Journal article
Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena
The Journal of physiology, Vol.595(13), pp.4141-4150
07/01/2017
DOI: 10.1113/JP273355
PMCID: PMC5491894
PMID: 28369946
Abstract
Exercise is an integral part of the rehabilitation of patients suffering a variety of chronic musculoskeletal conditions, such as fibromyalgia, chronic low back pain and myofascial pain. Regular physical activity is recommended for treatment of chronic pain and its effectiveness has been established in clinical trials for people with a variety of pain conditions. However, exercise can also increase pain making participation in rehabilitation challenging for the person with pain. Animal models of exercise-induced pain have been developed and point to central mechanisms underlying this phenomena, such as increased activation of NMDA receptors in pain-modulating areas. Meanwhile, a variety of basic science studies testing different exercise protocols, show exercise-induced analgesia involves activation of central inhibitory pathways. Opioid, serotonin and NMDA mechanisms acting in rostral ventromedial medulla promote analgesia associated with exercise. This review explores and discusses current evidence on central mechanisms underlying exercised-induced pain and analgesia.
Details
- Title: Subtitle
- Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena
- Creators
- Lucas V Lima - Department of Physical Therapy and Rehabilitation Science, Pain Research Program, University of Iowa, Iowa City, IA, 52242, USAThiago S S Abner - Department of Physical Therapy and Rehabilitation Science, Pain Research Program, University of Iowa, Iowa City, IA, 52242, USAKathleen A Sluka - Department of Physical Therapy and Rehabilitation Science, Pain Research Program, University of Iowa, Iowa City, IA, 52242, USA
- Resource Type
- Journal article
- Publication Details
- The Journal of physiology, Vol.595(13), pp.4141-4150
- Publisher
- England
- DOI
- 10.1113/JP273355
- PMID
- 28369946
- PMCID
- PMC5491894
- ISSN
- 0022-3751
- eISSN
- 1469-7793
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health, award: R01 AR061371, UM1 AR06338
- Language
- English
- Date published
- 07/01/2017
- Academic Unit
- Iowa Neuroscience Institute; Nursing; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
- Record Identifier
- 9984040379102771
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