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Part II - Pain

Published online by Cambridge University Press:  04 August 2010

Hugh Bostock
Affiliation:
Institute of Neurology, London
P. A. Kirkwood
Affiliation:
Institute of Neurology, London
A. H. Pullen
Affiliation:
Institute of Neurology, London
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Summary

Pain is a frequent cause for people to seek medical advice. The need to have a secure understanding of the cellular basis of pain has resulted in extensive physiological, pharmacological and psychological research into its various aspects. Research, however, has often been hampered by the practical issues of identifying and recording signals in small-diameter nerves, and defining the relationship between nerve impulses recorded in animal preparations and the human experience of ‘pain’. The disparate nature of pain is reflected in the varied aspects of the work presented in this section. Pain can arise not only from mechanical injury and exogenously applied noxious substances, but can also be related to muscle activity (see chapter by Westgaard) and local inflammation (chapter by Iggo). The identity of peripheral afferents whose activities gives rise to pain, together with their pathologies, is extensively reviewed by Ochoa. However, these primary afferent fibres are only the first stage of the sensory pathway and other parts of the nervous system are involved in pain syndromes. As pointed out in the chapter by Willis, while acute pain is generally obvious and easy to treat, it also produces a longer-term legacy of abnormal sensation which is less readily identifiable. Willis argues that the existence of such long-term consequences suggests a possible mechanism in the spinal cord for ‘remembering’ pain.

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The Neurobiology of Disease
Contributions from Neuroscience to Clinical Neurology
, pp. 149 - 150
Publisher: Cambridge University Press
Print publication year: 1996

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  • Pain
  • Edited by Hugh Bostock, Institute of Neurology, London, P. A. Kirkwood, Institute of Neurology, London, A. H. Pullen, Institute of Neurology, London
  • Book: The Neurobiology of Disease
  • Online publication: 04 August 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511570193.015
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  • Pain
  • Edited by Hugh Bostock, Institute of Neurology, London, P. A. Kirkwood, Institute of Neurology, London, A. H. Pullen, Institute of Neurology, London
  • Book: The Neurobiology of Disease
  • Online publication: 04 August 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511570193.015
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Pain
  • Edited by Hugh Bostock, Institute of Neurology, London, P. A. Kirkwood, Institute of Neurology, London, A. H. Pullen, Institute of Neurology, London
  • Book: The Neurobiology of Disease
  • Online publication: 04 August 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511570193.015
Available formats
×