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Central pain syndrome, also known as central neuropathic pain, [1] is a neurological condition consisting of constant moderate to severe pain due to damage to the central nervous system (CNS) which causes a sensitization of the pain system. [2] [3] The extent of pain and the areas affected are related to the cause of the injury. [4]
Nociplastic pain is a longterm complex pain, one of three mechanisms of pain, defined by the International Association for the Study of Pain as "pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system causing the pain". [2]
Central sensitization of the dorsal horn neurons that is evoked from C fiber activity is responsible for temporal summation of "second pain" (TSSP). [15] This event is called 'windup' and relies on a frequency greater or equal to 0.33 Hz of the stimulus. [15] Windup is associated with chronic pain and central sensitization. [15]
Fibromyalgia is classified as a disorder of pain processing due to abnormalities in how pain signals are processed in the central nervous system. [36] The International Classification of Diseases ( ICD-11 ) includes fibromyalgia in the category of "Chronic widespread pain," code MG30.01. [ 37 ]
Parabrachial checks if the pain is being received in normal temperatures and if the gustatory system is active; if both are so the pain is assumed to be due to poison. Ao fibers synapse on laminae 1 and 5 while Ab synapses on 1, 3, 5, and C. C fibers exclusively synapse on lamina 2.
Central neuropathic pain is found in spinal cord injury [10] and multiple sclerosis. [11] Peripheral neuropathies are commonly caused by diabetes , metabolic disorders , herpes zoster infection, HIV -related neuropathies, nutritional deficiencies, toxins, remote manifestations of malignancies, immune mediated disorders and physical trauma to a ...
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The periaqueductal gray (PAG), also known as the central gray, is a brain region that plays a critical role in autonomic function, motivated behavior and behavioural responses to threatening stimuli. [1] [2] PAG is also the primary control center for descending pain modulation. It has enkephalin-producing cells that suppress pain.