“…Indeed, lower pain thresholds for mechanical (pressure) and thermal (heat and cold) stimuli in participants with FM have been well-established ( de la Coba et al, 2022 , Desmeules et al, 2003 , Plesner and Vaegter, 2018 ). Similarly, people with FM show increased sensitivity to electrical stimulation ( Erturk Celik and Beyazova, 2020 , Rhudy et al, 2013 ). Taken together, the evidence is indicative of deficient inhibitory top-down pain modulation pathways ( Staud, 2006 , Woolf, 2011 ).…”