Achievable logoAchievable logo
MBLEx
Sign in
Sign up
Purchase
Textbook
Practice exams
Support
How it works
Exam catalog
Mountain with a flag at the peak
Textbook
1. Anatomy and physiology
1.1 Nervous system
1.1.1 Nervous tissue
1.1.2 Divisions of the nervous system
1.1.3 Reflexes and sensory receptors
1.1.4 Cranial nerves
1.1.5 Spinal cord, spinal nerves, peripheral nerves
1.1.6 Brain
1.2 Cardiovascular system
1.3 Lymphatic system
1.4 Digestive system
1.5 Respiratory system
1.6 Urinary system
2. Kinesiology
3. Pathology & special populations
4. Benefits and effects
5. Assessment and planning
6. Sandbox Folder
Achievable logoAchievable logo
1.1.1 Nervous tissue
Achievable MBLEx
1. Anatomy and physiology
1.1. Nervous system
Our MBLEx course is currently in development and is a work-in-progress.

Nervous tissue

7 min read
Font
Discuss
Share
Feedback

Revised 2025-10-16 9:40:46 AM EDT

Understanding the functioning of the nervous system is important for appreciating many of the positive effects of bodywork, understanding many pathologies, and, of course, passing the MBLEx. Below we introduce you to the individual cells that make up the nervous system, which will help you understand bigger-picture nervous system functioning in later sections.

Nervous system cells

At the heart of nervous tissue is the nerve cell (“neuron”) – a highly specialized cell that receives, processes, and sends information. Although neurons come in many shapes, you can understand any of them by learning three core parts.

Definitions
Cell body (soma)
The soma is the neuron’s metabolic center, where proteins and energy are made. A scaffolding of neurofibrils (structural filaments inside the cell) helps maintain its shape and supports the transport of materials down the cell’s long processes.
Dendrites
These are short, branching extensions that function like receiving antennae. Dendrites greatly increase the cell’s surface area so it can receive thousands of chemical signals from other neurons.
Axon
A typical neuron has a single axon, a long cable that carries the electrical signal away from the soma. The axon ends in a spray of tiny swellings called the axon terminal.

Each terminal has a rounded synaptic knob filled with synaptic vesicles – microscopic packets of chemical messenger. The meeting place where one neuron communicates with another (or with a muscle or gland) is the synapse: the terminal sits opposite the receiving cell across a narrow space called the synaptic cleft. The membrane of the sending side is the presynaptic membrane; the receiving side is the postsynaptic membrane. When an electrical signal reaches the end of the axon, vesicles fuse with the presynaptic membrane and release neurotransmitter into the cleft. The transmitter diffuses across and binds receptors on the postsynaptic membrane, changing the activity of the target cell that the presynaptic neuron is sending a message to.

The electrical signal moving along the axon is the nerve impulse or action potential. You can picture it as a brief, self‑propagating spike of voltage that travels down the axon without fading. The phrase impulse conduction simply describes the way the action potential moves down the axon.

In many neurons, this process is dramatically sped up by the myelin sheath (sometimes shortened to “myelin”), a fatty insulating wrap that forms a sheath around the axon. Outside of the brain and spinal cord, myelin is produced by the Schwann cell. Each Schwann cell wraps a small segment of the axon and leaves tiny gaps between segments called the Nodes of Ranvier. The action potential traveling down the axon effectively “jumps” from node to node, which conserves energy and increases speed and reliability of the signal. Because the Schwann cell’s outermost layer remains after wrapping, the PNS also has a thin outer coat called the neurolemma; this layer is important for peripheral axon repair after injury.

Sidenote
Different types of axons

Myelinated axons are often referred to as myelinated fibers. Not all axons are myelinated, and the degree of myelination helps determine conduction velocity. For example, large‑diameter, well‑myelinated alpha‑beta axons (often written Aβ) carry discriminative touch and vibration quickly to the central nervous system. In contrast, thin, unmyelinated C‑fiber axons conduct slowly and often carry dull, aching pain and warmth. This contrast explains a hands‑on phenomenon you already know intuitively: soothing, steady touch can lessen pain. When your stroke activates Aβ touch fibers, those fast signals can inhibit or “gate” some of the slower C‑fiber nociceptive input inside the spinal cord, changing the client’s overall pain experience.

