This is a factor in neurological cases but is not so prevalent as might at first seem likely. Pain can only be felt if there are pathways to convey the sensation. Pain is most likely to occur in irritative lesions when the threshold of pain reception is low. Thus, pain is a feature of neuritis.

Other reasons are those connected with raised intracranial pressure giving rise to a headache and throbbing sensations. Some patients with lesions in the thalamic region show intractable thalamic pain which is difficult to understand until it is appreciated as a centrally placed lesion and is not due to damage in the peripheral area of which the pain is interpreted as coming. Discomfort and pain from habitual bad posturing also occur and patients who have sudden waves of increase in muscle tone will complain of pain. What are your views about neurological pains?