Skip to main content
Top
Published in: Sports Medicine 2/2000

01-02-2000 | Review Article

Analgesia Following Exercise

A Review

Author: Kelli F. Koltyn

Published in: Sports Medicine | Issue 2/2000

Login to get access

Abstract

Over the past 20 years a number of studies have examined whether analgesia occurs following exercise. Exercise involving running and cycling have been examined most often in human research, with swimming examined most often in animal research. Pain thresholds and pain tolerances have been found to increase following exercise. In addition, the intensity of a given pain stimulus has been rated lower following exercise. There have been a number of different noxious stimuli used in the laboratory to produce pain, and it appears that analgesia following exercise is found more consistently for studies that used electrical or pressure stimuli to produce pain, and less consistently in studies that used temperature to produce pain. There is also limited research indicating that analgesia can occur following resistance exercise and isometric exercise. Currently, the mechanism(s) responsible for exercise-induced analgesia are poorly understood. Although involvement of the endogenous opioid system has received mixed support in human research, results from animal research seem to indicate that there are multiple analgesia systems, including opioid and non-opioid systems. It appears from animal research that properties of the exercise stressor are important in determining which analgesic system is activated during exercise.
Literature
1.
go back to reference Terman GW, Shavit Y, Lewis JW, et al. Intrinsic mechanisms of pain inhibition: activation by stress. Science 1984; 226: 1270–7PubMedCrossRef Terman GW, Shavit Y, Lewis JW, et al. Intrinsic mechanisms of pain inhibition: activation by stress. Science 1984; 226: 1270–7PubMedCrossRef
3.
go back to reference Beecher HK. Relationship of significance of wound to pain experienced. JAMA 1956; 161: 1609–13CrossRef Beecher HK. Relationship of significance of wound to pain experienced. JAMA 1956; 161: 1609–13CrossRef
4.
go back to reference Black J, Chesher GB, Starmer GA. The painlessness of the long distance runner. Med J Aust 1979; 1: 522–3PubMed Black J, Chesher GB, Starmer GA. The painlessness of the long distance runner. Med J Aust 1979; 1: 522–3PubMed
5.
go back to reference Janal MN. Pain sensitivity, exercise and stoicism. J R Soc Med 1996; 89: 376–81PubMed Janal MN. Pain sensitivity, exercise and stoicism. J R Soc Med 1996; 89: 376–81PubMed
6.
go back to reference O’Connor PJ, Cook DB. Exercise and pain: the neurobiology, measurement, and laboratory study of pain in relation to exercise in humans. Exerc Sport Sci Rev 1999; 27: 119–66PubMed O’Connor PJ, Cook DB. Exercise and pain: the neurobiology, measurement, and laboratory study of pain in relation to exercise in humans. Exerc Sport Sci Rev 1999; 27: 119–66PubMed
7.
go back to reference Pertovaara A, Huopaniemi T, Virtanen A, et al. The influence of exercise on dental pain thresholds and the release of stress hormones. Physiol Behav 1984; 33: 923–6PubMedCrossRef Pertovaara A, Huopaniemi T, Virtanen A, et al. The influence of exercise on dental pain thresholds and the release of stress hormones. Physiol Behav 1984; 33: 923–6PubMedCrossRef
8.
go back to reference Kemppainen P, Pertovaara A, Huopaniemi T, et al. Modification of dental pain and cutaneous thermal sensitivity by exercise in man. Brain Res 1985; 360: 33–40PubMedCrossRef Kemppainen P, Pertovaara A, Huopaniemi T, et al. Modification of dental pain and cutaneous thermal sensitivity by exercise in man. Brain Res 1985; 360: 33–40PubMedCrossRef
