Yes, acetylcholine, a neurotransmitter in the brain and spinal cord, plays a role in pain perception: Pain modulation Acetylcholine can modify pain perception by directly activating cholinergic receptors or by extending the action of endogenous acetylcholine. Pain development Acetylcholine may be involved in the central sensitization processes that contribute to chronic pain. Pain treatment Drugs that modify acetylcholine levels or target acetylcholine receptors may offer a means to treat pain and prevent it from becoming chronic. Acetylcholine is also involved in other functions, including: Regulating heart rate, blood pressure, and gut motility Muscle contractions Memory Motivation Sexual desire Sleep Learning Imbalances in acetylcholine levels are linked with health issues, including Alzheimer's disease, seizures, and muscle spasms