Here is some of the information I recently shared in the July newsletter. Each newsletter has a specific focus. This newsletter is focused on chronic pain. If you would be interested in receiving my newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.
TABLE OF CONTENTS
STUDIES and ARTICLES
1. An article titled The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review, published in Sleep Medicine Reviews in April 2021 concludes: Sleep disturbances and sleep disorders were associated with worse pain outcomes among veterans with chronic pain. Treatment-induced sleep improvements ameliorated pain outcomes in veterans with sleep disorders and sleep disturbances.
2. An article titled Greater somatosensory afferent with acupuncture increases primary somatosensory connectivity and alleviates Fibromyalgia pain via insular y-aminobutyric acid: A randomized neuroimaging trial published in Arthritis & Rheumatology in December 2020 concludes: Fibromyalgia patients who received electroacupuncture therapy experienced a greater reduction in pain severity compared to patients who received mock laser acupuncture.
3. An article titled Use of cryotherapy for managing chronic pain: An evidence-based narrative, published in Pain and Therapy in Dec 2020, concludes: Both local (ice packs) and non-local (partial and whole body cryotherapy) show promise in reducing chronic pain associated with various chronic diseases including those of rheumatic and degenerative origin. Cryotherapy appears to be a safe therapy in carefully selected patients with only minimal adverse effects reported in the literature.
4. A study titled Effect of underwater exercises on treating postmenopausal Fibromyalgia symptoms, published in European Journal of Molecular & Clinical Medicine in Sept 2020 concludes: underwater exercises are very effective in treating Fibromyalgia postmenopausal symptoms.
5. A study titled Cryotherapy alleviates symptoms in chronic prostatitis/chronic pelvic pain syndrome published in Andrologia in Dec 2020 concludes: cryotherapy could alleviate voiding symptoms, ameliorate pain and improve the quality of life in people with CP/CPPS.
6. A study titled Effect of Hydrotherapy on chronic pain in the lumbar region published in Journal of IMAB in Oct 2020 found: physiotherapy includes hydrotherapy with a water temperature of 36-37 C and magnetotherapy with a duration of 30-35 minutes treatment of the paravertebral muscle in the lumbar region, gluteus and lower limbs for 3 times a week for 1 month resulting in a reduction of the neurological and pain symptoms and the restoration of neurodynamics of n.ischiadicus.
7. A study, titled Serial whole-body cryotherapy in Fibromyalgia is effective and alters cytokine profiles, published in Advances in Rheumatology in January 2021 concludes: Whole body cryotherapy is effective in FM and reduces the burden of disease. The effects of serial WBC are strongest during application and are diminished 3 months after WBC treatment.
8. A study titled Chronic fatigue syndrome: Abnormally fast muscle fiber conduction in the membranes of motor units at low static force load, published in Clinical Neurophysiology in Apr 2021 concludes: in chronic fatigue patients, muscle conduction increases abnormally with force, surface EMG can elicit abnormalities in both Fibromyalgia and chronic fatigue, and the surface EMG abnormalities in Fibromyalgia and chronic fatigue differ.
9. A study titled Efficacy and safety of weekly vitamin D3 in patients with Fibromyalgia: 12-week, double-blind, randomized, controlled placebo trial, published in Clinical Rheumatology in Feb 2021, concludes: there is no evidence of a trend in favor of vitamin D treatment, since we did not observe improvement in the VAS of pain or FIQ.
10. A study titled Comparison of the effectiveness of Prolotherapy and facet joint injection in the treatment of chronic low back pain: a retrospective study, published in Turkiye Klinkeri Journal of Medical Sciences in Jan 2021 concludes: facet joint injection is considered more effective at relieving symptoms of back pain early in the condition, but Prolotherapy provided more benefit, according to long-term VAS scores.
