New PDF release: Defeating Pain: The War Against a Silent Epidemic

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Extra info for Defeating Pain: The War Against a Silent Epidemic

Example text

To criticize a person sharply is to cause him pain-or, in phrases that embody obvious metaphors, to hurt him or wound him. " Were it possible to distinguish firmly between pain as a bodily process and pain as an emotional experience, there is little doubt that the English language would have produced noninterchangeable words to mark that distinetion. As a matter of fact, our rich language does have a number of words with approximately the same meaning: distress, anguish, suffering, misery, agony.

The Causes of Pain 39 Each single sensory fiber is special in two ways. First, it is interested only in its own target area. Second, it is interested only in particular events. The very large fibers are excited only by light pressure. Some fibers respond only to warming or to cooling. Some small myelinated fibers (that is, those enclosed in a substance called myelin) respond only to intense pressure; obviously these are of special importance with respect to pain. Many of the smallest fibers, the C fibers, respond to pressure, to high temperature (above 110 degrees Fahrenheit), and to abnormal chemieals.

On the face, it attacks one of the three divisions of the trigeminal nerve; most often, this is the division that supplies the forehead, so that inflammation and pain occur on one side of the forehead and on the eyelids, but not on the rest of the face. Bacteria can also destroy nerves, with pa inful consequences. The most dramatic is syphilis, which can attack the sensory roots to produce tabes dorsalis, a very serious condition, characterized by shooting pains and feelings of numbness and leading to the destruction of large nerve fibers in the sensory roots.

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