Skip to main content

Intensive and Temporal Determinants of Thermal Pain

  • Chapter
Sensory Functions of the Skin of Humans

Abstract

The search for peripheral neural determinants of pain is aided by the attempt to correlate measurements of pain sensation with neural activity in peripheral afferent nerve fibers. Those fibers that respond only to noxious stimulation of their receptive fields are called “nociceptive afferents” and their distal endings, “nociceptors”. The word “nociceptive” is derived from the Latin word for “injury”; yet a biologically useful function of neural activity in nociceptive afferents may be to evoke pain in order to signal the threat of injury before it actually occurs (Burgess and Perl, 1973). Evidence for this comes from the close correlation between neural activity in nociceptive afferents in the peripheral nerve of conscious humans and simultaneous reports of pain during noxious stimulation of the skin (Torebjörk and Hallin, 1974; van Hees and Gybels, 1972). Heating the skin is an effective method of quantifying noxious stimulation. It is well known that the magnitude of pain, evoked by heating the skin, is determined to a large extent by the stimulus temperature. Much less is known about the temporal determinants of pain and the way is which the duration and frequency of heating interact with intensity to influence the magnitude of pain. I will describe our analyses of these variables in psychophysical studies in humans, and in studies of heat-sensitive nociceptors in the monkey.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Beck, P. W., Handwerker, H. O., & Zimmermann, M. Nervous outflow from the cat’s foot during noxious radiant heat stimulation. Brain Research, 1974, 67, 373–386.

    Article  PubMed  CAS  Google Scholar 

  • Beck, P. W., & Handwerker, H. O. Bradykinin and serotonin effects on various types of cutaneous nerve fibres. Pfliigers Archiv, 1974, 347, 209–222.

    Article  CAS  Google Scholar 

  • Beitel, R. E., & Dubner, R. Fatigue and adaptation in unmyelinated (C) polymodal nociceptors to mechanical and thermal stimuli applied to the monkey’s face. Brain Research, 1976a, 112, 402–406.

    Article  PubMed  CAS  Google Scholar 

  • Beitel, R. E., & Dubner, R. Response of unmyelinated (C) polymodal nociceptors to thermal stimuli applied to monkey’s face. Journal of Neurophysiology, 1976, 39, 1160–1175.

    PubMed  CAS  Google Scholar 

  • Beitel, R. E., & Dubner, R. Sensitization and depression of C-polymodal nociceptors by noxious heat applied to the monkey’s face. In J. J. Bonica & D. Able-Fessard (Eds.), Advances in pain research and therapy (Vol. 1 ). New York: Raven Press, 1976c.

    Google Scholar 

  • Bessou, P., & Perl, E. R. Response of cutaneous sensory units with unmyelinated fibers to noxious stimuli. Journal of Neurophysiology, 1969, 32, 1025–1043.

    CAS  Google Scholar 

  • Burgess, P. R., & Perl, E. R. Cutaneous mechanoreceptors and nociceptors. In A. Iggo (Ed.), The somatosensory system. Berlin: Springer-Verlag, 1976.

    Google Scholar 

  • Burgess, P. R., & Perl, E. R. Myelinated afferent fibers responding specifically to noxious stimulation of the skin. Journal of Physiology (London), 1967, 190, 541–562.

    CAS  Google Scholar 

  • Burgess, P. R., Petit, D., & Warren, R. M. Receptor types in cat hairy skin supplied by myelinated fibers. Journal of Neurophysiology, 1968, 31, 833–848.

    PubMed  CAS  Google Scholar 

  • Campbell, J. N., & LaMotte, R. H. Reaction time to first pain in human subjects. Neuroscience Abstract 7th Annual Meeting, 1977, 13, 478.

    Google Scholar 

  • Campbell, J. N., & LaMotte, R. H. Reaction time to first pain in human subjects. Neuroscience Abstract 7th Annual Meeting, 1977, 13, 478.

