The body's own warning system is distributed
throughout the body and is extremely fast. The most important
part is played by the nervous system. A gigantic communication
system, similar to a widely branching telephone network where
the brain functions as the main switchboard and the spinal cord
as the central cable. Fine nerve fibres, made up of many cells,
lead into and out of the spinal cord just like telephone cables.
Information is passed on in the form of electric impulses at
breathtaking speed.
Some three million pain receptors, the so-called nociceptors,
are distributed around free nerve endings. They are mostly located
in the
skin and see to it, that no harmful effects from the exterior remain
hidden from the brain. Nociceptors which are to be found in muscles,
bones, blood vessels and entrails, also inform upon any endogenous
dysfunction, such as an inflammation. Nociceptors will take up direct
pain stimuli that may be of chemical, thermic, mechanic or electric
nature, and direct them via nerve tracts to the 'switchboard' - the
brain. There they are immediately processed and passed on. The order
for the fitting counter-reaction, passing the conducting nerve fibres
of the spinal cord, then goes to the place of action.
Our body supports the directing and awareness of pain by releasing
particular pain mediators that will sensitise the nociceptors for
further stimuli. In addition, prostaglandins, special substances that
are pain enhancing, are built up at the site of action. Prostaglandins
are short-lived, locally acting hormones that can trigger or strengthen
a state of pain. They encourage inflammation and fever.
The basis for all inflammatory, painful of feverish
reactions is usually an irritation of or damage to single cells.
This can be triggered by mechanical, thermic or chemical stimuli.
Cell walls are mostly made up of substances rich in fatty acids, whereby
arachidonic acid is to be found most frequently. It is seen as the
most important preliminary stage of prostaglandins. The release of
arachidonic acid from the cell walls leads to a very fast formation
of prostaglandins. Inflammation cells rush to the site of action.
Local blood supply is increased and pain, inflammation and fever mediators
enter into the blood circulation. Apart from pain, rash, swelling,
local overheating and possibly fever belong to the typical symptoms
of an inflammation.