Autonomic Regulation in Musculoskeletal Pain

Hallman, David; Lyskov, Eugene

doi:10.5772/51086

Cited by 7 publications

(7 citation statements)

References 125 publications

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“…Increased sympathetic activity can activate pain-sensing nerve fibers, leading to widespread pain and heightened sensitivity to both painful (hyperalgesia) and nonpainful (allodynia) stimuli. Hallman et al conducted a study involving 24-hour ambulatory monitoring of an electrocardiogram (ECG) in individuals with chronic neck and shoulder pain as well as in healthy control subjects [ 43 ]. The presence of pain in individuals was associated with an elevated heart rate and a decrease in heart rate variability observed during sleep, indicating an increase in sympathetic activity and a decrease in parasympathetic activity.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Impact of High Photon Energy Wavelengths on the Treatment of Chronic Neck and Shoulder Pain

Sammons,

Gair,

Silverman

et al. 2023

Evidence-Based Complementary and Alternative Medicine

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The effect of low-level laser therapy with high photon energy wavelengths, green and violet, for treating chronic musculoskeletal pain was examined in the first-ever clinical trial of its kind. Participants (n = 43) underwent a single 13-minute laser session. The primary measure of effectiveness was the change in initial visual analog pain (VAS) scores observed three minutes posttreatment. The success of a participant was defined in advance as a reduction of ≥30% in VAS scores, while the success of the study was predetermined as achieving a 65 ± 5% success rate among individual participants. Results demonstrated subjects’ VAS pain scores decreased from 71.79 to 34.02 ( p < 0.0001 ), while most participants in the study (81.4%) achieved a ≥30% decrease in pain scores. The findings from this clinical investigation provided substantial support for the first Food and Drug Administration clearance (K221987) for the combined application of green and violet lasers.

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Section: Discussionmentioning

confidence: 99%

Assessing the Impact of High Photon Energy Wavelengths on the Treatment of Chronic Neck and Shoulder Pain

Sammons,

Gair,

Silverman

et al. 2023

Evidence-Based Complementary and Alternative Medicine

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“…The inflammatory reaction may, in turn, lower nociceptor thresholds and induce musculoskeletal pain. In addition, psychological stress may increase low-level muscle activity and reduce muscle relaxation by the sympathetic nervous system 33,34 . These result in overuse of muscle fibers, which in turn induces muscle fatigue and pain sensation.…”

Section: Discussionmentioning

confidence: 99%

Contributions of Ergonomics, Psychological Factors, and Sleep Disturbances to Lower Back Pain Among Taiwanese Workers

Shih¹,

Chu²,

Liu³

et al. 2021

Journal of Occupational &Amp; Environmental Medicine

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Objective: We investigated the contributions of ergonomics, psychological factors, and sleep disturbances to lower back pain (LBP). Methods: A nationwide survey of sampled 27,508 (2.6‰) Taiwanese workers was conducted in 2010. Definition of outcome was LBP affecting work performance in the past year. Predictor variables included age, body mass index, ergonomic factors, job control, psychological demands, and sleep disturbances. Mutually adjusted relative risks were examined using general linear models, followed by aPAR. Results: 18,353 workers were included in the multivariate regression model. The three first significant risk factors to LBP included heavy lifting or awkward posture, sleep disturbances, and high psychological demands (aPAR = 13.5%, 8.7%, 5.7% respectively in men and 6.1%, 11.8%, 5.9% in women). Conclusions: In addition to ergonomic exposure, sleep disturbances and high psychological demands significantly contributed to LBP.

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“…69 Dysregulation of the autonomic nervous system appears to play a key role in chronic pain. 70 Arousal of the autonomic nervous system is related to how a person perceives a painful stimulus. 70 In animal models, physical activity has been shown to interrupt the development of persistent pain through its effect on autonomic dysregulation.…”

Section: Yoga For Chronic Painmentioning

confidence: 99%

“…70 Arousal of the autonomic nervous system is related to how a person perceives a painful stimulus. 70 In animal models, physical activity has been shown to interrupt the development of persistent pain through its effect on autonomic dysregulation. 70 The relationship between stress, the autonomic nervous system, and recovery is complex.…”

Section: Yoga For Chronic Painmentioning

confidence: 99%

“…70 In animal models, physical activity has been shown to interrupt the development of persistent pain through its effect on autonomic dysregulation. 70 The relationship between stress, the autonomic nervous system, and recovery is complex. Other authors have hypothesized on the interrelated roles of neurotransmitters, physiological arousal, and clinical measures of the state of the autonomic system (e.g.…”

Section: Yoga For Chronic Painmentioning

confidence: 99%

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Resilient to Pain: A Model of How Yoga May Decrease Interference Among People Experiencing Chronic Pain

Donaldson

2019

EXPLORE

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Chronic musculoskeletal pain is the leading cause of disability globally, yet for the majority of people who experience chronic pain, it does not seriously disable them or interfere with their life. People who experience severe pain yet low disability display a resilient course of pain. Yoga has been shown to decrease disability among people with pain, but it is not known how. Because even the most basic yoga practices possess many of the components thought to be important in fostering resilience, yoga is a promising means of improving resilience and clinical outcomes for people with chronic pain. A validated conceptual model of how the experience of chronic pain is affected by yoga is needed to guide a future research agenda and identify potential targets for chronic pain intervention. Ultimately, an explanatory model could guide the optimization of yoga and other non-pharmacological therapies for the treatment of chronic pain. I present a testable model.

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Autonomic Regulation in Musculoskeletal Pain

Cited by 7 publications

References 125 publications

Assessing the Impact of High Photon Energy Wavelengths on the Treatment of Chronic Neck and Shoulder Pain

Assessing the Impact of High Photon Energy Wavelengths on the Treatment of Chronic Neck and Shoulder Pain

Contributions of Ergonomics, Psychological Factors, and Sleep Disturbances to Lower Back Pain Among Taiwanese Workers

Resilient to Pain: A Model of How Yoga May Decrease Interference Among People Experiencing Chronic Pain

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