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I believe (although not an expert) that any damage to nerves could potentially affect pain sensitivity. But more common is nerve damage that causes "altered sensation" rather then pain insensitivity. It usually causes a person to FEEL pain or some type of itching/crawling sensation than remove the pain sensation, although it is obviously a possibility if the nerves are damaged badly enough ... as in with paralysis.
The pain insensitivity disorders (HSAN - Hereditary Sensory Autonomic Neuropathies) are all genetically based, so these people were born with a genetic nerve problem - although HSAN type I does not present in infancy and only appears in the second or third decade of life.
Hope that is helpful
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