Candy will provide an overview of Bristol Health Partners' Chronic Pain Health Integration Team which brings together clinicians, academics, patients and carers to focus on improving the lives of those with chronic pain and supporting those who provide chronic pain services or care. Tony will describe recent and ongoing studies that have been forward and reverse translating pain neuroscience from animal to human including functional imaging in patients, microneurography, industrial partnerships and trials of novel preventative approaches that are benefitting from the people, expertise and facilities available in Bristol and GW4.

Microneurography is a method, invented by Ake Vallbo and Karl-Erik Hagbarth in the late 1960, with which we can record the activity from single, identified nerve fibres in awake human participants. In this talk, I will then discuss the method, its advantages and limitations, and some of the key discoveries regarding coding of tactile events in the signalling from receptors in the human skin. An extension of the method is to stimulate single afferents, and record the resulting tactile sensations reported by the participants, so-called microstimulation. The first experiments were done in the 1980s, but the method has recently seen a revival, and is currently being combined with high-resolution brain imaging in the study of the relationship between tactile nerve signals, sensations, and processing of tactile information in the brain.