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This American hero suffered stabbing psychic and somatic pain from the ordeal.
Such withdrawal effects can be very much like narcotic withdrawal, with a lot of somatic pains.
Examples of injuries that produce superficial somatic pain include minor wounds and minor (first degree) burns.
Somatic pain may be due to chronic inflammation from tissue injury and is described as gnawing, tender, and pounding.
Detection of somatic pain is found by stimulation of the free nerve endings that lie near the surface of the skin.
Bone pain belongs to the class of deep somatic pain, often experienced as a dull pain that cannot be localized accurately by the patient.
Pain during this stage arises from vaginal and perineal distension and is predominantly a deep somatic pain.
Somatic pain is itself a mental phenomenon as is the subjective distress produced by the acute phase response at the onset of illness or immediately after trauma.
An anecdote attributed to the Desert Mother Amma Theodora also connects somatic pain and illness with the onset of acedia.
Anterolateral cordotomy is effective for relieving unilateral, somatic pain while bilateral cordotomies may be required for visceral or bilateral pain.
Functional MRI studies of the cortical network associated with particular aspects of the somatic pain experience (prickling pain, cold pain, etc.).
Deep somatic pain is initiated by stimulation of nociceptors in ligaments, tendons, bones, blood vessels, fasciae and muscles, and is dull, aching, poorly-localized pain.
These differences between somatic and visceral pain thresholds were confirmed by others who showed that patients with irritable bowel syndrome and Crohn's disease had higher thresholds than normal controls for somatic pain.
Keay and Bandler have now confirmed that there are discrete areas in one region of the brain (peri-aqueductal gray) that are responsible for visceral and somatic pain (see Keay et al 2002).
Since the biliary tract is an internal organ, it has no somatic nerve supply, and biliary colic due to infection and inflammation of the biliary tract is not a somatic pain.
Pain in viscera (such as gut, liver etc) is different clinically to pain in the body surface (somatic pain) and may respond better to treatments that differ from current standard morphine and aspirin-like drugs.
It is effective in treating refractory post-stroke pain, atypical face pain, anaesthesia dolorosa, and deafferentation and somatic pain such as in phantom limb or brachial plexus injury (Boccard et al. 2013).