A few more details will help you visualize synapses as living workspaces rather than abstract diagrams. Within each synaptic knob, synaptic vesicles are loaded with neurotransmitter by tiny pumps. When an action potential reaches the axon terminal, calcium channels open and calcium flows in to the axon terminal. This rise in calcium triggers vesicle fusion with the presynaptic membrane and the neurotransmitter within is pushed out of the axon terminal and into the synaptic cleft. The synaptic cleft is so narrow that molecules drift across in a fraction of a second to bind to receptors on the postsynaptic membrane.

Depending on the receptor, the effect may be excitatory (encouraging the next cell to fire its own action potential) or inhibitory (making firing less likely). You can think of these as “yes” and “no” votes for whether the target cell should do something. Afterward, enzymes break down some transmitter, and specific transporters recycle the rest back into the presynaptic terminal for future use. In sensory pathways, thousands of synapses are arranged in series and in parallel, creating richly tunable “dimmer switches” for perception and movement.

Gray matter and white matter

Knowing those parts of the neuron equips you to understand how nervous tissue is arranged inside the body. At a gross‑anatomy level, the nervous system is often described as two colors: gray matter and white matter. Although both are made of neurons and support cells, they have very different compositions and jobs.

Gray matter

Gray matter is where information is processed and exchanged. It contains neuron cell bodies, dendrites, many synapses, and short, unmyelinated segments of axons. In the brain, gray matter forms the thin outer shell known as the cerebral cortex and also appears as deeper clusters of cell bodies. In the spinal cord, gray matter forms an H‑shaped core, where incoming sensory information is integrated and outgoing motor commands are shaped. When you imagine perception, memory, and decision‑making, you are picturing the work of gray matter – the places where synapses change strength and new patterns are formed through learning and experience.

Definitions
Nucleus
Those deeper clusters of cell bodies inside the CNS have a specific name: a nucleus (plural: nuclei). The thalamus and basal ganglia include many famous nuclei that influence sensation and movement.
Ganglion
Outside the CNS, a comparable cluster of neuronal cell bodies is called a ganglion. The most familiar examples are the dorsal root ganglia (one at each spinal level), where the cell bodies of primary sensory neurons reside, and the chain of autonomic ganglia that regulate organs.

For a massage therapist, recognizing that a tender spot over a dorsal root ganglion or an autonomic ganglion may be irritable nerve tissue – not just muscle – can guide gentler pressure and informed referral when symptoms radiate along a dermatome.

White matter

White matter is the wiring that connects distant regions. It appears pale because it is packed with bundles of myelinated axons; myelin’s fatty composition gives the tissue its characteristic whiteish color in contrast to the gray matter. White matter allows fast communication between gray matter regions so that what is decided in one place can influence another almost immediately. In the brain, white matter fills the interior of the brain to connect brain cells, even connecting the left and right hemispheres of the brain. In the spinal cord, white matter surrounds the gray core and carries ascending sensory information from the body and descending motor commands from the brain to the spinal levels.

Here we meet an important naming convention that locates you in the nervous system at a glance.

Definitions
Tract
Inside the CNS, a bundle of axons traveling together is called a tract. Tracts are named for their origin and destination, such as the spinothalamic tract (from spinal cord to thalamus) or the corticospinal tract (from cerebral cortex to spinal cord).
Nerve
In the peripheral nervous system, a similar bundle is called a nerve. A peripheral nerve typically contains many fascicles, each with hundreds or thousands of axons, plus connective tissue and small blood vessels. Most peripheral nerves are “mixed,” carrying both sensory and motor fibers.

