Hyperalgesia is an abnormal increase in sensitivity or an amplification of normally painful or uncomfortable stimulus. A person with hyperalgesia experiences an excessive amount of pain compared to the physical severity of damage or illness in their body.
Generalized hyperalgesia is common in fibromyalgia (FMS) and chronic fatigue syndrome (ME/CFS) and some studies indicate it may be partly caused by a mechanism in which microglial accumulation and activation is involved, as well as other possible immune system changes, such as complement system product C4a.
Symptom recognition[edit | edit source]
Hypersensitivity to pain is a sensory symptom recognized in the Canadian Consensus Criteria for Myalgic Encephalomyelitis.
Notable studies[edit | edit source]
- 2010, Evidence for generalized hyperalgesia in chronic fatigue syndrome: a case control study
- 2014, A chronic fatigue syndrome model demonstrates mechanical allodynia and muscular hyperalgesia via spinal microglial activation
- 2019, Exercise-induce hyperalgesia, complement system and elastase activation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - a secondary analysis of experimental comparative studies
See also[edit | edit source]
Learn more[edit | edit source]
- 2017, Hyperalgesia Amplified Pain in Fibromyalgia & ME/CFS by Adrienne Dellwo for Very Well Health
References[edit | edit source]
- Shaikh, Maliha; Hakim, Alan J; Shenker, Nicholas (2010). "The physiology of pain". Elsevier: 35–52. doi:10.1016/b978-0-7020-3005-5.00003-3. ISBN 9780702030055.
- Yasui, Masaya; Yoshimura, Takashi; Takeuchi, So; Tokizane, Kyohei; Tsuda, Makoto; Inoue, Kazuhide; Kiyama, Hiroshi (Sep 2014). "A Chronic fatigue syndrome model demonstrates mechanical allodynia and muscular hyperalgesia via spinal microglial activation: Microglia-Mediated Pain Under Chronic Stress". Glia. 62 (9): 1407–1417. doi:10.1002/glia.22687. PMID 24852223.
- Polli, Andrea; Van Oosterwijck, Jessica; Meeus, Mira; Lambrecht, Luc; Nijs, Jo; Ickmans, Kelly (Jan 28, 2019). "Exercise-induce hyperalgesia, complement system and elastase activation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome – a secondary analysis of experimental comparative studies". Scandinavian Journal of Pain. 19 (1): 183–192. doi:10.1515/sjpain-2018-0075. ISSN 1877-8879. PMID 30325737.
- Carruthers, Bruce M.; Jain, Anil Kumar; De Meirleir, Kenny L.; Peterson, Daniel L.; Klimas, Nancy G.; Lerner, A. Martin; Bested, Alison C.; Flor-Henry, Pierre; Joshi, Pradip; Powles, A C Peter; Sherkey, Jeffrey A.; van de Sande, Marjorie I. (2003), "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols" (PDF), Journal of Chronic Fatigue Syndrome, 11 (2): 7-115, doi:10.1300/J092v11n01_02
- Meeus, Mira; Nijs, Jo; Huybrechts, Sven; Truijen, Steven (Apr 2010). "Evidence for generalized hyperalgesia in chronic fatigue syndrome: a case control study". Clinical Rheumatology. 29 (4): 393–398. doi:10.1007/s10067-009-1339-0. ISSN 0770-3198. PMID 20077123.
- Dellwo, Adrienne; Hughes, Grant (Aug 7, 2017). "How Does Hyperalgesia Impact Fibromyalgia?". Verywell Health. Retrieved Feb 22, 2019.
Canadian Consensus Criteria (CCC) - A set of diagnostic criteria used to diagnose ME/CFS, developed by a group of practicing ME/CFS clinicians in 2003. The CCC is often considered to be the most complex criteria, but possibly the most accurate, with the lowest number of patients meeting the criteria. Led to the development of the International Consensus Criteria (ICC) in 2011.
myalgic encephalomyelitis (ME) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.
microglia - A type of immune cell, called a macrophage, that lives in the brain. For historical reasons, macrophages have different names based on the part of the body that they normally live in. Macrophages that normally live in the blood are called monocytes. Macrophages that normally live in the skin are called Langerhans cells. Macrophages that normally live in the liver are called Kupffer cells. And macrophages that normally live in the central nervous system are called microglia. Microglia were originally classified as glial cells, under the assumption that the cells had a merely structural function, before it was realized that the cells were in fact immune cells. As the "sentinel cells" of the central nervous system, microglia survey their environment for abnormalities such as infection or tissue damage, and then initiate an immune response to fight the infection or repair the tissue damage.
chronic fatigue syndrome (CFS) - A fatigue-based illness. The term CFS was invented invented by the U.S. Centers for Disease Control as an replacement for myalgic encephalomyelitis (ME). Some view CFS as a neurological disease, others use the term for any unexplained long-term fatigue. Sometimes used as a the term as a synonym of myalgic encephalomyelitis, despite the different diagnostic criteria.