Here is some of the information I recently shared in a December newsletter. Each newsletter has a specific focus. This newsletter is focused on chronic pain and fibromyalgia. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
TABLE OF CONTENTS
STUDIES and ARTICLES
1. An article, titled Fibromyalgia Linked to Gut Bacteria for First Time published in Neuroscience News & Research in Jun 2019, states: In a paper published today in the journal Pain, a Montreal-based research team has shown, for the first time, that there are alterations in the bacteria in the gastrointestinal tracts of people with fibromyalgia.
2. A study, titled Exploring the relationship between serum magnesium, inflammation, and chronic pain in a Vermont primary care population, published in Current Developments in Nutrition Jun 2020, concludes: For adults seen in primary care, lower serum magnesium levels are associated with chronic pain. This inverse relationship is not explained by random noise, including age and gender. The complex relationship between serum magnesium, C-reactive protein, and pain is complex and requires further exploration.
3. A study titled Comparative study of the effectiveness of a low-pressure hyperbaric oxygen treatment and physical exercise in women with fibromyalgia: randomized clinical trial, published in Therapeutic Advances in Musculoskeletal Disease in 2020 concludes: low-pressure hyperbaric oxygen therapy and physical exercise improve pressure pain threshold, endurance and functional capacity, as well as physical performance. Induced fatigue and perceived pain at rest significantly improved only with low-pressure hyperbaric oxygen therapy.
4. An abstract of a study titled Is aquatic therapy more effective than land-based therapy in reducing pain of women with fibromyalgia? published in Ann Rheum Dis in 2020 concludes: Both physiotherapy interventions showed to be effective in reducing pain in patients with fibromyalgia. However, aquatic therapy was more effective in improving quality of sleep and decreasing pain intensity at six weeks of follow-up than land-based therapy. It seems that the therapeutic effects achieved in post-treatment were maintained for a longer time in the aquatic therapy group. Even so, in order to maintain the benefits obtained with the interventions, continuous physiotherapy treatment seems to be necessary.
5. A study titled Association between low vitamin D levels and the Greater impact of fibromyalgia, published in J Clinical Med Res in 2020 concludes: Fibromyalgia patients did not present higher prevalence of vitamin D deficiency or insufficiency than healthy individuals, although low vitamin D concentrations could indicate more severe disease impacts.
6. A study titled Pressure-induced referred pain as a biomarker of pain sensitivity in fibromyalgia, published in Pain Physician in Jul 2020 concludes: referred pain induced by applying a suprathreshold pressure of 120% Pain Pressure Threshold can be a useful biomarker to assess sensitized pain mechanisms in patients suffering from Fibromyalgia.
7. A study titled Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial, published in Trials in Jul 2020 concludes: manual therapy achieves a faster reduction in pain perception than therapeutic exercise. Therapeutic exercise reduces disability faster than manual therapy.
8. A study titled Hypnotic intervention in people with fibromyalgia: a randomized controlled trial, published in American Journal of Clinical Hypnosis in Aug 2020 concludes: the self-administered audio-recorded hypnotic intervention significantly decreased the intensity and interference of pain and fatigue, as well as the depressive symptomatology.
9. A study title The Impact of a 20-minute animal-assisted activity session on the physiological and emotional states in patients with fibromyalgia, published in Mayo Clinic Proceedings in Nov 2020 showed a decrease in heart rate, an increase in heart rate variability, an increase in well-being survey scores, an increase in salivary oxytocin, and subsequent tympanic membrane temperature changes, suggesting that participants were in a more positive emotional-physiologic state as a result of the session.
10. A study titled Intramuscular Pressure is almost three times higher in fibromyalgia patients: a possible mechanism for understanding the muscle pain and tenderness, published in J Rheum in Dec 2020 concludes; pressure in the trapezius muscle of patients with Fibromyalgia is remarkably elevated and may be an intrinsic feature of FMS that could be monitored as part of the diagnostic evaluation. The burden of the pressure abnormality may help explain the diffuse muscle pain of FMS. Therefore, FMS as a disorder of exclusively central pain processing should be revisited. Therapeutically, the reduction of muscle pressure may change the clinical picture significantly.