    Google Scholar 

  • Croze, S., Duclaux, R., & Kenshalo, D. R. The thermal sensitivity of the polymodal nociceptors in the monkey. Journal of Physiology (London), 1976, 263, 539–562.

    CAS  Google Scholar 

  • Croze, S., Duclaux, R., & Kenshalo, D. R. The thermal sensitivity of the polymodal nociceptors in the monkey. Journal of Physiology (London), 1976, 263, 539–562.

    CAS  Google Scholar 

  • Dubner, R., & Hu, J. W. Myelinated (A6) nociceptive afferents in-nervating the monkey’s face. Journal of Dental Research, 1977, 56, A167.

    Google Scholar 

  • Dubner, R., Price, D. D., Beitel, R. E., & Hu, J. W. Peripheral neural correlates of behavior in monkey and human related to sensory discriminative aspects of pain. In D. J. Anderson & B. Mathews (Eds.), Pain in the trigeminal region. Amsterdam: Elsevier, 1977.

    Google Scholar 

  • Fitzgerald, M., & Lynn, B. The sensitization of high threshold mechanoreceptors with myelinated axons by repeated heating. Journal of Physiology (London), 1977, 365, 549–563.

    Google Scholar 

  • Fjällbrant, N., & Iggo, A. The effect of histamine, 5-hydroxy- tryptamine and acetylcholine and cutaneous afferent fibres. Journal of Physiology (London), 1961, 156, 578–590.

    Google Scholar 

  • Georgopoulos, A. P. Functional properties of primary afferent units probably related to pain mechanisms in primate glabrous skin. Journal of Neurophysiology, 1976, 39, 71–83.

    PubMed  CAS  Google Scholar 

  • Gernandt, B., & Zotterman, Y. The effect of respiratory changes upon the spontaneous injury discharge of afferent mammalian and human nerve fibers. Acta Physiologica Scandinavica, 1946, 119 248–259.

    Article  Google Scholar 

  • Handwerker, H. O. Pharmacological modulation of the discharge of nociceptive C fibers. In Y. Zotterman (Ed.), Sensory functions of the skin in primates. Oxford: Pergamon Press, 1976.

    Google Scholar 

  • Hardy, J. D. Thresholds of pain and reflex contraction as related to noxious stimulation. Journal of Applied Physiology, 1953, 5, 725–739.

    CAS  Google Scholar 

  • Hardy, J. D., Stolwijk, J.A.J., Hammel, H. T., & Murgatroyd, D. Skin temperature and cutaneous pain during warm water immersion. Journal of Applied Physiology, 1965, 20, 1014–1021.

    PubMed  CAS  Google Scholar 

  • Hardy, J. D., Stolwijk, J.A.J., & Hoffman, D. Pain following step increase in skin temperature. In D. R. Kenshalo (Ed.), The skin senses. Springfield: Thomas, 1968.

    Google Scholar 

  • Hardy, J. D., Wolff, H. G., & Goodell, H. Pain sensations and reactions. Baltimore: Williams and Wilkins, 1952.

    Google Scholar 

  • Hees, J., van, & Gybels, J. M. Pain related to single afferent C fibers from human skin. Brain Research, 1972, 48, 397–400.

    Google Scholar 

  • Hilder, R., Ramey, E., Darian-Smith, I., Johnson, K.O., & Dally, L. J. A contact stimulator for the study of cutaneous thermal sensibility. Journal of Applied Physiology, 1974, 37, 252–255.

    CAS  Google Scholar 

  • Hunt, C. C., & Mclntyre, A. K. An analysis of fiber diameter and receptor characterization of myelinated cutaneous afferents in cat. Journal of Physiology (London), 1960, 153, 99–112.

    CAS  Google Scholar 

  • Iggo, A. Cutaneous heat and cold receptors with slowly conducting (C) afferent fibres. Quarterly Journal of Experimental Physiology, 1959, 44, 362–370.

    CAS  Google Scholar 

  • Iggo, A. Cutaneous mechanoreceptors with afferent C fibres. Journal of Physiology (London), 1960, 152, 337–353.

