Here is some of the information I recently shared in the January newsletter. Each newsletter has a specific focus.  This newsletter is focused on the chronic pain and fibroymylagia research. If you would be interested in receiving my other 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

  1. Myofascial therapy vs Maitland's Mobilization approach
  2. Trigger Point Dry Needling
  3. Melatonin improves rheumatological disease activity
  4. Effects of resistance training on sleep
  5. Effect of pre-biotic and pro-biotics on fibromyalgia
  6. Effects of Vitamin D on quality of life
  7. Low-calorie keto diet for obese women with fibroymyalgia
  8. Saffron for pain management
  9. Effect of scapular stabilization on posture
  10. Yoga for chronic pain

STUDIES and ARTICLES

1. An article titled What Concept of Manual Therapy is More Effective to Improve the Health Status in Women with Fibromyalgia Syndrome? A Study Protocol with Preliminary Results published in International Journal of Environmental Research and Public Health in Jan 2023 compares treatment via Myofscial techniques approach vs Maitland’s mobilization approach and concludes: patients who received MTA had significantly improved pain and health status outcomes after treatment and at 1 month follow-up, with no significant change in those who received MMA.

2.  An article titled Impact of Trigger Point Dry Needling on Neck Pain, Sleep, and Depression in Patients with Fibromyalgia published in in 2023 concludes: in patients with FMS with neck discomfort, DN therapy administered to MTrPs in the trapezius muscle once per week for four sessions was beneficial in the short term. With this treatment quality of sleep and life of the patients were improved; anxiety, depression levels, and pain severity were also significantly reduced.

3. An article titled Melatonin supplementation improves rheumatological disease activity: a systematic review published in Clinical Nutrition ESPEN in Jun 2023 concludes: there were positive results of melatonin administration in fibromyalgia, osteoarthritis, and osteoporosis/osteopenia but not in rheumatoid arthritis and lupus.

4. A review titled Effects of resistance training on sleep of patients with fibromyalgia: a systematic review published in Journal of Health Psychology in May 2023 concludes: compared with other exercise modalities, Resistance training proved tone superior to flexibility training and equivalent to aerobic exercise.

5. A study titled Effect of prebiotic and probiotic supplementation on reduced pain in patients with fibromyalgia syndrome: a double-blind, placebo-controlled randomized clinical trial, published in Psychology, Health & Medicine in May 2023 conclude: Probiotic supplementation significantly decreased the Beck Depression Index, Beck Anxiety Index, and Pittsburgh Sleep Quality Index scores compared to baseline, while prebiotic supplementation only significantly decreased Pittsburgh Sleep Quality Index scores. Moreover, participants who received probiotic treatment presented a significantly reduced Visual Analogue Scale score compared with those who received placebo treatment.

6. A study, titled Effects of Vitamin D therapy on quality of life in patients with fibromyalgia: a study from North India published in Natl J Physiol Pharm Pharmacol in 2023 concludes: 70% of patients were deficient in vitamin D among fibromyalgia. We found that there was significant differences in visual analog score and SF-36 questionnaire after giving vitamin D therapy among fibromyalgia patients.

7.  A study titled Efficacy, safety and tolerability of very low-calorie ketogenic diet in obese women with fibromyalgia: a pilot interventional study published in Frontiers in Nutrition in Jul 2023 concludes: All patient lost weight during the first period of the diet and the achievement was maintained upon reintroduction of carbohydrates. The reduction of Fibromyalgia Impact Questionnaire was clinically meaningful in 16 of 18 patients during the veto phase and 14 once carbohydrates were reintroduced. No significant association was observed between change in BMI and improvement in patient-reported outcomes over time.

8. A study titled Saffron (Crocus sativus) and its constituents for pain management; a review of current evidence published in Phytotherapy Research in Aug 2023 concludes: Saffron analgesic activities affected several targets, including ion channels of nociceptors; the adrenergic system and central histaminic system; inhibition of inflammatory pathways, apoptotic pathways, and oxidative stress; regulation of NO pathway, and the endocannabinoid system. Clinical studies showed analgesic of Saffron in rheumatoid arthritis, after-pain following childbirth, dysmenorrhea, and fibromyalgia.

9. A study titled The effect of scapular stabilization exercises on posture and pain in patients with fibromyalgia: a randomized controlled trial published in International Journal of Therapy and Rehabilitation in Aug 2023 compares conventional exercise vs scapular stabilization exercises and concludes: both exercise programs reduced pain levels in patient with fibromyalgia. However, scapular stabilization exercises were more effective at both reducing pain and improving posture.

10. An article titled Yoga is effective for treating chronic pain in veterans with Gulf War Illness at long-term follow-up published in BMC Complementary Medicine and Therapies in Sept 2023 concludes:compares yoga and cognitive-behavioral therapy and concludes: compared to the CBT group, yoga was associated with greater reductions in pain severity during the 6-month follow-up period.