What Hurting Looks Like: Photographer Translates Pain Into Visceral Still Life provides visual and verbal descriptions of pain. Originally published on NPR
Here is some of the information I recently shared in my Julynewsletter. Each newsletter has a specific focus. This month is focused on chronic pain information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about chronic pain and fibromyalgia. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. An article, titled A comparison of the clinical manifestation and pathophysiology of myofascial pain syndrome and fibromyalgia: implications for differential diagnosis and management published in J Can Chiropr Assoc in 2018, provides a wonderful overview and comparison between the two disorders.
2. An article, titled Effects of auricular acupressure on pain and disability in adults with chronic neck pain, published in Applied Nursing Research in Feb 2019 concludes: auricular acupressure can be used for alleviating chronic neck pain and more than 4 weeks of treatment is necessary for alleviating neck disability.
3. An article, titled A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12-week Pilates exercise program, published in Musculoskeletal Care in Nov 2018, concludes: The Pilates-based exercise program enabled the participants to function better and manage their condition more effectively and independently.
4. A study, titled A study to assess the effectiveness of core muscle stabilization regimen in patients with mechanical low backache, published in International’s Journal of Adapted Physical Education & Yoga in Sept 2018 concludes: Core muscle stabilization regimen is more effective along with back care and ergonomic advice than the spinal extension maneuver alone to reduce pain and to improve functional ability of the lumbar spine in subjects with mechanical low back ache.
5. A study, titled Effect of aerobic exercise in the treatment of myofascial pain: a systematic review, published in Journal of Exercise Rehabilitation in 2018 concludes: Pain pressure thresholds significantly increased in muscle areas of the cervical spine in the water exercise group
6. A study, titled Functional and neurochemical disruptions of brain hub topology in chronic pain, published in Pain in Apr 2019 states: A critical component of brain network architecture is a robust hub structure, wherein hub regions facilitate efficient information integration by occupying highly connected and functionally central roles in the network. Across a wide range of neurological disorders, hub brain regions seem to be disrupted, and the character of this disruption can yield insights into the pathophysiology of these disorders. We applied a brain network–based approach to examine hub topology in fibromyalgia, a chronic pain condition with prominent central nervous system involvement….these findings reveal altered hub topology in fibromyalgia and demonstrate, for the first time to our knowledge, a neurochemical basis for altered hub strength and its relationship to the perception of pain.
7. A study, titled How do Satellite Glial Cells control chronic pain, published in Journal of Anesthesia and Perioperative Medicine, concludes: SGC’s are now recognized players in the pathogenesis of chronic pain through the secretion of neuroactive signaling molecules and controls of nociceptive neurons.
8. A study, titled Evidence for kinesiology taping in management of myofascial pain syndrome: a systematic review and meta-analysis, published in Clinical Rehabilitation in Feb 2019, concludes: kinesiology taping could be recommended to relieve pain intensity and range of motion for patients with myofascial pain syndrome at post-intervention.
9. A study, titled Exposure to cold unmasks potential biomarkers of Fibromyalgia Syndrome reflecting insufficient sympathetic responses to stress, published in The Clinical Journal of Pain in May 2019, concludes: the convergence of the effect of cold on 4 relatively simple measures of thermogenic, cardiovascular, and metabolic activity, each regulated by sympathetic activity, strongly indicate that individuals with FMS have impaired sympathetic responses to stress that are observable and highly significant.
10. A study, titled Fibromyalgia: Increased reactivity of the muscle membrane and a role of central regulation, published in Clinical Neurophysiology in Jan 2019 concludes: …muscle membrane propagation speed increases independently of the force load or amount of muscle activity produced. When adopting a limb position, the patients show an augmented muscle membrane reaction, suggesting deregulation from higher neural centers
Here is some of the information I recently shared in my January newsletter. Each newsletter has a specific focus. This month is focused on chronic pain and fibromyalgia information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about chronic pain problems. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. An article titled Myofascial Pelvic Pain: Rationale and Treatment published in Current Bladder Dysfunction Reports in Mar 2015, states: Chronic pelvic pain, in its many forms, commonly has a myofascial component that must be considered in the evaluation and treatment of women and men seeking medical care. ..Myofascial pelvic pain can develop as a result of a trigger point within the pelvic floor musculature or from extra-pelvic muscles that can refer into the pelvic region. Identification and appropriate therapeutic management of the myofascial trigger points is paramount to successful treatment of the pain and symptoms associated with chronic pelvic pain.
