Pain pathway
LIMBIC SYSTEM
3rd
SOMATOSENSORY Orde
CORTEX r
Neur
on
RETICULAR FORMULATION
BRAIN STEM THALAMUS OR
PERI-AQUEDUCTAL GREY
2nd
Orde
SPINOTHALAMIC
r
SPINORETICULAR SPINOMESENCEPHALIC
TRACT TRACT TRACT Neur
on
ASCENDS SEVERAL SEGMENTS IN THE SPINAL CORD BEFORE
CROSSING OVER TO THE OPPOSITE VENTROLATERAL SIDE
LAMINA
V Zone of Convergence
LAMINA LAMINA Dorsal Horn of
III, IV I, II Spinal Cord
1st
Dorsal Root Orde
LARGE DIAMETER CELLS SMALL DIAMETER CELLS
Ganglia r
Neur
Aβ Aδ C Afferent Neurons on
VANILLOID ACID SECRETING PURINERGIC
RECEPTOR ION CHANNEL RECEPTOR
(VR1) RECEPTOR Nociceptors
(ASIC)
TOUCH AND HEAT H+ ATP
PROPRIOCEPTION
PAINFUL STIMULUS