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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
Published on: December 19, 2016
The somatosensory system, with emphasis on structures important for pain
1Department of Neuroscience and Cell Biology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1069, USA. wdwillis@utmb.edu
Brain Research Reviews
|July 3, 2007
Summary
Santiago Ramón y Cajal
Area of Science:
- Neuroscience
- Histology
- Somatosensory System Research
Background:
- Santiago Ramón y Cajal's foundational work detailed somatosensory structures, including pain pathways.
- Subsequent research has significantly expanded understanding beyond Cajal's era.
- New experimental techniques have revealed previously unknown details of sensory receptors and neural pathways.
Purpose of the Study:
- To review the historical contributions of Santiago Ramón y Cajal to somatosensory system understanding.
- To highlight advancements in neuroscience since Cajal's time, particularly in pain research.
- To contextualize modern discoveries within the framework of Cajal's early observations.
Main Methods:
- Historical review of neuroanatomical literature, focusing on Cajal's work.
- Comparison of Cajal's descriptions with contemporary findings from advanced experimental approaches.
- Integration of molecular biology findings, such as transient receptor potential (TRP) channels, with anatomical observations.
Main Results:
- Cajal accurately depicted peripheral mechanoreceptors and nerve endings, and sensory neuron development.
- Modern research has identified additional somatosensory receptors and the ultrastructure of nerve endings.
- The molecular basis of sensory transduction, including TRPV1 (capsaicin receptor), is now understood.
- Cajal described spinal cord afferent fiber entry and gray matter neuron types, including precursors to identified spinothalamic tract cells.
Conclusions:
- Cajal's anatomical descriptions provided a crucial foundation for modern somatosensory neuroscience.
- Advances in experimental techniques and molecular biology have greatly expanded our knowledge of pain pathways and sensory transduction.
- The spinothalamic tract, unknown to Cajal, is a key pathway for pain and temperature sensation.
Related Concept Videos
Somatosensation
The somatosensory system relays sensory information from the skin, mucous membranes, limbs, and joints. Somatosensation is more familiarly known as the sense of touch. A typical somatosensory pathway includes three types of long neurons: primary, secondary, and tertiary. Primary neurons have cell bodies located near the spinal cord in groups of neurons called dorsal root ganglia. The sensory neurons of ganglia innervate designated areas of skin called dermatomes.
Sensory Perception: Organization of the Somatosensory System
The somatosensory system is the central and peripheral nervous system component that senses and processes touch, pressure, pain, temperature, and body position or proprioception. The process of sensation takes place at three levels:
The receptor level:
The receptor level is the first stage of sensation. It involves the detection of a stimulus by specialized sensory receptors. The stimulus must arrive within the receptor's receptive field. Next, the receptor converts the energy of the stimulus...
The receptor level:
The receptor level is the first stage of sensation. It involves the detection of a stimulus by specialized sensory receptors. The stimulus must arrive within the receptor's receptive field. Next, the receptor converts the energy of the stimulus...
Overview of Somatic Sensory Pathways
Somatic sensory or somatosensory pathways refer to the neural pathways that carry information related to touch, pressure, pain, temperature, and proprioception from the skin, muscles, tendons, and joints to the brain. These pathways involve several stages of processing and integration of sensory information.
The somatosensory system is divided into three main pathways: the dorsal (or posterior) column-medial lemniscus, spinothalamic (or anterolateral), and spinocerebellar pathways.
The dorsal...
The somatosensory system is divided into three main pathways: the dorsal (or posterior) column-medial lemniscus, spinothalamic (or anterolateral), and spinocerebellar pathways.
The dorsal...
Major Somatic Sensory Pathways
Sensory impulses related to touch, pressure, vibration, and proprioception from various body parts, such as the limbs, trunk, neck, and posterior head, travel to the cerebral cortex through the posterior column-medial lemniscus pathway. The pathway’s name derives from the two white-matter tracts that convey the impulses: the spinal cord's posterior column and the brainstem's medial lemniscus. First-order sensory neurons extend their axons into the spinal cord, forming the posterior columns...
Pain
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
Sensory Functions of the Skin
The skin is the largest organ of the human body and plays a crucial role in our sensory perception. It contains a vast network of sensory receptors that contribute to the skin's protective function by perceiving physical, biological, and environmental cues and generating relevant responses.
There are two main categories of receptors on the skin: capsulated and non-capsulated. The non-capsulated ones are mainly the pain receptors. The capsulated ones can be further categorized based on the...
There are two main categories of receptors on the skin: capsulated and non-capsulated. The non-capsulated ones are mainly the pain receptors. The capsulated ones can be further categorized based on the...