9.
go back to reference Kemppainen P, Pertovaara A, Huopaniemi T, et al. Elevation of dental pain threshold induced in man by physical exercise is not reversed by cyproheptadine-mediated suppression of growth hormone release. Neurosci Lett 1986; 70: 388–92PubMedCrossRef Kemppainen P, Pertovaara A, Huopaniemi T, et al. Elevation of dental pain threshold induced in man by physical exercise is not reversed by cyproheptadine-mediated suppression of growth hormone release. Neurosci Lett 1986; 70: 388–92PubMedCrossRef
10.
go back to reference Kemppainen P, Paalasmaa P, Pertovaara A, et al. Dexamethasone attenuates exercise-induced dental analgesia in man. Brain Res 1990; 519: 329–32PubMedCrossRef Kemppainen P, Paalasmaa P, Pertovaara A, et al. Dexamethasone attenuates exercise-induced dental analgesia in man. Brain Res 1990; 519: 329–32PubMedCrossRef
11.
go back to reference Guillemin R, Vargo T, Rossier J, et al. Beta-endorphin and adrenocorticotropin are secreted concomitantly by the pituitary gland. Science 1997; 197: 1367–9CrossRef Guillemin R, Vargo T, Rossier J, et al. Beta-endorphin and adrenocorticotropin are secreted concomitantly by the pituitary gland. Science 1997; 197: 1367–9CrossRef
12.
go back to reference Olausson B, Eriksson E, Ellmarker L, et al. Effects of naloxone on dental pulp pain threshold following muscle exercise and low frequency transcutaneous nerve stimulation: a comparative study in man. Acta Physiol Scand 1986; 126: 299–305PubMedCrossRef Olausson B, Eriksson E, Ellmarker L, et al. Effects of naloxone on dental pulp pain threshold following muscle exercise and low frequency transcutaneous nerve stimulation: a comparative study in man. Acta Physiol Scand 1986; 126: 299–305PubMedCrossRef
13.
go back to reference Droste C, Greenlee MW, Schreck M, et al. Experimental pain thresholds and plasma beta-endorphin levels during exercise. Med Sci Sports Exerc 1991; 23: 334–42PubMed Droste C, Greenlee MW, Schreck M, et al. Experimental pain thresholds and plasma beta-endorphin levels during exercise. Med Sci Sports Exerc 1991; 23: 334–42PubMed
14.
go back to reference Droste C, Meyer-Blankenburg M, Greenlee MW, et al. Effect of physical exercise on pain thresholds and plasma beta-endorphins in patients with silent and symptomatic myocardial ischemia. Eur Heart J 1988; 9: 25–33PubMedCrossRef Droste C, Meyer-Blankenburg M, Greenlee MW, et al. Effect of physical exercise on pain thresholds and plasma beta-endorphins in patients with silent and symptomatic myocardial ischemia. Eur Heart J 1988; 9: 25–33PubMedCrossRef
15.
go back to reference Guieu R, Blin O, Pouget J, et al. Nociceptive threshold and physical activity. Can J Neurol Sci 1992; 19: 69–71 PubMed Guieu R, Blin O, Pouget J, et al. Nociceptive threshold and physical activity. Can J Neurol Sci 1992; 19: 69–71 PubMed
16.
17.
19.
go back to reference Janal MN, Colt EWD, Clark WC, et al. Pain sensitivity, mood and plasma endocrine levels in man following long distance running: effects of naloxone. Pain 1984; 19: 13–25PubMedCrossRef Janal MN, Colt EWD, Clark WC, et al. Pain sensitivity, mood and plasma endocrine levels in man following long distance running: effects of naloxone. Pain 1984; 19: 13–25PubMedCrossRef
20.