Here is some of the information I recently shared in the March newsletter. Each newsletter has a specific focus.  This newsletter is focused on cupping. 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

  1. Effects of Massage and dry cupping on cardiac patients
  2. Influence of cupping on high-intensity anaerobic performance
  3. Dry cupping for plantar fasciitis
  4. Cup therapy for Hypertension
  5. Action of cupping therapy in lung injury
  6. Comparison of skin microneedling with cupping vs microneedling alone
  7. Cupping therapy on muscle tenderness in baseball players

STUDIES and ARTICLES

1. A study titled Effect of Massage and Dry Cupping on Hemodynamic Parameters of Cardiac Patients: A Randomized Controlled Trial published in Journal of Chiropractic Medicine in Mar 2023 concludes:  the mean systolic blood pressure, heart rate, respiratory rate, and oxygen saturation level showed no significant difference among the 3 groups. Therefore, our study did not show effects of massage and dry cupping on regulating hemodynamic parameters.

2.  A study titled Influence of Cupping Treatment on High-intensity anaerobic performance, published in Kinesiology in 2022 focused on evaluating the efficacy of dry and wet cupping therapy on subsequent anaerobic performance. The study concludes: No significant correlations were detected. The findings demonstrate no beneficial effects of wet and dry cupping therapy and hence do not support its use prior to high-intensity anaerobic sports events.

3. A study titled Effectiveness of Dry Cupping as a Treatment for Plantar Fasciitis: A Critically Appraised Topic, published in Journal of Sport Rehabilitation in Oct 2022 concludes:  There is moderate evidence to support the use of dry cupping to improve pain and function in patients with plantar fasciitis.

4. A study titled Effectiveness of Cup Therapy on Reducing Blood Pressure in Hypertension Patients: A Literature Review, published in Scientific Proceedings of Islamic and Complementary Medicine, in 2022 concludes:  Cupping is effective in lowering blood pressure in patients with hypertension, with the type and point of effective cupping being wet cupping at the top of the head and neck.

5. A study titled Cupping alleviates lung injury through the adenosine/A2BAR pathway published in Heliyon in 2022 concludes:  Cupping attenuates lung inflammation and injury through the adenosine A2BAR pathway. The current study provides evidence-based information about cupping therapy in Acute Lung Injury.

6. A study titled Comparison of the Effects of Skin Microneedling with Cupping Therapy and Microneedling Alone: An Experimental Study, published in Plastic and Reconstructive Surgery in Jan 2023 concludes:  The addition of cupping therapy to microneedling increased the thickness of the epidermis and dermis.

7.  A study titled Effect of Cupping Therapy on Muscle Tenderness in Collegiate Baseball Players compared to Sham Treatment: A Randomized, Single-Blinded Trial, published in Journal of Sports Medicine and Allied Health  Sciences: Official Journal of the Ohio Athletic Trainers Association in Feb 2023 concludes: a single 15-minutes cupping therapy treatment can decrease muscle tenderness at the triceps surae when compared to both a control and sham treatment conditions.

Here is some of the information I recently shared in the January 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, 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

  1. Hidden neural network in deep fasciae
  2. Manual therapy for temporomandibular joint dysfunction
  3. Effectiveness of strain-counterstrain vs muscle energy technique on neck pain
  4. Effect of dry needling on lumbar stiffness
  5. Anatomy review of deep fascia and its role in chronic pain
  6. Melatonin therapy in chronic pain syndrome
  7. Circulating polyunsaturated fatty acids ratios effect on pain conditions
  8. Association of VItamin B12 with fatigue in fibromyalgia
  9. Neural changes after Emotional Freedom Technique reduces pain
  10. Effect of anti-inflammatory and low-FODMAP diet in fibromyalgia

STUDIES and ARTICLES

1. An article titled Evidence of a new hidden neural network into deep fasciae, published in Scientific Reports in Jun 2021 states:  It is recognized that different fasciae have different type of innervation…in this work the aponeurotic thoracolumbar fascia and the epymisial gluteal fascia were analysed…with the aim to study the organization of nerve fibers, the presence of nerve corpuscles, and the amount of autonomic innervation. Based on the results, it is suggested that the two fasciae have different roles in proprioception and pain perception: the free nerve endings inside thoracolumbar fascia may function as proprioceptors, regulating the tensions coming from associated muscles and have a role in nonspecific low back pain, whereas the epymisial fasciae works to coordinate the actions of the various motor units of the underlying muscle.

2.  An article titled Effectiveness of Manual Therapy in Treating Myofascial Pain Related to Temporomandibular Dysfunction: Systemic Literature Review, published in International Journal of Advanced Engineering Research and Science in Jun 2021 concludes:  Manual physical therapy is effective in the treatment of myofascial pain related to TMD. Thus, this treatment modality must be considered as one of the therapies in reducing muscle pain related to TMD.

