  1561-2. “ Pain.” Jan. 12, 2009. < http://courses.washington.edu/conj/sensory/pain.htm >. 1 Feb. 2010. “ Pain.”  Magill’s Encyclopedia of Social Science: Psychology Volume 3.  Ed. Nancy A. Piotrowski,  Ph.D. Pasadena:  Salem Press, 2003.  &quot;Pain.&quot; Neuroscience For Kids. Web. < http://faculty.washington.edu/chudler/pain.html >.  2 Feb. 2010. “ Pain Perception.”  Lewis & Clark College .  < http://legacy.lclark.edu/~reiness/neurobiology/Lectures/Pain%20Perception.pdf >. 3 Feb. 2010.  Pathways 4 Pain . Aug. 9, 2009. < http://relievepain.wordpress.com/2009/08/09/pathways-4-pain />. 2 Feb.  2010. “ Scientists Study Children Who Feel No Pain.” Feb. 20, 2007.  Voice of America News .  < http://www.voanews.com/specialenglish/archive/2007-02/2007-02-20-voa3.cfm?moddate=2007-02- 20 >. 2 Feb. 2010.  Stucky, Cheryl L., Michael S. Gold, and Xu Zhang. “Mechanisms of Pain.”  Proceedings of the National Academy of  Sciences of the United States of America .  Oct. 9, 2001. vol. 98, no. 21. pp. 11845-11846.  < http://www.pnas.org/content/98/21/11845.full >. Woodrow, Kenneth D., M.D. et al. “Pain Tolerance: Differences According to Age, Sex and Race.”  Psychosomatic Medicine , Vol. 34, No. 6 (November-December 1972).  < http://www.psychosomaticmedicine.org/cgi/reprint/34/6/548.pdf >. 1 Feb. 2010.

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Pain presentation

  • 1. ALL ABOUT PAIN
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  • 5. Just a little touch/pain humor…. … .and something else to ponder.
  • 6. Notice that the nociceptors labeled here are located in the EPIDERMIS and that they are FREE NERVE ENDINGS, or afferent nerve dendrites that are not encapsulated (as touch, heat, and pressure nerve endings are) Cutaneous (“In the Skin”) Receptors
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  • 11. Transmission: -Damaged Tissue -Thalamus -Parietal lobe and Limbic System -Cerebral Cortex Pain and the Brain
  • 12. When humans’ brains are mapped for response to lasers, this area activates. While controversial, one area, the Vmpo, causes pain or temperature-related sensations when stimulated. It gets messages from lamina I through the thalamus. Lesions in the parieto-insular cortex reduces pain. The Parieto-Insular Cortex
  • 13. Medial Frontal Cortex This is part of an area involved in controlling motivational behavior It activates in response to perceiving the unpleasantness of pain
  • 14. The parieto-insular cortex is responsible for the physical sensation processing The anterior cingulate is responsible for the emotional response to pain This theory suggests that pain in primates is “phylogenetically novel” because involved areas are large in primates, but especially large in humans It could explain the effects of pain and the autonomic system on feelings Simpler animals experience pain in the brainstem, but do not experience it cortically One Possible Theory
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  • 28.
  • 29. P A I N C O N T R O L Which Leads Us To……
  • 30.
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  • 34. More connections to regions of the brain associated with external functions More connections to regions of the brain associated with internal functions
  • 35. And Now, Some Weird Stuff……
  • 36. Music and Pain An hour a day keeps the doctor away
  • 37.
  • 38.
  • 39. In a study of people who had too much of SCN9A, the people experienced chronic burning in their extremities
  • 40.
  • 41. Bibliography Andreae-Jones, Sarah, MB BS. “Capsaicin, Corticosteroids, and CCK Antagonists.” A.S.A.M. Society . July 2000. < http://www.arachnoiditis.info/content/capsaicin_corticosteroids_cck_antagonists/capsaicin_cortico steroids_cck_antagonists.html >. 2 Feb. 2010. Barrett, Julia, Ken R. Wells, and Jacqueline L. Longe. “Pain. (Disease/Disorder overview).” The Gale Encyclopedia of Medicine. Jan. 1, 2008. Gale. Academic OneFile. Web. 31 Jan. 2010. < http://find.galegroup.com/gtx/start.do?prodId=AONE&userGroupName=ntn >. Brownstein, M. J. “A brief history of opiates, opioid peptides, and opioid receptors.” Proc. Natl. Acad. Sci. USA . Vol. 90, pp. 5391-5393, June 1993. < http://www.ncbi.nlm.nih.gov/pmc/articles/PMC46725/pdf/pnas01469-0022.pdf >. 2 Feb. 2010. Calandra, Bob M. “Feeling your pain.” MedicineNet.com . Aug. 27, 2002. < http://www.medicinenet.com/script/main/art.asp?articlekey=51160 >. 3 Feb. 2010.   Chudler, Eric H. Neuroscience for Kids: Conduction Velocity . 2008. < http://faculty.washington.edu/chudler/cv.html >. 31 Jan. 2010.   Chudler, Eric H. Pain and Why It Hurts. < http://faculty.washington.edu/chudler/pain.html >.31 Jan. 2010. “ CIPA.” Sick Du Jour . March 19, 2009. < http://sickdujour.blogspot.com/search?updated‑max=2009‑03‑20T08%3A50%3A00‑04%3A00&m ax‑results=4 >. 3 Feb. 2010. “ Congenital Insensitivity to Pain with Anhidrosis.” Science Online . < http://www.scionline.org/index.php/Congenial_Insensitivity_to_Pain_with_Anhidrosis >. 30 May 2009. Connors, Barry W., Mark F. Bear, and Michael Paradiso. Neuroscience Exploring the Brain 2nd Edition B01_0829 . Maryland: Lippincott Williams & Wilkins, 2001. Print. Craig, A. D. (Bud). “Mapping pain in the brain.” The Wellcome Trust. < http://www.wellcome.ac.uk/en/pain/microsite/science2.html >. 2 Feb. 2009.