2. An article titled Chronic, non-visceral abdominal pain, published in Gut: British Medical Journal in 1994 gives a great explanation of an assessment tool known as Carnett’s Sign, which helps determine if abdominal pain is visceral or from the abdominal wall.
3. An article titled Fascia, Proprioception, and Chronic Pain by Dr. Schierling and published on his blog, cites a number of research articles regarding the relationship between fascia and spindle cells, Ruffini and Pacini corpuscles andGolgii organs. Some important points from the article:
“…muscle spindles, the chief proprioceptive cell affecting our muscles, are not in the muscle, but in the fascia surrounding the muscle and its muscle bundles…
“…abundant innervation of the fascia consisting of both free nerve endings and encapsulated receptors, in particular, Ruffini and Pacini corpuscles.”
“ …hypothesis that the fascia plays an important role in proprioception, especially dynamic proprioception…"
“…now recognized that fascial network is one of our richest sensory organs.”
4. A study titled Analgesic effects of transcutaneous electrical nerve stimulation (TENS) in patients with fibromyalgia: a systematic review, published in Ten Primary Jul 2018, concluded: Treatment with TENS is effective for reducing pain in people with fibromyalgia. In addition, the inclusion of TENS in therapeutic exercise programs seems to have a greater effect than practicing therapeutic exercise in isolation.
5. A study titled Effects of vitamin D optimization on quality of life of patients with fibromyalgia: a randomized controlled trial, published in Med J Islam Repub Iran in Apr 2018, concludes: …vitamin D supplementation has significant therapeutic benefits in the management of FMS especially in pain reduction.
6. A study titled Effects of Sleep Fragmentation and Induced Mood on Pain Tolerance and Pain Sensitivity in Young Healthy Adults, published in Front. Psychol Oct 2018 concluded: Experimental research exploring the sleep pain relationship has typically focused on total or partial sleep deprivation, hereby failing to reproduce the more fragmented sleep pattern typically observed in patients with chronic pain…this study suggests that even one night of fragmented sleep has a negative impact on the perception of pain intensity, but not pain tolerance or pain inhibition.
7. A study, titled The effect of cryotherapy on fibromyalgia: a randomized clinical trial carried out in a cryosauna cabin and published in Rheumatology International, Dec 2018, concluded: Whole Body Cryotherapy during 3 weeks appears to produce a beneficial effect compared to no cold treatment in terms of pain and impact of disease in Fibromyalgia.
8. A study titled A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations, published in Advances in Rheumatology Oct 2018 concludes: The main results included reduction in pain, fatigue, number of tender points, depression, and anxiety, with increased functional capacity and quality of life. Current evidence demonstrates that Strength Training is beneficial and can be used to treat Fibromyalgia.
9. A study titled Effects of dance on pain in patients with fibromyalgia: a systematic review and meta-analysis, published in Evid Based Complement Alternat Med in Oct 2018, concludes: dance-based intervention programs can be an effective intervention for people suffering from fibromyalgia, leading to a significant reduction of the level of pain with an effect size the can be considered as large.
10. A study titled Fibromyalgia: Increased reactivity of the muscle membrane and a role of central regulation, published in Clinical Neurophysiology in Jan 2019 concludes: …muscle membrane propagation speed increases independently of the force load or amount of muscle activity produced. When adopting a limb position, the patients show an augmented muscle membrane reaction, suggesting deregulation from higher neural centers.