go back to reference Sternberg WF, Bailin D, Grant M, et al. Competition alters the perception of noxious stimuli in male and female athletes. Pain 1998: 76: 231–8PubMedCrossRef Sternberg WF, Bailin D, Grant M, et al. Competition alters the perception of noxious stimuli in male and female athletes. Pain 1998: 76: 231–8PubMedCrossRef
21.
go back to reference Kemppainen P, Hamalainen O, Kononen M. Different effects of physical exercise on cold pain sensitivity in fighter pilots with and without the history of acute in-flight neck pain attacks. Med Sci Sports Exerc 1998; 30: 577–82PubMedCrossRef Kemppainen P, Hamalainen O, Kononen M. Different effects of physical exercise on cold pain sensitivity in fighter pilots with and without the history of acute in-flight neck pain attacks. Med Sci Sports Exerc 1998; 30: 577–82PubMedCrossRef
22.
go back to reference Fuller AK, Robinson ME. A test of exercise analgesia using signal detection theory and a within-subjects design. Percept Mot Skills 1993; 76: 1299–310PubMedCrossRef Fuller AK, Robinson ME. A test of exercise analgesia using signal detection theory and a within-subjects design. Percept Mot Skills 1993; 76: 1299–310PubMedCrossRef
23.
go back to reference Haier RJ, Quaid K, Mills JSC. Naloxone alters pain perception after jogging. Psychiatry Res 1981; 5: 231–2PubMedCrossRef Haier RJ, Quaid K, Mills JSC. Naloxone alters pain perception after jogging. Psychiatry Res 1981; 5: 231–2PubMedCrossRef
24.
go back to reference Gurevich M, Kohn PM, Davis C. Exercise-induced analgesia and the role of reactivity in pain sensitivity. J Sports Sci 1994; 12: 549–59PubMedCrossRef Gurevich M, Kohn PM, Davis C. Exercise-induced analgesia and the role of reactivity in pain sensitivity. J Sports Sci 1994; 12: 549–59PubMedCrossRef
25.
go back to reference Koltyn KF, Wertz AL, Gardiner RL, et al. Perception of pain following aerobic exercise. Med Sci Sports Exerc 1996; 28: 1418–21PubMedCrossRef Koltyn KF, Wertz AL, Gardiner RL, et al. Perception of pain following aerobic exercise. Med Sci Sports Exerc 1996; 28: 1418–21PubMedCrossRef
26.
go back to reference Vecchiet L, Marini I, Colozi A, et al. Effects of aerobic exercise on muscular pain sensitivity. Clin Ther 1984; 6: 354–63PubMed Vecchiet L, Marini I, Colozi A, et al. Effects of aerobic exercise on muscular pain sensitivity. Clin Ther 1984; 6: 354–63PubMed
27.
go back to reference Bartholomew JB, Lewis BP, Linder DE, et al. Post-exercise analgesia: replication and extension. J Sports Sci 1996; 14: 329–34PubMedCrossRef Bartholomew JB, Lewis BP, Linder DE, et al. Post-exercise analgesia: replication and extension. J Sports Sci 1996; 14: 329–34PubMedCrossRef
28.
go back to reference Koltyn KF, Arbogast RW. Perception of pain after resistance exercise. Br J Sports Med 1998; 32: 20–4PubMedCrossRef Koltyn KF, Arbogast RW. Perception of pain after resistance exercise. Br J Sports Med 1998; 32: 20–4PubMedCrossRef
29.
go back to reference Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contractions. Pain 1995; 61: 481–6PubMedCrossRef Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contractions. Pain 1995; 61: 481–6PubMedCrossRef
30.
go back to reference Kosek E, Ekholm J, Hansson P. Modulation of pressure pain thresholds during and following isometric contraction in patients with fibromyalgia and in healthy controls. Pain 1996; 64: 415–23PubMedCrossRef Kosek E, Ekholm J, Hansson P. Modulation of pressure pain thresholds during and following isometric contraction in patients with fibromyalgia and in healthy controls. Pain 1996; 64: 415–23PubMedCrossRef
31.