Because white matter is built for speed, anything that affects myelin or axonal integrity can alter conduction. Demyelinating diseases (e.g., multiple sclerosis in the CNS or certain peripheral neuropathies) slow or block conduction along white matter pathways, changing sensation and movement. In session, this might present as delayed reflexes, uneven temperature perception, or fatigability that requires shorter sessions or cooler environments. By contrast, gray matter injuries (such as cortical stroke) disrupt processing centers, leading to more specific losses like difficulty planning movement or integrating sensation.

Nervous system cells

  • Neuron: cell body (soma), dendrites (receive signals), axon (sends signals)
  • Synapse: presynaptic membrane, synaptic cleft, postsynaptic membrane; neurotransmitter release and binding
  • Myelin sheath (by Schwann cells in PNS): increases impulse speed; Nodes of Ranvier enable saltatory conduction
    • Neurolemma: outer Schwann cell layer, aids PNS axon repair

Types of axons and conduction

  • Myelinated fibers (Aβ): fast, carry touch/vibration
  • Unmyelinated C-fibers: slow, carry dull pain/warmth
    • Aβ activation can inhibit C-fiber pain (gate control)
  • Action potential: self-propagating voltage spike along axon

Synaptic transmission details

  • Synaptic vesicles: store neurotransmitter, released by calcium-triggered fusion
  • Neurotransmitter effects: excitatory (“yes” vote) or inhibitory (“no” vote)
  • Neurotransmitter removal: enzymatic breakdown, reuptake by transporters

Gray matter

  • Contains neuron cell bodies, dendrites, synapses, unmyelinated axons
  • Site of information processing, memory, decision-making
  • CNS clusters: nucleus (plural: nuclei); PNS clusters: ganglion (e.g., dorsal root ganglion)
  • Massage relevance: tender ganglia may indicate nerve tissue, not muscle

White matter

  • Bundles of myelinated axons; fast communication between regions
  • Brain: interior white matter connects regions/hemispheres
  • Spinal cord: white matter surrounds gray core; carries sensory/motor signals
  • CNS bundles: tracts (named by origin/destination, e.g., spinothalamic tract)
  • PNS bundles: nerves (mixed sensory/motor fibers, multiple fascicles)

Clinical relevance

  • Demyelinating diseases: slow/block conduction (e.g., multiple sclerosis)
    • Symptoms: delayed reflexes, altered sensation, fatigability
  • Gray matter injuries: disrupt processing (e.g., stroke), cause specific functional losses
Next  | 1.1.2 Divisions of the nervous system
All rights reserved ©2016 - 2026 Achievable, Inc.

Nervous tissue

Revised 2025-10-16 9:40:46 AM EDT

Understanding the functioning of the nervous system is important for appreciating many of the positive effects of bodywork, understanding many pathologies, and, of course, passing the MBLEx. Below we introduce you to the individual cells that make up the nervous system, which will help you understand bigger-picture nervous system functioning in later sections.

Nervous system cells

At the heart of nervous tissue is the nerve cell (“neuron”) – a highly specialized cell that receives, processes, and sends information. Although neurons come in many shapes, you can understand any of them by learning three core parts.

Definitions
Cell body (soma)
The soma is the neuron’s metabolic center, where proteins and energy are made. A scaffolding of neurofibrils (structural filaments inside the cell) helps maintain its shape and supports the transport of materials down the cell’s long processes.
Dendrites
These are short, branching extensions that function like receiving antennae. Dendrites greatly increase the cell’s surface area so it can receive thousands of chemical signals from other neurons.
Axon
A typical neuron has a single axon, a long cable that carries the electrical signal away from the soma. The axon ends in a spray of tiny swellings called the axon terminal.

Each terminal has a rounded synaptic knob filled with synaptic vesicles – microscopic packets of chemical messenger. The meeting place where one neuron communicates with another (or with a muscle or gland) is the synapse: the terminal sits opposite the receiving cell across a narrow space called the synaptic cleft. The membrane of the sending side is the presynaptic membrane; the receiving side is the postsynaptic membrane. When an electrical signal reaches the end of the axon, vesicles fuse with the presynaptic membrane and release neurotransmitter into the cleft. The transmitter diffuses across and binds receptors on the postsynaptic membrane, changing the activity of the target cell that the presynaptic neuron is sending a message to.