Here is some of the information I recently shared in my November newsletter. Each newsletter has a specific focus. This month is focused on foot and ankle information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
STUDIES, ARTICLES, and RESOURCES
I receive a weekly update on anything published anywhere on the internet that includes information about feet and ankles. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. A study titled “Spinal and Peripheral dry needling versus peripheral dry needling alone among individuals with a history of lateral ankle pain: a randomized controlled trial”, published in Int J Sports Phys Ther in Dec 2017, suggests: Dry needling of the multifidi in addition to fibularis muscles does not result in improvement in strength, unilateral balance or unilateral hop test performance, compared to Dry Needling the fibularis muscles alone among individuals with a history of ankle sprain.
2. A study titled “Dry cupping for plantar fasciitis: a randomized controlled trial”, published in J Phys Ther Sci in May 2017, concludes: The data indicated that both dry cupping therapy and electrical stimulation therapy could reduce pain and increase function significantly in the population tested…There was no significant difference between the dry cupping therapy and electrical stimulation groups in all the outcome measurements. These results support that both dry cupping therapy and electrical stimulation therapy could reduce pain and increase function in the population tested.
3. A study titled “Effectiveness of Myofascial Release in Treatment of Plantar Fasciitis: A RCT”, published in Indian Journal of Physiotherapy and Occupational Therapy, concludes: Conservative treatment approach like physiotherapy in the treatment of plantar fasciitis, is beneficial, although both the conventional treatment and myofascial release have found to be effective in alleviation of symptoms and associated disability in plantar fasciitis. However, the subjects treated with myofascial release showed an additional benefit in terms of reduction of pain on VAs and functional ability in terms of FFI. Hence it can be concluded that myofascial release is an effective therapeutic option in the treatment of plantar fasciitis.
4. Whitney Lowe’s article, Understanding Overpronation, in Massage Today in Jan 2007, gives a very good explanation of what overpronation is and the problems it can cause.
5. A study article, titled Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain, published in Scientifica (Cairo) in Mar 2016, concludes: The soles and flexor digitorum longus muscless were observed to attach directly to the posteromedial border of the tibia. The tibias posterior muscle had no attachment to this site. Conclusion: The findings of this study suggest that if traction is the cause of MTSS then soleus and the flexor digitorum muscles and not the tibias posterior muscles are the likely cause of MTSS.
6. A study. titled “Ischemic compression and joint mobilizations or the treatment of nonspecific myofascial foot pain: findings from two quasi-experimental before-and-after studies”, published Mar 2015 in J Can Chiropr Assoc concludes: Preliminary evidence that myofascial therapy consisting of ischemic compressions and joint mobilizations may reduce the symptoms of patients suffering from chronic non-specific foot pain….Combined treatment involving ischemic compression and joint mobilization for chronic foot pain is associated with significant improvements in functional and self-perceived improvement immediately and at up to six months post-treatment.
7. A video, Metatarsal Mobilization by Whitney Lowe suggests a treatment for a common nerve entrapment problem, Morton’s neuron. The video can be found on ABMP’s facebook page.
8. A study, “Effects of myofascial trigger point release in plantar fasciitis for pain management", published in J Med Sci in 2018, concluded: myofascial trigger point technique was seen effective in relation to improved pain in patients of plantar fasciitis.
Here is some of the information I recently shared in my July newsletter. Each newsletter has a specific focus. This month is focused on fibromyalgia and Chronic Pain information. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
Tidbits, Updates and Resources:
1.Five myths about pain that many manual therapists are sick of Hearing by Nick Ng (can be found in Massage & Fitness Magazine).
2. 3 steps to be an even more effective pain relief therapist by Irene Diamond--a 45 minutes video of a webcast.
