Notes taken from Physiology for Nursing Practice (1999) Hinchcliffe, S. Montague, S. Watson, R. 2nd Edition, London; Harcourt Brace and Company Ltd and Pathophysiology The Biologic Basis for Disease in Adults and Children (2010) McCance, K.L., Huether, S. E., Brashers, V., Rote, N. S., Missouri; Mosby Inc
Pain perceived in a location other than the site of the painful
stimulus or pain that is present in an area removed or distant
from its point of origin
Also known as reflective pain
Referred visceral pain is
carried by second order
neurons that travel in the
contralateral spinothalmic tracts
The area of referred pain is supplied by the
same spinal segment as the actual site of
pain becuase impulses from many
cutaneous and visceral neurons converge
The presumed mechanism is one of afferent fibres from
this conjoint area in the spinal cord, relaying the mistaken
perception that the pain arises from the referral site.