Young Red Haired Girl Portrait

Pain tolerance and injury
Two studies have demonstrated that people with red hair have different sensitivity to pain compared to people with other hair colors. One study found that people with red hair are more sensitive to thermal pain (associated with naturally occurring low vitamin K levels), while another study concluded that redheads are less sensitive to pain from multiple modalities, including noxious stimuli such as electrically induced pain.
Researchers have found that people with red hair require greater amounts of anesthetic. Other research publications have concluded that women with naturally red hair require less of the painkiller pentazocine than do either women of other hair colors or men of any hair color. A study showed women with red hair had a greater analgesic response to that particular pain medication than men. A follow-up study by the same group showed that men and women with red hair had a greater analgesic response to morphine-6-glucuronide.
The unexpected relationship of hair color to pain tolerance appears to be because redheads have a mutation in a hormone receptor that can apparently respond to at least two different hormones: the skin pigmentation hormone melanocyte-stimulating hormone, and the pain relieving hormone known as endorphins. (These hormones are both derived from the same precursor molecule, POMC, and are structurally similar.) Specifically, redheads have a mutated MC1R gene, which produces a mutated MC1R receptor, also known as the melanocortin-1 receptor. Melanocytes, which are cells that produce pigment in skin and hair, use the MC1R receptor to recognize and respond to melanocyte-stimulating hormone from the anterior pituitary gland. Melanocyte-stimulating hormone normally stimulates melanocytes to make black eumelanin, but if the melanocytes have a mutated MC1R receptor, they will make reddish pheomelanin instead. The MC1R receptor also occurs in the brain, where it is one of a large set of POMC-related receptors that are apparently involved not only in responding to MSH, but also in responses to endorphins and possibly other POMC-derived hormones. Though the details are not clearly understood, it appears that there is some "cross talk" between the POMC hormones that may explain the link between red hair and pain tolerance.