3. An article titled Immediate Effect of Strain Counterstrain Technique versus Muscle Energy Technique on Upper Trapezius Tenderness in Non-Specific Neck Pain, published in International Journal of Science and Healthcare Research in Jun 2021 concludes:  Both techniques are equally effective in treating pain, increasing lateral flexion and rotation range of motion, and improving pain pressure sensitivity.

4. A review titled Effect of dry needling on lumbar muscle stiffness in patients with low back pain: A double blind, randomized controlled trial using shear wave elastography, published in Journal of Manual & Manipulative Therapy in Sept 2021 concludes: dry needling appears to reduce resting erector spine muscle stiffness following treatment of patients with LBP.

5. An anatomy review, published in Clinical Anatomy in Apr 2022, titled The deep fascia and its role in chronic pain and pathological conditions: A review states: The deep fascia is a three-dimensional continuum of connective tissue surrounding the bones, muscles, nerves, and blood vessels throughout our body. Its importance in chronically debilitating conditions has recently been brought to light. We find that five main deep fasciae pathologies are: chronic low back pain, chronic neck pain, Dupuytren’s disease, plantar fasciitis, and iliotibial band syndrome. The corresponding fasciae are respectively the thoracolumbar fascia, the cervical fascia, the palmar fascia, the plantar fascia, and the iliotibial tract. Pathological fascia is characterized by increased tissue stiffness along with alterations in myofibroblast activity and the extra-cellular matrix, both in terms of collagen and Matrix Metalloproteases (MMP) levels. Innervation changes such as increased density and sensitization of nociceptive nerve fibers are observed.

6. A study, titled Melatonin therapy in chronic pain syndrome, published in International Institute for Brain Health in Zagreb, Croatia concludes: …melatonin anti-nociceptive mechanisms have a complex structure. On one hand, being a chronobiotic melatonin restores circadian rhythm, increasing the adaptive capabilities of the body. On the other hand, the anxiolytic effect of melatonin leads to a decrease in pain through the decrease of anxiety and vegetative reactions. There is a direct analgesic effect of melatonin on the melatonin receptors in the areas of the brain responsible for pain perception and control, and on several neurotransmitter systems (GABA, opiod, L-arginine/NO pathway, etc.)

7.  A study titled Circulating polyunsaturated fatty acids, pressure pain thresholds, and nociplastic pain conditions, published in Prostaglandins, Leukotrienes, and Essential Fatty Acids in Sept 2022 concludes:  a higher Omega6/Omega3 ratio was associated with more pain conditions. Omega-6 polyunsaturated fatty acids may promote a generalizes up-regulation of nociceptive processing.

8. A study titled Association of Vitamin B12, Vitamin D and Thyroid-stimulating Hormone with Fatigue and Neurologic Symptoms in Patients with Fibromyalgia,published in Mayo Clinic Proceedings; Innovations, Quality & Outcomes in Aug 2022 concluded:  fatigue and memory loss were more common in the B12 deficiency group

9. A study titled Neural changes after Emotional Freedom Techniques treatment for chronic pain sufferers, published in Complementary Therapies in Clinical Practice in Nov 2022 concludes:  the study supports findings that EFT may have the ability to significantly reduce pain symptomology and associated psychological indicators. The neuroimaging results add by suggesting EFT also potentially affects connectivity between the medial prefrontal cortex, bilateral grey matter areas in the posterior cingulate cortex, and thalamus in chronic pain sufferers.

10. An article titled An anti-inflammatory and low fermentable oligo, di, and monosaccharides and polyols diet improved patient reported outcomes in fibromyalgia: A randomized controlled trial, published in Frontiers in Nutrition in Aug 2022 concludes:  an anti-inflammatory and low-FODMAP diet improved clinical features in patients with FM and may be useful as a complement to pharmacological therapy

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 conditions. 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

  1. Aerobic exercise for pain intensity
  2. Effect of Curcumin on Neuroinflammation
  3. Melatonin moderates chronic pain, sleep architecture and immunometabolism
  4. Ketamine for treatment of chronic pain
  5. Effectiveness of MFR on pain, sleep and quality of life
  6. Effects of Vitamin D on pain severity
  7. Reflexology for Fibromyalgia
  8. Effect of acupuncture for fibromyalgia
  9. Effectiveness of reformer pilates for fibromyalgia
  10.  Infrared radiation for chronic pain

STUDIES and ARTICLES

1. An article titled Aerobic Physical Exercise for Pain Intensity, Aerobic Capacity, and Quality of Life in Patients with Chronic Pain: A Systematic Review and Meta-Analysis published in Journal of Physical Activity and Health in Aug 2021 concludes: Aerobic exercise is a nonpharmacological therapeutic option for treatment (of chronic pain). Also, aerobic capacity and endurance improved when this type of exercise was prescribed, thus resulting in a substantial improvement in the quality of life of people suffering from chronic pain.

