Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Nociception01:44

Nociception

29.2K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
29.2K
Pain01:20

Pain

588
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...
588
Analgesia and Pain Management01:25

Analgesia and Pain Management

763
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
763
Opioid Receptors: Overview01:22

Opioid Receptors: Overview

1.6K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
1.6K
Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

918
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
918
Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

11.6K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
11.6K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hypermobility and chronic pain in adolescents: diverging functional and neural profiles without sensory differences.

Pain·2026
Same author

Brain-immune correlates of quality of life in adolescents with chronic musculoskeletal pain.

Brain, behavior, and immunity·2025
Same author

Brain mechanisms supporting nonpainful multisensory hypersensitivities associated with core disease symptoms in youth with chronic primary pain.

Pain·2025
Same author

Patient subtyping in juvenile fibromyalgia: the role of multisensory hypersensitivity and neurophysiological correlates.

Journal of pediatric psychology·2025
Same author

Neurophysiology of resilience in juvenile fibromyalgia.

Pain·2025
Same author

Heterogeneity in Pancreatitis: Recognizing Heterogeneity and Its Role in the Management of Pancreatitis Summary of a National Institute of Diabetes and Digestive and Kidney Diseases Workshop.

Pancreas·2024

Related Experiment Video

Updated: Aug 28, 2025

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management
09:03

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Published on: March 28, 2025

591

The distributed nociceptive system: a novel framework for understanding pain.

Robert C Coghill1,2,3

  • 1Pediatric Pain Research Center, Cincinnati Children's Hospital, Cincinnati, OH, USA.

Scandinavian Journal of Pain
|September 21, 2022
PubMed
Summary

Understanding central nervous system pain mechanisms is limited, hindering chronic pain treatment. A new Distributed Nociceptive System framework offers insights into pain processing and supports multidisciplinary approaches.

Keywords:
WDRbraindistributedfMRIpopulation recruitmentspinal

More Related Videos

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
09:16

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Published on: February 16, 2017

17.0K
Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons
09:40

Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons

Published on: June 30, 2022

2.3K

Related Experiment Videos

Last Updated: Aug 28, 2025

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management
09:03

Optimizing Photoneuromodulation Techniques to Evaluate the Role of Green Light-Emitting Diodes in Pain Management

Published on: March 28, 2025

591
Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
09:16

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing

Published on: February 16, 2017

17.0K
Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons
09:40

Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons

Published on: June 30, 2022

2.3K

Area of Science:

  • Neuroscience
  • Pain Research
  • Systems Biology

Background:

  • Current understanding of central nervous system (CNS) pain mechanisms is limited.
  • This deficit presents significant challenges in diagnosing and treating chronic pain effectively.

Purpose of the Study:

  • Introduce a new conceptual framework: The Distributed Nociceptive System.
  • Emphasize system-level aspects of nociceptive processing.
  • Provide a structure for understanding complex spatial aspects of chronic pain.

Main Methods:

  • Conceptual framework development.
  • Incorporation of population coding principles.
  • Integration of distributed processing concepts.

Main Results:

  • The Distributed Nociceptive System framework highlights system-level nociceptive processing.
  • This framework incorporates population coding and distributed processes.
  • It offers a structure for analyzing the spatial dimensions of chronic pain.

Conclusions:

  • The Distributed Nociceptive System provides a novel perspective on pain mechanisms.
  • It offers a clear rationale for advancing multidisciplinary treatments for chronic pain.
  • This framework aids in understanding and addressing the complexities of chronic pain.