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Pharmacology

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C & Aδ Fibers<br />

Pain Pathways<br />

Somatosensory<br />

Cortex<br />

Thalamus<br />

From<br />

Brain<br />

To<br />

Brain<br />

Spinal<br />

Cord<br />

Neural Steps in the Processing of Pain Signals<br />

1. Transduction - Noxious stimuli → electrical signals<br />

2. Transmission - Neural events from the periphery to the<br />

cortex<br />

3. Modulation - Nervous system can selectively inhibit or<br />

enhance pain signals<br />

4. Perception - subjective interpretation by the cortex<br />

Sensory component<br />

Affective component<br />

Nociceptive Transmission Pathway<br />

Sensory<br />

Receptor Periphery CNS<br />

Nociceptors:<br />

• C-polymodal<br />

small, non-myelinated<br />

• Aδ-mechanical<br />

thermal<br />

Medium, thinly-myelinated<br />

Spinal<br />

cord<br />

DRG<br />

Thalamus

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