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← Human Body & HealthA patient reports chronic pain despite taking NSAIDs. Which mechanism explains why the pain persists when nociceptor sensitization has already lowered the activation threshold?
A)Increased local endorphin production
B)Reduced substance P neurotransmitter release
C)Enhanced A-beta fiber stimulation inhibits
D)Central sensitization amplifies spinal signaling✓
💡 Explanation
Central sensitization explains the continued pain, because it involves the spinal cord's neurons becoming hyperexcitable due to persistent nociceptor input, therefore amplifying pain signals even when peripheral input is reduced, rather than local pain reduction mechanisms.
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