RT Book, Section A1 Scullion, Bridget Fowler A1 Ryan, Laurajo A2 Attridge, Rebecca L. A2 Miller, Monica L. A2 Moote, Rebecca A2 Ryan, Laurajo SR Print(0) ID 57295616 T1 Chapter 45. Pain Management T2 Internal Medicine: A Guide to Clinical Therapeutics YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-174580-2 LK accesspharmacy.mhmedical.com/content.aspx?aid=57295616 RD 2024/04/20 AB Pain is a warning mechanism; tissue damage causes release of prostaglandins & other substances that send signals via peripheral nerves (nociceptors) to dorsal horn of spinal cord; from spinal cord, neurotransmitters transmit pain signals to spinothalamic tract & thalamus which process the pain signal in the brain; neurotransmitters (NE, 5HT) & endogenous opioids in brain & spinal cord modulate pain signal