    CAS  Google Scholar 

  • Iggo, A., & Ogawa, H. Primate cutaneous thermal nociceptors. Journal of Physiology (London), 1971, 216, 77–78.

    Google Scholar 

  • Iriuchijima, J., & Zotterman, Y. The specificity of afferent cutaneous C fibres in mammals. Acta Physiologica Scandinavica, 1960, 49, 267–278.

    Article  PubMed  CAS  Google Scholar 

  • Keele, C. A., & Armstrong, D. Substances producing pain and itch. Baltimore: Williams and Wilkins, 1965.

    Google Scholar 

  • Kumazawa, T., & Perl, E. R. Primate cutaneous sensory units with unmyelinated (C) afferent fibers. Journal of Neurophysiology, 1977, 40, 1325–1338.

    CAS  Google Scholar 

  • LaMotte, R. H., & Campbell, J. N. Comparison of the responses of warm and nociceptive C fiber afferents in monkey with human judgements of thermal pain. Journal of Neurophysiology, 1978, 41, 509–528.

    CAS  Google Scholar 

  • Lele, P. P., Weddell, G., and Williams, C. M. The relationship between heat transfer, skin temperature and cutaneous sensibility. Journal of Physiology (London), 1954, 126, 206–234.

    CAS  Google Scholar 

  • Lewis, T. Experiments relating to cutaneous hyperalgesia and its spread through somatic nerves. Clinical Science, 1936, 2, 373–423.

    Google Scholar 

  • Lewis, T. Pain. New York: MacMillan, 1942.

    Google Scholar 

  • Lewis, T., & Hess, W. Pain derived from the skin and the mechanisms of its production. Clinical Science, 1933, 39–61.

    Google Scholar 

  • Lynn, B. Cutaneous hyperalgesia. British Medical Bulletin, 1977, 33, 103–108.

    PubMed  CAS  Google Scholar 

  • Meyer, R. A., Walker, R. E., & Mountcastle, V. B. A laser stimulator for the study of cutaneous thermal and pain sensations. IEEE Transactions on Biomedical Engineering, 1976, 23, 54–60.

    Article  PubMed  CAS  Google Scholar 

  • Meyer, R. A., Campbell, J. N., & LaMotte, R. H. Sensitization of A-delta nociceptive afferents to noxious radiant heat delivered to the monkey hand. Neuroscience Abstract 7th Annual Meeting, 1977, 13, 487.

    Google Scholar 

  • Moritz, A. R., & Henriques, F. C., Jr. Studies of thermal injury. II. The relative importance of time and surface temperature in the causation of cutaneous burns. American Journal of Pathology, 1947, 23, 695–720.

    PubMed  CAS  Google Scholar 

  • Perl, E. R. Myelinated afferent fibres innervating the primate skin and their response to noxious stimuli. Journal of Physiology (London), 1968, 197, 593–615.

    CAS  Google Scholar 

  • Perl, E. R., Kumazawa, T., Lynn, B., 8 Kenins, P. Sensitization of high threshold receptors with unmyelinated (C) afferent fibers. In A. Iggo & O. B. Ilyinsky (Eds.)* Somatosensory and visceral receptor mechanisms, Progress of Brain Research (Vol. 43 ), Amsterdam: Elsevier, 1976.

    Google Scholar 

  • Price, D. D., & Dubner, R. Mechanisms of first and second pain in the peripheral and central nervous systems. Journal of Investigative Dermatology, 1977, 69, 167–171.

    Article  PubMed  CAS  Google Scholar 

  • Price, D. D., Hu, J. W., Dubner, R., & Gracely, R. H. Peripheral suppression of first pain and central summation of second pain evoked by noxious heat pulses. Pain, 1977, 3, 57–68.

    Article  PubMed  CAS  Google Scholar 

  • Ryan, G. B., S Majno, G. Acute inflammation. American Journal of Pathology, 1977, 86, 185–274.

