hypermobility fibromyalgia and chronic pain pdf

Hypermobility fibromyalgia and chronic pain pdf

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So, what does this mean for my Fibromyalgia?

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Chronic widespread pain is highly present in patients with the Ehlers—Danlos syndrome hypermobility type EDS-HT , but up to now, evidence for generalized hyperalgesia is lacking. The aim of this study is to investigate whether pressure pain thresholds PPTs at both symptomatic and asymptomatic body areas differ in EDS-HT patients compared to healthy subjects.

Then, they completed several questionnaires assessing pain cognitions, fatigue, disability, and general health status, in order to take the possible influence of these factors on PPTs into account. Patients also completed a form concerning the type of pain they experienced. Thereupon, a blinded researcher assessed PPTs at 14 body locations on the trunk and extremities.

PPTs were compared for the two complete groups. In addition, PPTs of patients and controls who did not report pain in a respective zone were compared. PPTs of the patients were significantly lower compared to those of the control group, also when pain-free samples per zone were compared. No confounding factors responsible for the observed differences could be revealed. In half of the patient group, a predominantly neuropathic pain component was likely present.

This study provides evidence for the existence of hyperalgesia even in asymptomatic areas generalized secondary hyperalgesia. The generalized hyperalgesia may represent the involvement of a sensitized central nervous system, which inquires an adapted pain management for this patient group. This is a preview of subscription content, access via your institution. Rent this article via DeepDyve. In: Royce P, Steinmann B eds Connective tissue and its heritable disorders: molecular, genetic and medical aspects.

Wiley-Liss, New York, pp — Google Scholar. Am J Med Genet —7. Am J Med Gen A— J Pain Symptom Manag — Disabil Rehabil — J Pain Symptom Manag e2—e4. Arch Phys Med Rehabil — J Clin Rheumatol — Arthritis Rheum — Curr Pain Headache Rep — Pain — Semin Arthritis Rheum — Giesbrecht RJ, Battie MC A comparison of pressure pain detection thresholds in people with chronic low back pain and volunteers without pain.

Phys Ther — Clin Rheumatol — Curr Med Res Opin — Rheumatology Oxford — Cathart S, Pritchard D Reliability of pain threshold measurement in young adults. J Headache Pain — Farasyn A, Meeusen R The influence of non-specific low back pain on pressure pain thresholds and disability. Eur J Pain — The influence of skin sensitivity in pressure algometry. Scand J Rehabil Med — Health Qual Life Outcome 1 1 Psychol Med — J Psychosom Res e—e.

J Rehabil Sci — Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care — PLoS One 8 4 :e Meeus M, Roussel NA, Truijen S, Nijs J Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study.

J Rehabil Med — Fischer AA Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Expert Opin Pharmacother — Ann Neurol — J Neurol — J Pain Symptom Manag e4—e6.

Man Ther — Nijs J, Van Houdenhove B From acute musculoskeletal pain to chronic widespread pain and fibromyalgia: application of pain neurophysiology in manual therapy practice. Man Ther e—12e. Meeus M, Nijs J Central sensitization: a biopsychosocial explanation for chronic widespread pain in patients with fibromyalgia and chronic fatigue syndrome.

Clin J Pain Jan Arch Phys Med Rehabil e—e. Ryan CG, Gray HG, Newton M, Granat MH Pain biology education and exercise classes compared to pain biology education alone for individuals with chronic low back pain: a pilot randomised controlled trial. Man Ther e—e. Ehlers—Danlos syndrome, hypermobility type : principles and proposal for a multidisciplinary approach. Am J Med Genet A— Download references.

The authors would like to express their gratitude to the patients with EDS-HT for participation in this study. The authors also thank the students and supervisors from the Amsterdam University of Applied Sciences, Department of Physiotherapy for their assistance in the storage of the data. Correspondence to Lies Rombaut. Reprints and Permissions. Rombaut, L. Chronic pain in patients with the hypermobility type of Ehlers—Danlos syndrome: evidence for generalized hyperalgesia.

Clin Rheumatol 34, — Download citation. Received : 30 September Revised : 08 January Accepted : 13 January Published : 04 February Issue Date : June Search SpringerLink Search. Abstract Chronic widespread pain is highly present in patients with the Ehlers—Danlos syndrome hypermobility type EDS-HT , but up to now, evidence for generalized hyperalgesia is lacking. Immediate online access to all issues from Subscription will auto renew annually. References 1. Clin J Pain Jan 30 Acknowledgments The authors would like to express their gratitude to the patients with EDS-HT for participation in this study.

Disclosures None. View author publications. Rights and permissions Reprints and Permissions. About this article Cite this article Rombaut, L.

So, what does this mean for my Fibromyalgia?

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 19 March Published 20 August Volume Pages — Review by Single anonymous peer review. Editor who approved publication: Dr Michael Schatman.

Chronic widespread pain is highly present in patients with the Ehlers—Danlos syndrome hypermobility type EDS-HT , but up to now, evidence for generalized hyperalgesia is lacking. The aim of this study is to investigate whether pressure pain thresholds PPTs at both symptomatic and asymptomatic body areas differ in EDS-HT patients compared to healthy subjects. Then, they completed several questionnaires assessing pain cognitions, fatigue, disability, and general health status, in order to take the possible influence of these factors on PPTs into account. Patients also completed a form concerning the type of pain they experienced. Thereupon, a blinded researcher assessed PPTs at 14 body locations on the trunk and extremities. PPTs were compared for the two complete groups. In addition, PPTs of patients and controls who did not report pain in a respective zone were compared.

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I have been a neurologist for over three decades. During that time, I have seen many patients who had been diagnosed with fibromyalgia. The parallel between the symptoms associated with hypermobility syndrome and fibromyalgia is striking and understanding it may finally provide a path toward improved quality of life for patients who have been diagnosed with fibromyalgia.

Join NursingCenter to get uninterrupted access to this Article. Over the past several years, there has been a gradual increase in the research of joint hypermobility. This is the first comprehensive text I have seen that pulls this research and clinical expertise together. The book is edited by 2 rheumatologists and a physiotherapist PT from the United Kingdom.

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  • Marthe V. 30.04.2021 at 00:19

    Ehlers-Danlos syndrome - hypermobility type (formerly EDS III), a cause of chronic pain; dysautonomia, GI dysmotility and progressive disability? Before. After. 1.

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  • Diarepgepin 04.05.2021 at 04:19

    This groundbreaking new text explains and documents the scientific basis of chronic pain in Joint Hypermobility Syndrome JHS and other heritable disorders of connective tissue from the physiological, epidemiological, genetic and clinical viewpoints.

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