Pain, 2018 · DOI: 10.1097/j.pain.0000000000001109 · Published: March 1, 2018
This study investigates how low-intensity exercise reduces neuropathic pain in mice. It focuses on the role of the immune system and specific molecules called cytokines. The research shows that exercise increases anti-inflammatory cytokines like IL-4 at the site of nerve injury and in the spinal cord, which helps reduce pain. Mice lacking IL-4 did not experience pain relief from exercise. Exercise also changes the type of immune cells (macrophages) present at the injury site, promoting those that reduce inflammation. These changes suggest exercise can alter the neuroimmune system to alleviate neuropathic pain.
IL-4 can be a therapeutic target for managing neuropathic pain.
These studies will provide a rationale for both clinicians and patients to prescribe and adhere to an exercise program.
Low-intensity exercise positively modulates the state of the immune system at multiple sites to favor anti-inflammatory cytokines over pro-inflammatory cytokines increases to prevent development of neuropathic pain.