STUDIES, ARTICLES, AND RESOURCES
I receive a weekly update on anything published anywhere on the internet that includes information about fibromyalgia and chronic pain. If you have any problems with the links, please let me know, or if you come across any information that you think would be good to share, please also feel free to pass that information along: email@example.com
1. A study titled"Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis by Yuan, Matsutani & Marques and publish in Apr 2015 in Man Ther concluded: “myofascial release had large, positive effects on pain and medium effects on anxiety and depression in contrast with placebo…myofascial release also improves fatigue, stiffness and quality of life. Connective tissue massage improves depression and quality of life; manual lymphatic drainage is superior to connective tissue massage regarding depression and quality of life; Shiatsu improves pain, pressure pain threshold, fatigue, sleep and quality of life: and Swedish massage does not improve outcomes.
2. In a study in Sci Rep 2016 titled “Efficacy of cupping therapy in patients with the fibromyalgia syndrome-a randomized placebo-controlled trial” concluded: Five cupping treatments were more effective than usual care to improve pain intensity and quality of life. However, the effects were small and cupping was not superior to sham cupping treatments, further research is warranted.
3. In a paper by Larimer Moseley, “Reconceptualizing Pain According to Modern Pain Science, published through the University of South Australia at BodyinMind.org, he argues that “the biology of pain is never really straightforward, even when it appears to be. It is proposed that understanding what is currently known about the biology of pain requires a reconceptualization of what pain actually is, and how it serves our livelihood. He suggests there are four key points:
4. A short summary of an article by John Quintner, titled “Evolution, Stress, and Fibromyalgia” adapted from Lyon P, Cohen M, Quinter J. An evolutionary stress-response hypothesis for Chronic Widespread Pain (Fibromyalgia Syndrome). Pain Med 2011;12:1167-1178 suggests a Stress Response and Substance P response in combination may explain the disparity in symptoms and why many treatments have not been effective.
5. A follow-up article to the above reference, titled “How did fibromyalgia ever become a brain disease? Disentangling conjecture and truth, by John Quintner, debunks the Central sensitivity syndromes theories.
6. A study published in Scientific Reports titled Functional Brain Network mechanism of Hypersensitivity in Chronic Pain, and summarized by Haley Otman at Medical press, titled Does an exploding brain network cause chronic pain? suggests “as opposed to the normal process of gradually linking up different centers in the brain after a stimulus, chronic pain patients have conditions that predispose them to linking up in an abrupt, explosive manner.”
7. A study titled “Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials", published in Biomed Res Int 2017, concludes: aerobic and muscle-strengthening exercises are the most effective way of reducing pain and improving global well-being in people with fibromyalgia and that stretching and aerobic exercises increase health-related quality of life.
8. A narrative article, published in Minerva Anestesiol Jan 2018, titled "The role of cannabinoids in pain control: the good, the bad and the ugly” concluded: cannabinoids appear to be most effective in controlling neuropathic pain, allodynia, medication-rebound headache, and chronic non cancer pain, but do not seem to offer any advantage over nonopioid analgesics for acute pain. Cannabinoids seem to work no better than placebo for visceral pain and conferred only modest analgesic effect in cancer pain.
9. A study published in Turk J Med Sci Dec 2017, titled “Does fibromyalgia have an effect on hearing loss in women?” concludes: results point to a pathophysiologic link between fibromyalgia and the development of audiological abnormalities in these patients.
10. A study published in Complement Ther Med Feb 2018 titled “Effect of whole body cryotherapy interventions on health-related quality of life in fibromyalgia patients: a randomized controlled trial” concludes: Whole body cryotherapy can be recommended as an effective clinically adjuvant approach in the improvement of health-related quality of life in fibromyalgia patients.”
Alternative Health Arena
1. A study, titled “Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial", published Mar 2018 in BMJ, concludes: Tai chi mind-body treatment results in similar or greater improvement in symptoms than aerobic exercise…for a variety of outcomes for patients with fibromyalgia. Longer duration of tai chi showed greater improvement.”
2. A study, titled “Reiki is better than placebo and has broad potential as a complementary health therapy", published in J Evid Based Complementary Altern Med Oct 2017, concludes: found reasonably strong evidence for Reiki being more effective than placebo.”