    CAS  Google Scholar 

  • Sevitt, S. Burns, pathology and therapeutic applications. London: Butterworth, 1957.

    Google Scholar 

  • Sevitt, S. Inflammatory changes in burned skin: Reversible and irreversible effects and their pathogenesis. In L. Thomas, J. W. Uhr & L. Grant (Eds.), Injury, inflammation and immunity. Baltimore: William and Wilkins, 1965.

    Google Scholar 

  • Sumino, R., Dubner, R., & Starkman, S. Responses of small myelinated “warm” fibers to noxious heat stimuli applied to the monkey’s face. Brain Research, 1973, 62, 260–263.

    Article  PubMed  CAS  Google Scholar 

  • Szolcsanyi, J. On the specificity of pain-producing and sensory neuron blocking effects of capsaicin. In J. Knoll & E.S. Vizi (Eds.), Symposium on Analgesics. Budapest: Academiai Kiado, 1976.

    Google Scholar 

  • Szolcsanyi, J. The local efferent function of capsaicin-sensitive C-nociceptors. Proceedings of International Union of Physiological Sciences, 1977, 13, 736.

    Google Scholar 

  • Thibos, L. N., & Werblin, F. S. The response properties of the steady antagonistic surround in the mudpuppy retina. Journal of Physiology (London), 1978, 278, 79–99.

    CAS  Google Scholar 

  • Torebjork, H. E., & Hallin, R. G. Perceptual changes accompanying controlled preferential blocking of A and C fiber responses in intact human skin nerves. Experimental Brain Research, 1973, 16, 321–332.

    Article  CAS  Google Scholar 

  • Torebjork, H. E., & Hallin, R. G. Identification of afferent C units in intact human skin nerves. Brain Research, 1974, 67, 387–4–03.

    Google Scholar 

  • Torebjork, H. E., & Hallin, R. G. Skin receptors supplied by unmyelinated (C) fibres in man. In Y. Zotterman (Ed.), Sensory functions of the skin in primates. Oxford: Pergamon Press,1976.

    Google Scholar 

  • Torebjork, E., & Hallin, R. G. Sensitization of polymodal nociceptors with C fibres in man. Proceedings of International Union of Physiological Sciences, 1977, 13, 758.

    Google Scholar 

  • Torgerson, W.S. Theory and methods of scaling. New York: Wiley, 1958.

    Google Scholar 

  • Wilhelm, D.L., & Mason, B. Vascular permeability changes in inflammation: the role of endogenous permeability factors in mild thermal injury. British Journal of Experimental Pathology, 1960, 41, 487–506.

    PubMed  CAS  Google Scholar 

  • Zimmermann, M., & Handwerker, H. 0. Total afferent inflow and dorsal horn activity upon radiant heat stimulation to the catTs footpad. Advances in Neurology (Vol. 4 ), New York: Raven Press, 1974.

    Google Scholar 

  • Zotterman, Y. Studies in the peripheral nervous mechanisms of pain. Acta Medica Scandinavica, 1933, & 0, 185–242.

    Google Scholar 

  • Zotterman, Y. Specific action potentials in the lingual nerve of the cat. Scandinavica Archiv Physiologica, 1936, 75, 105–119.

    Google Scholar 

  • Adair, E. R., Stevens, J. C., & Marks, L. E. Thermally induced pain, the doe scale, and the psychophysical power law. American Journal of Psychology, 1968, 81, 147–164.

    CAS  Google Scholar 

  • LaMotte, R. H., & Campbell, J. N. Comparison of the responses of warm and nociceptive C fiber afferents in monkey with human judgements of thermal pain. Journal of Neurophysiology, 1978, 509–528.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1979 Plenum Press, New York

About this chapter

Cite this chapter

LaMotte, R.H. (1979). Intensive and Temporal Determinants of Thermal Pain. In: Kenshalo, D.R. (eds) Sensory Functions of the Skin of Humans. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3039-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-3039-4_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3041-7

  • Online ISBN: 978-1-4613-3039-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics