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Gate Control Theory of Pain

This theory of pain Perception argues that incoming pain signals are moderated by a neural gate in the spinal cord.  The opening and closing of the gate is influenced by messages that descend from the Brain and from activity in the pain fibres and other sensory nerves.

 

Gate Control Theory was first proposed by Melzack and Wall in the 1960s

 

The gate theory of pain attempts to combine a Physiological and psychological approach to pain


The theory argues that the Nerve impulses which produce pain pass through a series of 'gates' on their way to the brain, and that these gates are influenced by messages descending from the Brain and by other information that we are receiving.  Below is a table, which shows some of the conditions that can open or close the pain gate. 

Conditions that open the gate
Conditions that close the gate
 
Physical conditions
Extent of the injury
Inappropriate activity level
Physical conditions
Medication
Counter stimulation, e.g. massage
Emotional conditions
Anxiety or worry
Tension
Depression
Emotional Conditions
Positive emotions
Relaxation
Rest
Mental conditions
Focusing on pain
Boredom
Mental conditions
Intense concentration or distraction
Involvement and interest in life activities