This is extraordinarily interesting, especially if these results hold up in further trials. If you have CPPS with wide-reading, diffuse muscle aches (as 20-30% do), some light muscle rehabilitation (with stretching and release, of course) might help bring you relief. I'll certainly be giving their method a shot to see if it cuts down on my random spontaneous muscle pain.Methods: The study contained 198 adults with frequent neck/shoulder pain (174
women and 24 men, mean: age 43 years, duration of pain 186 days during the previous
year, computer use 93% of work time) were randomly allocated to 10 weeks of specific
resistance training for the neck/shoulder muscles for 2 or 12 minutes per day 5 times a
week, or weekly information on general health (control group). Primary outcomes were
changes in PPT of the painful neck/shoulder muscles (upper trapezius) and a distant nonpainful
reference muscle (tibialis anterior) at 10 weeks.
Results: PPT of both the trained painful trapezius and the non-trained reference muscle
of the leg increased more in the training groups compared with the control group (P
< 0.05), providing evidence of central adaptations. The change in PPT of the reference
muscle was of similar magnitude to that of the painful muscle. Compared with the control
group, the change in PPT of the trapezius and tibialis anterior was 31 (95% CI 3 to 60)
kPa and 36 (8 to 65) kPa in the 2 min group, respectively, and 29 (1 to 58) kPa and 36 (7
to 64) kPa in the 12 min group.
Conclusion: Central adaptations of pain perception occur in response to rehabilitation of
musculoskeletal pain. Thus, treating pain in one region of the body reduces sensitivity to
pressure in other regions of the body. Clinicians and researchers may use this knowledge
to better understand adaptations of pain perception in patients with musculoskeletal pain.
Muscle training may induce central changes
Muscle training may induce central changes
Central Adaptation of Pain Perception in Response to Rehabilitation of Musculoskeletal Pain: Randomized Controlled Trial
Age: 26 | Onset Age: 23 | Symptoms: Neuropathic-like pain and hyperalgesia (lateral/anterior thighs mostly, but distributed throughout body); Pain (penis shaft, right side, when erect for long or excess masturbation) | Previous Symptoms: Pain (testicles; penis underside, mostly near base and running up urethra, sharp/burning; perennial region, dull; ejaculatory; post-ejaculatory); Urinary (moderate incomplete voiding; moderate frequency and pain on bladder filling); Sensations (cold in head of penis) | Helped By: Stretching (especially hip rotators and flexors); Yoga (especially lunges, warrior 2, and pigeon) Trigger point release (abdominals; iliopsoas; gluteus muscles and piriformis; bulbospongiosus & ischiocavernosus; thigh adductors); Meditation (mindfulness); Walking & Aerobic Exercise | Worsened By: Stress, anxiety, too much alcohol, lack of sleep, sitting at length | Current prescriptions: nortriptyline (10 mg, 1x at night; for CNS sensitization and IBS) Previous prescriptions: hydroxyzine (10 mg, 1x at night; for urinary symptoms/mast cell stabilization; useful), clonazepam (0.25-0.5 mg, 1x at night; for anxiety/CNS sensitization; useful for short time)