  • 42. Dray, A. “Mechanisms of action of capsaicin-like molecules on sensory neurons.” Life Sci. 1992;51(23):1759-65. < http://www.ncbi.nlm.nih.gov/pubmed/1331641 >. Fields, Howard L. “Pain Perception—The Dana Guide.” The Dana Foundation. Nov. 2007. < http://www.dana.org/news/brainhealth/detail.aspx?id=10072 >. 2 Feb. 2010. Fisher, Brian D, Ph.D. “NSAIDs Case Analysis: New Approaches to Soft Tissue Injuries.” NSAIDs . July 7, 1999. < http://www.nsaids.com />. 3 Feb. 2010. Freudenrich, Ph.D., Craig.  &quot;How Pain Works.&quot;  Nov. 9, 2007.  HowStuffWorks.com. < http://health.howstuffworks.com/pain.htm >. 3 Feb. 2010. “ Gender and Pain.” Society for Neuroscience. May 2007. < http://www.sfn.org/index.aspx?pagename=brainBriefings_Gender_and_Pain >. 3 Feb. 2010. Gray, Peter O. Psychology, Fourth Edition. null ed. New York: Worth Publishers, 2002. Print.  Holzer, Peter. “Neural Injury, Repair, and Adaptation in the GI Tract, II. The elusive action of capsaicin on the vagus nerve.” Am J Physiol Gastrointest Liver Physiol July 1998: Vol. 275, Issue 1, G8-G13. Hopley, Laura and Jo van Schalkwyk. “Pain Physiology.” Oct. 24 2006. < http://www.anaesthetist.com/icu/pain/Findex.htm#pain3.htm >. 2 Feb. 2010. “ How you feel pain.” Mayo Clinic. Feb. 13, 2009. < http://www.mayoclinic.com/health/pain/PN00017 >. 3 Feb. 2010. Leeman, Susan E. “Substance P and Neurotensin: Discovery, Isolation, Chemical Characterization and Physiological Studies.” J. Exp. Biol. (1980), vol. 89. pp. 193-200. < http://jeb.biologists.org/cgi/reprint/89/1/193.pd >. 29 Jan. 2010. Luttrell, Andy. “The Neurology of Pain Perception: How the Brain Feels Pain with Nociception.” Oct. 28, 2009. < http://biology.suite101.com/article.cfm/the_neurology_of_pain_perception >. 2 Feb. 2010. Miranda, Claudia et al. “Novel Pathogenic Mechanisms of CIPA Genetic Disorders Unveiled by Functional Analysis of NTRK1/NGF Receptor Mutations.” JBC Papers in Press . < http://www.jbc.org/cgi/reprint/M110016200v1.pdf >. Manuscript M110016200 (Nov. 21, 2001).
  • 43. “ Nerve Pain and Nerve Damage: Symptoms and Causes.” Brain & Nervous System Health Center; WebMD. Oct. 8, 2008 . < http://www.webmd.com/brain/nerve-pain-and-nerve-damage-symptoms-and-causes >. 3 Feb. 2010. &quot;Neuroscience for Kids - Receptors.&quot; UW Faculty Web Server. < http://faculty.washington.edu/chudler/receptor.html >. 1 Feb. 2010. “ Neurotransmission.” The Merck Manuals Online Medical Library.” Nov. 2005. < http://www.merck.com/mmpe/sec16/ch207/ch207a.html >. 3 Feb. 2010. Oliviera, Carlos R. D. et al. “Spinal Anesthesia in a Patient with Congenital Insensitivity to Pain with Anhidrosis.” Pain Medicine . < http://www.anesthesia‑analgesia.org/cgi/content/full/104/6/1561104 >. (2007): 1561-2. “ Pain.” Jan. 12, 2009. < http://courses.washington.edu/conj/sensory/pain.htm >. 1 Feb. 2010. “ Pain.” Magill’s Encyclopedia of Social Science: Psychology Volume 3. Ed. Nancy A. Piotrowski, Ph.D. Pasadena: Salem Press, 2003.  &quot;Pain.&quot; Neuroscience For Kids. Web. < http://faculty.washington.edu/chudler/pain.html >. 2 Feb. 2010. “ Pain Perception.” Lewis & Clark College . < http://legacy.lclark.edu/~reiness/neurobiology/Lectures/Pain%20Perception.pdf >. 3 Feb. 2010. Pathways 4 Pain . Aug. 9, 2009. < http://relievepain.wordpress.com/2009/08/09/pathways-4-pain />. 2 Feb. 2010. “ Scientists Study Children Who Feel No Pain.” Feb. 20, 2007. Voice of America News . < http://www.voanews.com/specialenglish/archive/2007-02/2007-02-20-voa3.cfm?moddate=2007-02- 20 >. 2 Feb. 2010. Stucky, Cheryl L., Michael S. Gold, and Xu Zhang. “Mechanisms of Pain.” Proceedings of the National Academy of Sciences of the United States of America . Oct. 9, 2001. vol. 98, no. 21. pp. 11845-11846. < http://www.pnas.org/content/98/21/11845.full >. Woodrow, Kenneth D., M.D. et al. “Pain Tolerance: Differences According to Age, Sex and Race.” Psychosomatic Medicine , Vol. 34, No. 6 (November-December 1972). < http://www.psychosomaticmedicine.org/cgi/reprint/34/6/548.pdf >. 1 Feb. 2010.