4.3 Review

Chronic Musculoskeletal Pain and Nutrition: Where Are We and Where Are We Heading?

Journal

PM&R
Volume 12, Issue 12, Pages 1268-1278

Publisher

WILEY
DOI: 10.1002/pmrj.12346

Keywords

-

Funding

  1. Berekuyl Academy/European College for Lymphatic Therapy, The Netherlands
  2. Research Foundation Flanders (FWO), Brussels, Belgium
  3. Republic of Turkey Ministry of National Education

Ask authors/readers for more resources

Nutrition is one of the most important lifestyle factors related to chronic diseases such as cancer, diabetes, and cardiovascular diseases. Additionally, poor diet is also considered a predicting, perpetuating, or underlying factor in chronic musculoskeletal pain. This narrative review provides an overview of current knowledge on the relationship between nutrition and chronic musculoskeletal pain (ie, inflammation, obesity, homeostatic balance, and central sensitization as underlying mechanisms). This review also identifies how dietary intake assessments and nutritional behavior interventions for chronic musculoskeletal pain can be used in clinical practice and identifies areas in need of additional research. Based on the available literature, dietary behavior and quality could have an impact on chronic musculoskeletal pain conditions, but the direction of this impact is unclear. There is a need for additional human nutrition studies that focus on specific musculoskeletal pain conditions and underlying pathologies.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Anesthesiology

Towards precision pain medicine for pain after cancer: the Cancer Pain Phenotyping Network multidisciplinary international guidelines for pain phenotyping using nociplastic pain criteria

Jo Nijs, Astrid Lahousse, Cesar Fontaine-de-las-Penas, Pascal Madeleine, Christel Fontaine, Tomohiko Nishigami, Christine Desmedt, Marian Vanhoeij, Kenza Mostaqim, Antonio I. Cuesta-Vargas, Eleni Kapreli, Paraskevi Bilika, Andrea Polli, Laurence Leysen, Omer Elma, Eva Roose, Emma Rheel, Sevilay Tumkaya Yilmaz, Liesbet De Baets, Eva Huyamans, Ali Turk, Ismail Saracoglu

Summary: Pain after cancer is often underestimated and undertreated. Precision medicine offers a way to classify patients into different subgroups based on their individual characteristics and tailor treatment accordingly. The application of precision medicine to post-cancer pain is an emerging issue, particularly in identifying and treating nociplastic pain. The 2021 IASP clinical criteria provide a framework for classifying and treating nociplastic pain in cancer patients, and the CANPPHE Network aims to implement and improve this approach through a diagnostic manual and case illustrations.

BRITISH JOURNAL OF ANAESTHESIA (2023)

Article Medicine, General & Internal

Effectiveness of a Primary Care Multidisciplinary Treatment for Patients with Chronic Pain Compared with Treatment as Usual

Rinske M. Bults, Johanna M. van Dongen, Raymond W. J. G. Ostelo, Jo Nijs, Doeke Keizer, C. Paul van Wilgen

Summary: This study examined the effectiveness of a primary care multidisciplinary treatment for chronic pain and found no significant differences compared to treatment as usual. However, there were statistically significant effects on patients' illness perceptions in favor of the intervention group.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Medicine, General & Internal

Exploring Associations between Healthcare Use and Demographics, Pain and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy: A Cross-Sectional Study

Eva Huysmans, Lisa Goudman, Iris Coppieters, Anneleen Malfliet, Wouter Van Bogaert, Jo Nijs, Maarten Moens, Ronald Buyl, Kelly Ickmans, Koen Putman

Summary: This cross-sectional study investigated the relationship between demographics, pain intensity, and cognitions, and healthcare use in individuals undergoing surgery for lumbar radiculopathy. The results showed that healthcare use was associated with variables such as sex, pain catastrophizing, pain magnification, and leg pain intensity.

