“…Furthermore, the inflammatory cytokine IL-6 primes the muscle to respond in a more long-lasting manner to a subsequent insult, intrmuscular prostaglandin-E2 when compared to naive animals injected with prostaglandin-E2 (Dina et al, 2008), and the inflammatory cytokines may also underlie the stress-induced enhancement of muscle pain described above (Dina et al, 2011b). Another potential source of such cytokines is adipose tissue, and there are many studies now begining to suggest that widespread or multifocal pain is more common in obese individuals (Cicuttini and Wluka, 2016), and obese animals show enhanced nociceptive responses (Rossi et al, 2013a, Rossi et al, 2013b). Thus, pro-inflammatory cytokines might play a role in the generation and enhancement of chronic muscle pain including fibromyalgia.…”