go back to reference Bengtsson M, Bengsston A, Jorfeld L. Diagnostic epidural opioid blockade in primary fibromyalgia at rest and during exercise. Pain 1989; 39: 171–80PubMedCrossRef Bengtsson M, Bengsston A, Jorfeld L. Diagnostic epidural opioid blockade in primary fibromyalgia at rest and during exercise. Pain 1989; 39: 171–80PubMedCrossRef
32.
go back to reference Paalasmaa P, Kemppainen P, Pertovaara A. Modulation of skin sensitivity by dynamic and isometric exercise in man. Eur J Appl Physiol 1991; 62: 279–85CrossRef Paalasmaa P, Kemppainen P, Pertovaara A. Modulation of skin sensitivity by dynamic and isometric exercise in man. Eur J Appl Physiol 1991; 62: 279–85CrossRef
33.
go back to reference Kojo I, Pertovaara A. The effects of stimulus area and adaptation temperature on human heat pain and warm thresholds. Int J Neurosci 1987; 32: 875–80PubMedCrossRef Kojo I, Pertovaara A. The effects of stimulus area and adaptation temperature on human heat pain and warm thresholds. Int J Neurosci 1987; 32: 875–80PubMedCrossRef
34.
go back to reference Bodnar RJ, Kelly DD, Spiaggia KA, et al. Dose-dependent reductions by naloxone of analgesia induced by cold-water stress. Pharmacol Biochem Behav 1978; 8: 667–72PubMedCrossRef Bodnar RJ, Kelly DD, Spiaggia KA, et al. Dose-dependent reductions by naloxone of analgesia induced by cold-water stress. Pharmacol Biochem Behav 1978; 8: 667–72PubMedCrossRef
35.
go back to reference Willow M, Carmody J, Carroll P. The effects of swimming in mice on pain perception and sleeping time in response to hypnotic drugs. Life Sci 1980; 26: 219–24PubMedCrossRef Willow M, Carmody J, Carroll P. The effects of swimming in mice on pain perception and sleeping time in response to hypnotic drugs. Life Sci 1980; 26: 219–24PubMedCrossRef
36.
go back to reference Christie MJ, Chesher GB, Bird KD. The correlation between swim-stress induced antinociception and [3H] Leu-enkephalin binding to brain homogenates in mice. Pharmacol Biochem Behav 1981; 15: 853–7PubMedCrossRef Christie MJ, Chesher GB, Bird KD. The correlation between swim-stress induced antinociception and [3H] Leu-enkephalin binding to brain homogenates in mice. Pharmacol Biochem Behav 1981; 15: 853–7PubMedCrossRef
37.
go back to reference Cooper K, Carmody J. The characteristics of the opioid-related analgesia induced by the stress of swimming in the mouse. Neurosci Lett 1982; 31: 165–70PubMedCrossRef Cooper K, Carmody J. The characteristics of the opioid-related analgesia induced by the stress of swimming in the mouse. Neurosci Lett 1982; 31: 165–70PubMedCrossRef
38.
go back to reference O’Connor P, Chipkin RE. Comparisons between warm and cold water stress in mice. Life Sci 1984; 35: 631–9PubMedCrossRef O’Connor P, Chipkin RE. Comparisons between warm and cold water stress in mice. Life Sci 1984; 35: 631–9PubMedCrossRef
39.
go back to reference Giradot MN, Holloway FA. Cold water stress analgesia in rats: differential effects of naltrexone. Physiol Behav 1984; 32: 547–55CrossRef Giradot MN, Holloway FA. Cold water stress analgesia in rats: differential effects of naltrexone. Physiol Behav 1984; 32: 547–55CrossRef
40.
go back to reference Terman GW, Morgan MJ, Liebeskind JC. Opioid and non-opioid stress analgesia from cold water swim: importance of stress severity. Brain Res 1986; 372: 161–71CrossRef Terman GW, Morgan MJ, Liebeskind JC. Opioid and non-opioid stress analgesia from cold water swim: importance of stress severity. Brain Res 1986; 372: 161–71CrossRef
41.
