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free nerve endings
widespread, especially in epithelia and connective tissues
tactile discs
stratum basale of epidermis
hair receptors
around hair follicle
tactile corpuscles
dermal papillae of fingertips, palms, eyelids, lips, tongue, nipples, and genitals
end bulbs
mucous membranes
bulbous corpuscles
dermis, subcutaneous tissue, and joint capsules
lamellar corpuscle
dermis, joint capsules, periosteum, breasts, genitals, and some viscera
muscle spindles
skeletal muscle near tendon
tendon organs
tendons
epidermis and dermis
sensory receptors location
somatic senses
touch, pressure, vibration, temperature, pain, proprioception (use ascending pathway)
1st-order neuron
dorsal root ganglia, cranial ganglia
2nd-order neuron
spinal cord or brainstem, axons cross over to the opposite side of the CNS
3rd-order neuron
thalamus, conduct impulses to primary sensory cortex of the cerebral hemisphere
dorsal column pathway, spinothalamic tracts, spinocerebellar tracts
3 major ascending pathways
lateral spinothalamic tract
convey pain and temperature
anterior spinothalamic tract
convey crude touch and pressure
Spinocerebellar tracts
transmits subconscious proprioceptive info from trunk and lower limb to the same side of the cerebellum (no crossover)
primary somatosensory cortex
located in the postcentral gyrus; receives somatosensory information from the skin and proprioceptors in skeletal muscles, joints, and tendons – spatial discrimination
somatosensory association cortex
posterior to the postcentral gyrus; integrates sensory inputs to produce an understanding of an object
contralateral side of the body
where does the somatosensory cortex receive signals from
body areas having highest sensitivity
what do large areas in the primary somatosensory cortex represent
specific loss of sensation
what does damage to the sensory homunculus produce
face
what area of the body uses a lot of area on the primary somatosensory cortex
pain
an uncomfortable perception of tissue injury or noxious stimulation
nociceptive pain
Stems from tissue injury such as cuts, burns, and chemical irritation, detected by nociceptors
Comes from receptor level
Can be subdivided into three kinds:
visceral pain
deep somatic pain
superficial somatic pain
neuropathic pain
Stems from injuries to the nerves, spinal cord, meninges, or brain. Examples are: headache, phantom limb pain, fibromyalgia, etc
Comes from beyond receptor level
fast pain
immediate sharp pain one feels from a cut, sting, or burn. Mediated by myelinated A-delta fibers. Can be localized
slow pain
Slow pain has a delayed, burning and aching feel. Mediated by unmyelinated type C fibers. Hard to tell where does it come from.
fibromyalgia
a condition that causes pain all over the body
lateral spinothalamic tract
carries most of the somatic pain signals that ultimately reach the primary somatosensory cortex and produce conscious pain
1st, 2nd, and 3rd order of neurons
spinoreticular tract
carries pain signals to the reticular formation of the brainstem
ultimately reach the hypothalamus and limbic system
Activate visceral, emotional, and behavioral reactions such as nausea, fear, and some reflexes
phantom limb
pain experienced in amputated limb
referred pain
pain felt in uninjured part of the body, but actually originates in another part of the body
endogenous opioids
inhibits pain pathways
CNS modulation of pain
1.First order neuron – release substance p
2.Second order neuron – ascend up the spinothalamic tract
3.3rd order neuron