The somatosensory system is a widespread and diverse sensory system comprising of the receptors and processing centres to produce the sensory modalities touch, temperature, proprioception (body position), and nociception (pain). The sensory receptors cover the skin and epithelia, skeletal muscles, bones and joints, internal organs, and the cardiovascular system. While touch is considered one of the five traditional senses the impression of touch is formed from several modalities; In medicine, the colloquial term touch is usually replaced with somatic senses to better reflect the variety of mechanisms involved.

The system reacts to diverse stimuli using different receptors: thermoreceptors, mechanoreceptors and chemoreceptors. Transmission of information from the receptors passes via sensory nerves through tracts in the spinal cord and into the brain. Processing primarily occurs in the primary somatosensory area in the parietal lobe of the cerebral cortex.

At its simplest, the system works when a sensory neuron is triggered by a specific stimulus such as heat; this neurone passes to an area in the brain uniquely attributed to that area on the body - this allows the processed stimulus to be felt at the correct location. The mapping of the body surfaces in the brain is called a homunculus and is essential in the creation of a body image.

Anatomy

The somatosensory system is spread through all major parts of a mammal's body (and other vertebrates). It consists both of sensory receptors and sensory (afferent) neurones in the periphery (skin, muscle and organs for example), to deeper neurones within the central nervous system.

General somatosensory pathway

A somatosensory pathway typically has two long neurons: primary, secondary and tertiary (or first, second, and third).

• The first neuron always has its cell body in the dorsal root ganglion of the spinal nerve (if sensation is in head or neck, it will be the trigeminal nerve ganglia or the ganglia of other sensory cranial nerves).
• The second neuron has its cell body either in the spinal cord or in the brainstem. This neuron's ascending axons will cross (decussate) to the opposite side either in the spinal cord or in the brainstem. The axons of many of these neurones terminate in the thalamus (for example the ventral posterior nucleus, VPN), others terminate in the reticular system or the cerebellum.
• In the case of touch and certain types of pain, the third neuron has its cell body in the VPN of the thalamus and ends in the postcentral gyrus of the parietal lobe.

Periphery

In the periphery, the somatosensory system detects various stimuli by sensory receptors, e.g. by mechanoreceptors for tactile sensation and nociceptors for pain sensation. The sensory information (touch, pain, temperature etc.,) is then conveyed to the central nervous system by afferent neurones. There are a number of different types of afferent neurones which vary in their size, structure and properties. Generally there is a correlation between the type of sensory modality detected and the type of afferent neurone involved. So for example slow, thin unmyelinated neurones conduct casual touch whereas faster, thicker, myelinated neurones conduct pain.