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Plasma Concentrations of Select Inflammatory Cytokines Predicts Pain Intensity 48 Hours Post-Shoulder Muscle Injury
William C Hedderson1, Paul A Borsa2, Roger B Fillingim3
1Department of Exercise and Sport Science, University of Central Arkansas, Conway, AR.
The Clinical Journal of Pain
|July 18, 2020
Summary
Elevated levels of interleukin-10 (IL-10) and interleukin-6 (IL-6) after muscle injury correlate with increased pain. These inflammatory cytokines may influence pain perception and recovery in vulnerable individuals.
Area of Science:
- Sports Medicine
- Immunology
- Pain Research
Background:
- The link between inflammatory cytokines and pain intensity after acute musculoskeletal injury is not fully understood, especially in high-risk groups.
- Understanding cytokine roles in pain responses could lead to targeted therapies for musculoskeletal injuries.
Purpose of the Study:
- To investigate the relationship between specific inflammatory cytokine levels and pain intensity following exercise-induced muscle injury in a high-risk cohort.
- To identify potential cytokine biomarkers for predicting pain responses and recovery.
Main Methods:
- Collected pain and blood samples from 54 participants before and at 24/48 hours after exercise-induced shoulder muscle injury.
- Measured plasma concentrations of interleukin (IL)-1β, IL-6, IL-8, IL-10, and tumor necrosis factor α.
- Used Pearson correlations and stepwise multiple linear regression to analyze cytokine-pain relationships.
Main Results:
- Significant correlations were found between several cytokines and both resting and active pain intensity.
- Baseline and 48-hour IL-10 levels predicted active and resting pain intensity at 48 hours post-injury.
- 48-hour IL-6 and IL-10 levels were associated with active and resting pain, respectively.
Conclusions:
- Elevated IL-10 (baseline and 48h) and IL-6 (48h) concentrations are associated with heightened pain responses after exercise-induced muscle injury.
- These cytokines may be key players in modulating pain perception and recovery in this context.
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