JOURNAL OF CLINICAL MEDICINE (2023)

Review Biology

Effect of Different Physical Therapy Interventions on Brain-Derived Neurotrophic Factor Levels in Chronic Musculoskeletal Pain Patients: A Systematic Review

Silvia Di-Bonaventura, Josue Fernandez-Carnero, Luis Matesanz-Garcia, Alberto Arribas-Romano, Andrea Polli, Raul Ferrer-Pena

Summary: The main objective of this review was to examine the impact of different physiotherapy interventions on BDNF levels and analyze their effects on pain levels. The results showed that rTMS and EIMS interventions were more effective in reducing pain intensity and increasing BDNF levels compared to other physical therapies in chronic myofascial pain patients.

LIFE-BASEL (2023)

Article Anesthesiology

Relationship, differences, and agreement between objective and subjective sleep measures in chronic spinal pain patients with comorbid insomnia: a cross-sectional study

Thomas Bilterys, Eveline Van Looveren, Anneleen Malfliet, Jo Nijs, Mira Meeus, Lieven Danneels, Kelly Ickmans, Barbara Cagnie, Dorien Goubert, Maarten Moens, Liesbet De Baets, Wouter Munneke, Olivier Mairesse

Summary: This study aimed to evaluate the relationship and conformity between self-reported and objectively measured sleep parameters. The findings suggest a discrepancy between subjective and objective sleep parameters in people with chronic spinal pain and comorbid insomnia, with participants tending to underestimate total sleep time and overestimate sleep onset latency.
Editorial Material Orthopedics

Nociplastic pain and central sensitization in patients with chronic pain conditions: a terminology update for clinicians

Jo Nijs, Anneleen Malfliet, Tomohiko Nishigami

BRAZILIAN JOURNAL OF PHYSICAL THERAPY (2023)

Editorial Material Orthopedics

Introducing the comprehensive pain management editorial series

Jo Nijs, Astrid Lahousse

BRAZILIAN JOURNAL OF PHYSICAL THERAPY (2023)

Review Medicine, General & Internal

The Biology of Stress Intolerance in Patients with Chronic Pain-State of the Art and Future Directions

Arne Wyns, Jolien Hendrix, Astrid Lahousse, Elke De Bruyne, Jo Nijs, Lode Godderis, Andrea Polli

Summary: Stress has negative impacts on physical and mental health, especially for patients with chronic pain who experience stress intolerance. This paper summarizes the role of the autonomic nervous system and hypothalamus-pituitary-adrenal axis in stress intolerance based on clinical and preclinical studies. The (epi)genetic mechanisms influencing these stress systems are also explored. Understanding the connection between stress, HPA axis, ANS, and chronic health conditions like chronic pain is crucial for improving public health and well-being.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Biochemistry & Molecular Biology

Carpal Tunnel Syndrome: Neuropathic Pain Associated or Not with a Nociplastic Condition

Cesar Fernandez-de-las-Penas, Stella Fuensalida-Novo, Jo Nijs, Annalie Basson, Gustavo Plaza-Manzano, Juan A. Valera-Calero, Lars Arendt-Nielsen, Ana I. de-la-Llave-Rincon

Summary: In 2021, the IASP proposed a grading system for classifying patients with carpal tunnel syndrome (CTS) into different pain phenotypes. The presence of a nociplastic or mixed-type pain phenotype in CTS patients may explain the lack of clinical effectiveness of selective treatments targeting the carpal tunnel area. Therefore, identifying the predominant pain phenotype in CTS patients is important for achieving better treatment outcomes.

