Blood pressure-related pain modulation in fibromyalgia: Differentiating between static versus dynamic pain indicators
Abstract
Introduction Resting blood pressure (BP) has been found to be inversely associated with evoked pain responsiveness in healthy populations. However, some reports suggest that BP-related pain modulation may be dysfunctional in chronic pain patients. This study examined whether BP-related pain modulation, indexed by both static and dynamic evoked pain responses, is altered in fibromyalgia (FM) patients compared to pain-free individuals.Method Pain threshold and tolerance as static evoked pain measures and slowly repeated evoked pain (SREP) as a dynamic evoked pain index were measured in 30 FM patients and 27 healthy controls. BP was continuously recorded throughout a 5 minute pre-pain rest period.Results SREP sensitization was observed only in the FM group. Higher BP predicted elevated pain threshold and tolerance in healthy individuals, but not in FM. Conversely, BP was inversely associated with SREP sensitization in FM whereas no association was found in healthy controls.Conclusions Static evoked pain measures suggested BP-related pain inhibitory dysfunction in FM. In contrast, for pain sensitization as indexed by SREP, FM displayed the expected BP-related inhibitory effects. BP-related pain modulation is manifested in FM differentially for static versus dynamic pain indicators. Use of both types of evoked pain measures may be valuable in the study of mechanisms underlying altered pain modulatory systems in FM.
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The pathophysiology of fibromyalgia syndrome seems to be related to sensitization of central nervous system processes, which underlie alterations in pain perception, deficient pain inhibition, temporal summation of pain, and other indicators of pain sensitization.
“Regarding the etiopathophysiology of FMS, while its etiology remains unknown, the pathophysiology of this chronic condition seems to be related to the sensitization of CNS processes, e.g., [5,22,23], which underlie the alterations in pain perception displayed by these patients, (e.g., allodynia and hyperalgesia) [24], deficient pain inhibition [25], temporal summation of pain [26] and other”
From Effectiveness of acceptance and commitment therapy in central pain sensitization syndromes: A systematic review (2021) · cites this paper as [27]
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Hypertension and pain: A state-based framework for cardiovascular–nociceptive coupling
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- Authors
- de la Coba, P., Bruehl, S., Duschek, S., & Reyes del Paso, G. A.
- Affiliations
- Vanderbilt University Medical Center (US)
- UMIT TIROL - Private University for Health Sciences and Health Technology (AT)
- Venue
- International Journal of Psychophysiology
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 134
- Pages
- 79-85
- ISSN
- 0167-8760 (ISSN-L)
- OpenAlex
- W2895986035
- Cited by
- 21
- References
- 75
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Psychophysiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Educación, Cultura y Deporte (FPU2013-03630)
- Ministerio de Economía y Competitividad
- Federación Española de Enfermedades Raras
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- fibromyalgia, blood pressure, pain modulation, pain threshold, pain tolerance, pain sensitization, chronic pain, autonomic nervous system
- MeSH terms
- Adult, Blood Pressure, Female, Fibromyalgia, Humans, Middle Aged, Pain Measurement, Pain Threshold, Pain Perception, Central Nervous System Sensitization, Chronic Pain, Pain Management
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