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Ronald Melzack OC OQ FRSC (July 19, 1929 – December 22, 2019) was a Canadian psychologist and professor of psychology at McGill University. [1] [2] In 1965, he and Patrick David Wall re-charged pain research by introducing the gate control theory of pain.
In 1968, three years after the introduction of the gate control theory, Ronald Melzack concluded that pain is a multidimensional complex with numerous sensory, affective, cognitive, and evaluative components. Melzack's description has been adapted by the International Association for the Study of Pain in a contemporary definition of pain. [1]
Wall & Melzack's Textbook of Pain is a medical textbook published by Elsevier. It is named after Patrick David Wall and Ronald Melzack, who introduced the gate control theory into pain research in the 1960s. First released in 1984, the book has been described as "the most comprehensive scientific reference text in the field of pain medicine". [1]
At Melzack's urging they wrote a paper on the Gate control theory of pain and published it in Brain in 1962; according to Wall it was read by around three people. After expanding and rewriting the article they republished it as Pain Mechanisms: a new theory in Science in 1965 where it drew wider attention, with mostly negative comments. [11]
The neuromatrix theory, initially coined by psychologist Ronald Melzack in the 1990s, proposes that there is an extensive network connecting the thalamus and the cortex, and the cortex and the limbic system. [8]
Most pain resolves once the noxious stimulus is removed and the body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. [3] Pain is the most common reason for physician consultation in most developed countries.
The McGill Pain Questionnaire, also known as McGill Pain Index, is a scale of rating pain developed at McGill University by Melzack and Torgerson in 1971. [1] It is a self-report questionnaire that allows individuals to give their doctor a good description of the quality and intensity of pain that they are experiencing.
Melzack and Wall suggested that a gating mechanism is present in the dorsal horn of the spinal cord. They suggested that both touch and pain afferent fibres synapse on to 'projection cells' and inhibitory interneurons in the dorsal horn. It is the projection cells which then travel up the spinothalamic tract to the brain. Interactions between ...