The electrical signal moving along the axon is the nerve impulse or action potential. You can picture it as a brief, self‑propagating spike of voltage that travels down the axon without fading. The phrase impulse conduction simply describes the way the action potential moves down the axon.

In many neurons, this process is dramatically sped up by the myelin sheath (sometimes shortened to “myelin”), a fatty insulating wrap that forms a sheath around the axon. Outside of the brain and spinal cord, myelin is produced by the Schwann cell. Each Schwann cell wraps a small segment of the axon and leaves tiny gaps between segments called the Nodes of Ranvier. The action potential traveling down the axon effectively “jumps” from node to node, which conserves energy and increases speed and reliability of the signal. Because the Schwann cell’s outermost layer remains after wrapping, the PNS also has a thin outer coat called the neurolemma; this layer is important for peripheral axon repair after injury.

Sidenote
Different types of axons

Myelinated axons are often referred to as myelinated fibers. Not all axons are myelinated, and the degree of myelination helps determine conduction velocity. For example, large‑diameter, well‑myelinated alpha‑beta axons (often written Aβ) carry discriminative touch and vibration quickly to the central nervous system. In contrast, thin, unmyelinated C‑fiber axons conduct slowly and often carry dull, aching pain and warmth. This contrast explains a hands‑on phenomenon you already know intuitively: soothing, steady touch can lessen pain. When your stroke activates Aβ touch fibers, those fast signals can inhibit or “gate” some of the slower C‑fiber nociceptive input inside the spinal cord, changing the client’s overall pain experience.

A few more details will help you visualize synapses as living workspaces rather than abstract diagrams. Within each synaptic knob, synaptic vesicles are loaded with neurotransmitter by tiny pumps. When an action potential reaches the axon terminal, calcium channels open and calcium flows in to the axon terminal. This rise in calcium triggers vesicle fusion with the presynaptic membrane and the neurotransmitter within is pushed out of the axon terminal and into the synaptic cleft. The synaptic cleft is so narrow that molecules drift across in a fraction of a second to bind to receptors on the postsynaptic membrane.

Depending on the receptor, the effect may be excitatory (encouraging the next cell to fire its own action potential) or inhibitory (making firing less likely). You can think of these as “yes” and “no” votes for whether the target cell should do something. Afterward, enzymes break down some transmitter, and specific transporters recycle the rest back into the presynaptic terminal for future use. In sensory pathways, thousands of synapses are arranged in series and in parallel, creating richly tunable “dimmer switches” for perception and movement.

Gray matter and white matter

Knowing those parts of the neuron equips you to understand how nervous tissue is arranged inside the body. At a gross‑anatomy level, the nervous system is often described as two colors: gray matter and white matter. Although both are made of neurons and support cells, they have very different compositions and jobs.

Gray matter

Gray matter is where information is processed and exchanged. It contains neuron cell bodies, dendrites, many synapses, and short, unmyelinated segments of axons. In the brain, gray matter forms the thin outer shell known as the cerebral cortex and also appears as deeper clusters of cell bodies. In the spinal cord, gray matter forms an H‑shaped core, where incoming sensory information is integrated and outgoing motor commands are shaped. When you imagine perception, memory, and decision‑making, you are picturing the work of gray matter – the places where synapses change strength and new patterns are formed through learning and experience.

Definitions
Nucleus
Those deeper clusters of cell bodies inside the CNS have a specific name: a nucleus (plural: nuclei). The thalamus and basal ganglia include many famous nuclei that influence sensation and movement.
Ganglion
Outside the CNS, a comparable cluster of neuronal cell bodies is called a ganglion. The most familiar examples are the dorsal root ganglia (one at each spinal level), where the cell bodies of primary sensory neurons reside, and the chain of autonomic ganglia that regulate organs.

