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A new theory of pain 

A new theory of pain
Chapter:
A new theory of pain
Author(s):

Tony Dickenson

DOI:
10.1093/med/9780198834359.003.0007
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date: 27 October 2021

Of all the seminal papers on pain, the one described in this chapter must be one of the most influential. It has been cited over 11,000 times. This paper proposed the theory that the transmission of pain from peripheral fibres through the spinal cord to the brain was not a passive fixed process but was subject to modulation and alteration. It also suggested that there was interplay between different afferent fibres, spinal excitatory neurons, and inhibitory spinal neuron and that the brain could exert influence on the spinal cord. Most of modern pain science and clinical management is based on this theory, which is now clearly backed up by facts.

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