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[1] [2] PAG is also the primary control center for descending pain modulation. It has enkephalin-producing cells that suppress pain. The periaqueductal gray is the gray matter located around the cerebral aqueduct within the tegmentum of the midbrain. It projects to the nucleus raphe magnus, and also contains
On the other hand, greater DNIC response is related to less pain, better physical functioning, and better self-rated health. [7] Diabetic neuropathy patients with low DNIC are more likely to benefit from treatment with duloxetine and tapentadol, [8] [9] which are considered to restore altered descending modulation. [10]
The gate control theory of pain asserts that non-painful input closes the nerve "gates" to painful input, which prevents pain sensation from traveling to the central nervous system. In the top panel, the nonnociceptive, large-diameter sensory fiber (orange) is more active than the nociceptive small-diameter fiber (blue), therefore the net input ...
It thus complements the classical serotonergic-opioid peptide descending pain-inhibiting system: whereas the serotonergic-opioid peptide pathway ultimately pre-synaptically inhibits first-order nociceptive group C neurons, the DLPRF inhibits - by way of presumably GABAergic inhibitory interneurons - the second-order neurons of the ascending ...
To help determine whether the persistent pain state was centrally or peripherally mediated, non-noxious stimuli were applied to the nerve-injured limb. In animals receiving vehicle injections into the RVM, there was an increase in c-Fos expression in the superficial and deep dorsal horn of the spinal cord, indicating activation of nociceptive ...
reticulospinal tract: connects the reticular system, a diffuse region of gray matter in the brain stem, to the spinal cord. It also contributes to muscle tone and influences autonomic functions. lateral vestibulospinal tract: Connects the brain stem nuclei of the vestibular system with the spinal cord. This allows posture, movement, and balance ...
Descending projections of the DLF are functionally involved in mediating chewing, swallowing, [3] [2] salivation and gastrointestinal secretory function, [2] and shivering. [3] Medial zone of hypothalamus → periaqueductal gray (synapse) → solitary nucleus, dorsal nucleus of vagus nerve. [3] Hypothalamus → reticular formation (synapse) → [3]
' pain receptor ') is a sensory neuron that responds to damaging or potentially damaging stimuli by sending "possible threat" signals [1] [2] [3] to the spinal cord and the brain. The brain creates the sensation of pain to direct attention to the body part, so the threat can be mitigated; this process is called nociception .