For a massage therapist, recognizing that a tender spot over a dorsal root ganglion or an autonomic ganglion may be irritable nerve tissue – not just muscle – can guide gentler pressure and informed referral when symptoms radiate along a dermatome.

White matter

White matter is the wiring that connects distant regions. It appears pale because it is packed with bundles of myelinated axons; myelin’s fatty composition gives the tissue its characteristic whiteish color in contrast to the gray matter. White matter allows fast communication between gray matter regions so that what is decided in one place can influence another almost immediately. In the brain, white matter fills the interior of the brain to connect brain cells, even connecting the left and right hemispheres of the brain. In the spinal cord, white matter surrounds the gray core and carries ascending sensory information from the body and descending motor commands from the brain to the spinal levels.

Here we meet an important naming convention that locates you in the nervous system at a glance.

Definitions
Tract
Inside the CNS, a bundle of axons traveling together is called a tract. Tracts are named for their origin and destination, such as the spinothalamic tract (from spinal cord to thalamus) or the corticospinal tract (from cerebral cortex to spinal cord).
Nerve
In the peripheral nervous system, a similar bundle is called a nerve. A peripheral nerve typically contains many fascicles, each with hundreds or thousands of axons, plus connective tissue and small blood vessels. Most peripheral nerves are “mixed,” carrying both sensory and motor fibers.

Because white matter is built for speed, anything that affects myelin or axonal integrity can alter conduction. Demyelinating diseases (e.g., multiple sclerosis in the CNS or certain peripheral neuropathies) slow or block conduction along white matter pathways, changing sensation and movement. In session, this might present as delayed reflexes, uneven temperature perception, or fatigability that requires shorter sessions or cooler environments. By contrast, gray matter injuries (such as cortical stroke) disrupt processing centers, leading to more specific losses like difficulty planning movement or integrating sensation.

Key points

Nervous system cells

  • Neuron: cell body (soma), dendrites (receive signals), axon (sends signals)
  • Synapse: presynaptic membrane, synaptic cleft, postsynaptic membrane; neurotransmitter release and binding
  • Myelin sheath (by Schwann cells in PNS): increases impulse speed; Nodes of Ranvier enable saltatory conduction
    • Neurolemma: outer Schwann cell layer, aids PNS axon repair

Types of axons and conduction

  • Myelinated fibers (Aβ): fast, carry touch/vibration
  • Unmyelinated C-fibers: slow, carry dull pain/warmth
    • Aβ activation can inhibit C-fiber pain (gate control)
  • Action potential: self-propagating voltage spike along axon

Synaptic transmission details

  • Synaptic vesicles: store neurotransmitter, released by calcium-triggered fusion
  • Neurotransmitter effects: excitatory (“yes” vote) or inhibitory (“no” vote)
  • Neurotransmitter removal: enzymatic breakdown, reuptake by transporters

Gray matter

  • Contains neuron cell bodies, dendrites, synapses, unmyelinated axons
  • Site of information processing, memory, decision-making
  • CNS clusters: nucleus (plural: nuclei); PNS clusters: ganglion (e.g., dorsal root ganglion)
  • Massage relevance: tender ganglia may indicate nerve tissue, not muscle

White matter

  • Bundles of myelinated axons; fast communication between regions
  • Brain: interior white matter connects regions/hemispheres
  • Spinal cord: white matter surrounds gray core; carries sensory/motor signals
  • CNS bundles: tracts (named by origin/destination, e.g., spinothalamic tract)
  • PNS bundles: nerves (mixed sensory/motor fibers, multiple fascicles)

Clinical relevance

  • Demyelinating diseases: slow/block conduction (e.g., multiple sclerosis)
    • Symptoms: delayed reflexes, altered sensation, fatigability
  • Gray matter injuries: disrupt processing (e.g., stroke), cause specific functional losses

More from Nervous system

  • Divisions of the nervous system
  • Reflexes and sensory receptors
  • Cranial nerves
  • Spinal cord, spinal nerves, peripheral nerves
  • Brain