BIOMEDICINES (2023)

Article Biology

Myofascial Pain Syndrome: A Nociceptive Condition Comorbid with Neuropathic or Nociplastic Pain

Cesar Fernandez-de-las-Penas, Jo Nijs, Barbara Cagnie, Robert D. Gerwin, Gustavo Plaza-Manzano, Juan A. Valera-Calero, Lars Arendt-Nielsen

Summary: Myofascial pain syndrome involves the presence of myofascial trigger points (TrPs), which can cause referred pain. The classification of TrPs as primary or secondary phenomena and their relationship to central or peripheral nervous system disorders is controversial. The International Association for the Study of Pain (IASP) proposed a clinical criteria and grading system in 2021 to classify patients based on nociceptive, neuropathic, or nociplastic pain phenotypes. While myofascial TrP pain is traditionally categorized as nociceptive, evidence suggests it may also be present in patients with predominantly nociplastic pain. Successful clinical treatment outcomes may be achieved by accurately classifying myofascial TrP pain into these phenotypes.

LIFE-BASEL (2023)

Article Rehabilitation

Associations between psychological factors, pressure pain thresholds and conditioned pain modulation and disability in (sub)-acute low back pain: a three-month follow-up study

Anthe Foubert, Evert Cleenders, Marijke Sligchers, Lisette Heystee, Mira Meeus, Peter Vaes, Jo Nijs, Nathalie A. Roussel

Summary: This prospective cohort study aimed to determine the associations between baseline psychological factors, PPTs, and CPM in (S)ALBP and disability after 3 months. Multiple linear regression analysis showed no significant associations between baseline factors and disability at follow-up.

JOURNAL OF MANUAL & MANIPULATIVE THERAPY (2023)

Review Rehabilitation

Pain neuroscience education in persistent painful tendinopathies: A scoping review from the Tendon PNE Network

Adrian Escriche-Escuder, Jo Nijs, Karin G. Silbernagel, C. Paul van Wilgen, Melanie L. Plinsinga, Jose Casana, Antonio I. Cuesta-Vargas

Summary: This scoping review examined the effects and content of pain neuroscience education for patients with persistent painful tendinopathies. The findings suggest that the use of pain neuroscience education in conjunction with other interventions can improve various outcomes. However, due to limited knowledge of tendon pain and a lack of well-designed trials on pain neuroscience education in tendinopathy, further research is needed.

PHYSICAL THERAPY IN SPORT (2023)

Editorial Material Orthopedics

Phenotyping nociceptive, neuropathic, and nociplastic pain: who, how, & why?

Jo Nijs, Liesbet De Baets, Paul Hodges

BRAZILIAN JOURNAL OF PHYSICAL THERAPY (2023)

Article Microbiology

Serological Biomarkers at Hospital Admission and Hospitalization Treatments Are Not Related to Sensitization-Associated Symptoms in Patients with Post-COVID Pain

Cesar Fernandez-de-las-Penas, Carlos Guijarro, Juan Torres-Macho, Oscar J. Pellicer-Valero, Ana Franco-Moreno, Jo Nijs, Maria Velasco-Arribas

Summary: This study investigates the association between serological biomarkers and hospitalization treatments with sensitization-associated symptoms in COVID-19 survivors with post-COVID pain. The findings suggest that these symptoms are not associated with serological biomarkers at hospital admission and treatments received during hospitalization.

PATHOGENS (2023)

Article Medicine, General & Internal

The Role of Serotonergic and Noradrenergic Descending Pathways on Performance-Based Cognitive Functioning at Rest and in Response to Exercise in People with Chronic Whiplash-Associated Disorders: A Randomized Controlled Crossover Study

Iris Coppieters, Jo Nijs, Mira Meeus, Margot De Kooning, Emma Rheel, Eva Huysmans, Roselien Pas, Wouter Van Bogaert, Ives Hubloue, Kelly Ickmans

Summary: This study aimed to investigate the role of serotonergic and noradrenergic descending pathways in cognitive functioning in chronic whiplash-associated disorders (CWAD). The results showed that a single dose of Atomoxetine improved selective attention, while Citalopram had no significant effect. Exercise improved selective attention without medication intake, but worsened cognitive performance after taking Citalopram or Atomoxetine.

CLINICS AND PRACTICE (2023)

No Data Available