Fibromyalgia linked to decreased brain connectivity


A new study from Sweden finds fibromyalgia is linked to abnormal activity in parts of the

brain that process pain signals and link them to other regions.

Dr. Pär Flodin and colleagues, from the Karolinska Institute in Stockholm, report their findings

in the journal Brain Connectivity.

Fibromyalgia syndrome is a common and chronic condition of unknown cause that mostly strikes in

middle age, although symptoms can often present earlier. Sufferers typically experience fatigue

with long-term pain in several areas of the body, plus tenderness in soft tissues such as the

muscles, joints and tendons.

We don’t know why, but while men and children can also have it, the vast majority of those

diagnosed with fibromyalgia are women.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases,

scientists estimate that fibromyalgia affects 5 million adult Americans.

Decreased brain connectivity in fibromyalgia patients

For their study, the Karolinska researchers compared brain activity in women with and without

fibromyalgia. In fibromyalgia patients, they found decreased connectivity between brain areas that process pain and

sensorimotor signals.

illustration of human brain
The results showed that the fibromyalgia participants had significantly increased pain sensitivity compared with the control group.

They suggest their findings show reduced brain connectivity may contribute to deficient pain

regulation in people with fibromyalgia.

The results build on previous studies that have linked abnormal brain activity to poor pain

inhibition.

For the study, 22 healthy women and 16 with fibromyalgia underwent functional magnetic resonance

imaging (fMRI) brain scans while experiencing different levels of pain by having pressure applied

to the thumb.

The day before the scans, the women completed tests to calibrate their pain sensitivity. A

computer-controlled pressure stimulator applied pressure to their left thumb, while they rated the

sensitivity. Pressure intensities derived from these ratings were then delivered in a random order

as the women underwent the brain scans.

The participants had to refrain from taking pain medication and sedatives 48 hours before the

assessment of pain and 72 hours before the fMRI scans. Altogether, each received 15 stimuli lasting

2.5 seconds each, at half-minute intervals.

Reduction in brain connectivity could impair pain perception

The results showed that the fibromyalgia participants had significantly increased pain

sensitivity compared with the control group.

When they analyzed the brain scans, the team found differences in brain patterns between the

healthy participants and those with fibromyalgia. The fibromyalgia participants showed “functional

decoupling” between areas of the brain that process pain signals and other parts, including those

that control sensorimotor activity.

The authors suggest this reduction in brain connectivity could impair pain perception.

The co-editor-in-chief of the journal, Dr. Christopher Pawela, an assistant professor at the

Medical College of Wisconsin in the US, describes the study as “an important first step” in

understanding how the brain affects widespread pain perception, which is a known characteristic of

fibromyalgia.

In February 2014, Medical News Today learned of a UK study that found poor sleep is tied to widespread pain and fibromyalgia.