The role of excess subcutaneous fat in pain and sensory sensitivity in obesity

Price, Rebecca Christine; Asenjo, Juan-Francisco; Christou, Nicolas V.; Backman, Steven B.; Schweinhardt, Petra

doi:10.1002/j.1532-2149.2013.00315.x

Cited by 81 publications

(86 citation statements)

References 62 publications

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“…Independent of exercise, Price et al has shown no difference in CPM efficiency between obese and normal weight adults using a test site with little excess subcutaneous fat (forehead). 18 Previously, we have shown in adolescents that lean mass was related to both the CPM and EIH responses; lean mass of the arm uniquely predicted 10% of the CPM magnitude and lean mass of the body was correlated with the EIH magnitude. 4,13 Despite previous research showing that lean mass was related to both CPM and EIH independently, lean mass does not appear to account for the relation between CPM and EIH.…”

Section: Discussionmentioning

confidence: 84%

Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents?

Stolzman

Bement

2016

Pediatric Physical Therapy

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Purpose Pain relief after exercise, exercise-induced hypoalgesia (EIH), is established across the lifespan. Conditioned pain modulation (CPM: pain inhibits pain) may be a mechanism for EIH. Methods In 55 adolescents, pressure pain thresholds were measured before and after exercise (deltoid, quadriceps, and nail bed) and during CPM at the nail bed and deltoid test stimulus sites. The relation between EIH and CPM was explored. Results EIH occurred at deltoid and quadriceps; CPM occurred at nail bed and deltoid. CPM and EIH correlated at deltoid; adolescents with greater CPM experienced greater pain relief after exercise. At this site, CPM predicted 5.4% of EIH. Arm lean mass did not add a significant effect. Peak exercise pain did not influence EIH. Adolescents with none, minimal, moderate, or severe peak exercise pain experienced similar EIH. Conclusions A potential relation exists between CPM and EIH in adolescents. Pediatric physical therapists should consider the CPM response when prescribing exercise as a pain management tool.

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Section: Discussionmentioning

confidence: 84%

Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents?

Stolzman

Bement

2016

Pediatric Physical Therapy

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“…Until now, no study has shown a correlation between visceral pain and BMI. [16][17][18] We would like to emphasize that the data in this current study did not address other etiologies of renal colic, e.g., renal infarction or malignancy. Primary imaging with sonography and plain radiography had been performed for the 171 patients in our study.…”

Section: Discussionmentioning

confidence: 96%

Pain severity in renal colic: a retrospective evaluation of initial visits in patients at a medical center

et al. 2016

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“…25 Experimental evidence showed peripheral pain sensitivity aberrations and central sensitization in obese compared with nonobese subjects, but the relationship remains the subject of debate. 126,127 Recently, mechanical factors were brought to the fore when neuropathic knee pain was explained, in part, by turning the innocuous input from high-threshold mechanoreceptors (Aβ-fibers) into painful sensations during joint load. 39 …”

Section: Shared Mechanism Of Obesity and Neuropathic Painmentioning

confidence: 99%

Obesity and Chronic Pain

Narouze

Souzdalnitski

2015

Regional Anesthesia and Pain Medicine

113

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The combination of obesity and pain may worsen a patient's functional status and quality of life more than each condition in isolation. We systematically searched PubMed/MEDLINE and the Cochrane databases for all reports published on obesity and pain. The prevalence of combined obesity and pain was substantial. Good evidence shows that weight reduction can alleviate pain and diminish pain-related functional impairment. However, inadequate pain control can be a barrier to effective lifestyle modification and rehabilitation. This article examines specific pain management approaches for obese patients and reviews novel interventional techniques for treatment of obesity. The infrastructure for simultaneous treatment of obesity and pain already exists in pain medicine (eg, patient education, behavioral medicine approaches, physical rehabilitation, medications, and interventional treatment). Screening for obesity, pain-related disability, and behavioral disorders as well as monitoring of functional performance should become routine in pain medicine practices. Such an approach requires additional physician and staff training. Further research should focus on better understanding the interplay between these 2 very common conditions and the development of effective treatment strategies.

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The role of excess subcutaneous fat in pain and sensory sensitivity in obesity

Abstract: Obese participants are less sensitive than non-obese individuals, but only on areas with excess subcutaneous fat.

Cited by 81 publications

References 62 publications

Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents?

Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents?

Pain severity in renal colic: a retrospective evaluation of initial visits in patients at a medical center

Obesity and Chronic Pain

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