2.  An article titled Mechanistic Insight into the Effects of Curcumin on Neuroinflammation-Driven Chronic Pain, published in Pharmaceuticals  in August 2021, reviews and details the role of curcumin in microglia and astrocytes both in vitro and in vivo and how it improved pain.

3. An article titled Melatonin Moderates the Triangle of Chronic Pain, Sleep Architecture and Immunometabolic Traffic, published in Biomedicines in Aug 2021, details and reviews current literature relevant for the shared pathways of sleep, pain, and immunometabolism and elaborates the impact of melatonin on the crossroad of sleep, chronic pain, and immunometabolism.

4. A review titled Ketamine for the Treatment of Chronic Pain: A Comprehensive Review published in Health Psychology Research in 2021 highlights the use of ketamine for: neuropathic pain, fibromyalgia, complex regional pain syndrome, phantom limb pain, cancer pain, and post-thoracotomy pain syndrome.

5. A study titled Effectiveness of myofascial release on pain, sleep, and quality of life in patients with fibromyalgia syndrome: A systematic review published in Complementary Therapies in Clinical Practice in November 2021 concludes: moderate evidence for the effect of therapist-administered and self-myofascial release in improving pain, sleep subscales, and quality of life against sam and no treatment, respectively, in fibromyalgia syndrome patients

6. A study, titled  Effects of Vitamin D on Pain severity, Quality of Life, Depression and Sleep in Patients with Fibromyalgia published in Medicine International Istanbul Hastanesi in 2021 concludes: Vitamin D deficiency may be a factor associated with symptom severity, sleep and wakefulness problems, and physical function in FMS. Therefore, serum 25OHD status should be evaluated in patients with FMS and its importance in treatment management should not be ignored.

7. A study titled The effect of Reflexology in patients with Fibromyalgia, published in Signa Vitae (Anesthesiology Department, Pain and Palliative Care Center Aretaeion Hospital, University of Athens, Athens Greece) in Feb 2020 concludes:  Reflexology may be beneficial as add-on treatment in patients with Fibromyalgia who are unable to receive the recommended dosages of their medication (pregabalin).

8. A study titled The effects of acupuncture in fibromyalgia: integrative review published in April 2020 in BrJP Sao Paulo concludes: studies suggest that acupuncture is effective for the treatment of pain in patients with fibromyalgia, with improved quality of life and positive interference in sleep.

9.  A study titled Investigation of effectiveness of reformer pilates in individuals with fibromyalgia: a randomized controlled trial published in Reumatlogía Clínical in Feb 2022 concludes: reformer pilates exercises had positive effects on clinical status and muscle strength while home mat pilates exercises had positive effects on the number of painful regions, clinical status, biopsychosocial status and physical component quality of life.

10.  An article titled Infrared Radiation in the Management of Musculoskeletal Conditions and Chronic Pain: A Systematic Review published in European Journal of Investigation Health, Psychology and Education in Mar 2022 concludes: based on findings of our review, we noted a decrease in pain levels, decrease in Fibromyalgia Impact Questionnaire scores.

 

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

  1. Sleep disturbances and pain outcomes in veterans
  2. Acupuncture effects on Fibromyalgia
  3. Cryotherapy for chronic pain
  4. Underwater exercise effects on postmenopausal Fibromyalgia symptoms
  5. Cryotherapy alleviates symptoms in chronic pelvic pain
  6. Effects of hydrotherapy on chronic lumbar pain
  7. Effectiveness of serial whole-body cryotherapy in Fibromyalgia
  8. Comparison of muscle conduction abnormality in Fibromylagia and chronic fatigue
  9. Efficacy of Vitamin D3 treatment for Fibromylagia
  10. COmparison of Prolotherapy and facet joint injection for chronic low back pain

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

  1. Fibromyalgia linked to gut bacteria
  2. Relationship between serum magnesium, inflammation and chronic pain
  3. Effectiveness of low-pressure hyperbaric oxygen and physical exercise in fibromyalgia
  4. Aquatic therapy versus land-based therapy in reducing pain in fibromyalgia
  5. Association between low vitamin D levels and impact of fibromyalgia
  6. Pressure-induced referred pain a biomarker of pain sensitivity
  7. Manual therapy versus therapeutic exercise
  8. Hypnotic intervention in people with fibromyalgia
  9. Impact of animal-assisted activity session
  10. Intramuscular pressure is almost three times higher in fibromyalgia

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.

TIDBIT
What Hurting Looks Like: Photographer Translates Pain Into Visceral Still Life  provides visual and verbal descriptions of pain. Originally published on NPR

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