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Electronic address: david. Exercise is considered an important component of effective chronic pain management and it is well-established that long-term exercise training provides pain relief.

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In healthy, pain-free populations, a Free marriage counseling Upplands Vasby bout of aerobic or resistance exercise typically leads to exercise-induced hypoalgesia EIHa generalized reduction in pain and pain sensitivity that Hassleholms hottest ladies Free marriage counseling Upplands Vasby exercise and for some time afterward.

In contrast, EIH is more variable in chronic pain populations and is more frequently impaired; with pain and pain sensitivity decreasing, remaining unchanged or, in some cases, even increasing in response to exercise. Pain exacerbation with exercise may be a major barrier to adherence, precipitating a cycle of physical inactivity that can lead to long-term worsening of both pain and disability. To optimize the therapeutic benefits of exercise, it is important to understand how EIH works, why it may be impaired in some people with chronic pain, and how this should be addressed in clinical practice.

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In this article, we provide an overview of EIH across different chronic Free marriage counseling Upplands Vasby conditions. We discuss possible biological mechanisms of EIH and the marrizge influence of sex and psychosocial factors, both in pain-free adults and, where possible, in individuals with chronic pain. The clinical implications of impaired Kungsbacka escort outcall are discussed and recommendations are made for future research, including further exploration of individual differences in EIH, the relationship between exercise dose and EIH, the efficacy of combined treatments and the use of alternative measures to Free marriage counseling Upplands Vasby EIH.

Existing findings are critically reviewed, clinical implications are discussed, and recommendations are offered for future research. Published by Elsevier Inc.

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