PHYSICAL THERAPY

Top 5 Fridays! 5 facts about exercise-induced hypoalgesia | Modern Manual Therapy Blog


5 facts about exercise-induced hypoalgesia - themanualtherapist.com

EIH has been extensively studied in painless individuals and people with persistent pain showing both short-term effects initially after an exercise session, with further evidence suggesting higher pain thresholds longer term after exercise. constant activity.

5 facts about exercise-induced hypoalgesia by Cameron Faller

Some central mechanisms exist with the belief that exercise is able to decrease pain by reducing time summation and improving modulation of conditioned pain.

To provide better application in understanding its effect in different contexts, here are 5 known facts that research supports to date.

👉Exercise does not need to be specific – EIH can be reproducible with aerobic, isometric and dynamic types of exercise.

👉 Intensity and duration depend on type of exercise – People without pain experienced greater EIH with higher intensity in aerobic exercise. Conversely, the EIH was higher with low to moderate intensity exercise in people with chronic pain. Hyperalgesia was felt the higher the intensity was for this population.

👉Regular exercise can lead to higher pain thresholds – Research supports more active and physically fit people have higher pain tolerance than inactive people.

👉Exercise can be joint dependent – People without pain experienced higher pain thresholds in the joint where they exercised; however, people with pain experienced greater EIH when exercising non-painful joints. This population can actually suffer from hyperalgesia when exercising the painful joint.

👉 Beliefs and Expectations Matter – Preconceived beliefs about exercise and pain will dictate the amount of pain experienced after exercise. Using the right narrative with healing words helps reduce hyperalgesia in people with persistent pain.

The above implications may come from more than 150 studies of EIH, however, more literature with appropriate controls is needed to truly understand the phenomenon of EIH.

Nonetheless, this evidence should give us the confidence to promote enjoyable physical activity and movement in the hopes of making individuals stronger and more resilient in managing pain.

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