go back to reference Carmody J, Cooper K. Swim stress reduces chronic pain in mice through an opioid mechanism. Neurosci Lett 1987; 74: 358–63PubMedCrossRef Carmody J, Cooper K. Swim stress reduces chronic pain in mice through an opioid mechanism. Neurosci Lett 1987; 74: 358–63PubMedCrossRef
42.
go back to reference Tierney G, Carmody J, Jamieson D. Stress analgesia: the opioid analgesia of long swims surpasses the non-opioid analgesia induced by short swims in mice. Pain 1991; 46: 89–95PubMedCrossRef Tierney G, Carmody J, Jamieson D. Stress analgesia: the opioid analgesia of long swims surpasses the non-opioid analgesia induced by short swims in mice. Pain 1991; 46: 89–95PubMedCrossRef
43.
go back to reference Shyu BC, Andersson SA, Thoren P. Endorphin mediated increase in pain threshold induced by long-lasting exercise in rats. Life Sci 1982; 30: 833–40PubMedCrossRef Shyu BC, Andersson SA, Thoren P. Endorphin mediated increase in pain threshold induced by long-lasting exercise in rats. Life Sci 1982; 30: 833–40PubMedCrossRef
44.
go back to reference Hoffman P, Skarphedinsson JO, Delle M, et al. Electrical stimulation of the gastrocnemius muscle in the spontaneously hypertensive rat increases the pain threshold: role of serotonergic receptors. Acta Physiol Scand 1990; 138: 125–31CrossRef Hoffman P, Skarphedinsson JO, Delle M, et al. Electrical stimulation of the gastrocnemius muscle in the spontaneously hypertensive rat increases the pain threshold: role of serotonergic receptors. Acta Physiol Scand 1990; 138: 125–31CrossRef
45.
go back to reference Yao T, Andersson S, Thoren P. Long-lasting cardiovascular depressor response following sciatic stimulation in spontaneously hypertensive rats: evidence for the involvement of central endorphin and serotonin systems. Brain Res 1982; 244: 295–303PubMedCrossRef Yao T, Andersson S, Thoren P. Long-lasting cardiovascular depressor response following sciatic stimulation in spontaneously hypertensive rats: evidence for the involvement of central endorphin and serotonin systems. Brain Res 1982; 244: 295–303PubMedCrossRef
46.
go back to reference Marek P, Mogil JS, Sternberg WF, et al. N-Methyl-D-Aspartic acid (NMDA) receptor antagonistMK-801 blocks non-opioid stress induced analgesia: II. Comparison across three swim-stress paradigms in selectively bred mice. Brain Res 1992; 578: 197–203PubMedCrossRef Marek P, Mogil JS, Sternberg WF, et al. N-Methyl-D-Aspartic acid (NMDA) receptor antagonistMK-801 blocks non-opioid stress induced analgesia: II. Comparison across three swim-stress paradigms in selectively bred mice. Brain Res 1992; 578: 197–203PubMedCrossRef
47.
go back to reference Riley JL, Robinson ME, Wise EA, et al. Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain 1998; 74: 181–7PubMedCrossRef Riley JL, Robinson ME, Wise EA, et al. Sex differences in the perception of noxious experimental stimuli: a meta-analysis. Pain 1998; 74: 181–7PubMedCrossRef
48.
go back to reference Fillingim RB, Maixner W. Gender differences in the responses to noxious stimuli. Pain Forum 1995; 4: 209–21CrossRef Fillingim RB, Maixner W. Gender differences in the responses to noxious stimuli. Pain Forum 1995; 4: 209–21CrossRef
49.
Metadata
Title
Analgesia Following Exercise
A Review
Author
Kelli F. Koltyn
Publication date
01-02-2000
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 2/2000
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.2165/00007256-200029020-00002

Other articles of this Issue 2/2000

Sports Medicine 2/2000 Go to the issue