A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System

Fibromyalgia represents a chronic pain disorder characterized by musculoskeletal pain, fatigue, and cognitive impairments. The exact mechanisms underlying fibromyalgia remain undefined; as a result, diagnosis and treatment present considerable challenges. On the other hand, the endogenous opioid sys...

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Main Author: Mario García-Domínguez
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/1/165
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author Mario García-Domínguez
author_facet Mario García-Domínguez
author_sort Mario García-Domínguez
collection DOAJ
description Fibromyalgia represents a chronic pain disorder characterized by musculoskeletal pain, fatigue, and cognitive impairments. The exact mechanisms underlying fibromyalgia remain undefined; as a result, diagnosis and treatment present considerable challenges. On the other hand, the endogenous opioid system is believed to regulate pain intensity and emotional responses; hence, it might be expected to play a key role in the enhanced sensitivity experienced by fibromyalgia patients. One explanation for the emergence of disrupted pain modulation in individuals with fibromyalgia is a significant reduction in opioid receptor activity or an imbalance in the levels of endogenous opioid peptides. Further research is essential to clarify the complex details of the mechanisms underlying this abnormality. This complexity arises from the notion that an improved understanding could contribute to the development of innovative therapeutic strategies aimed at targeting the endogenous opioid system in the context of fibromyalgia. Although progress is being made, a complete understanding of these complexities remains a significant challenge. This paradigm has the potential to revolutionize the complex management of fibromyalgia, although its implementation may experience challenges. The effectiveness of this approach depends on multiple factors, but the implications could be profound. Despite the challenges involved in this transformation, the potential for improving patient care is considerable, as this condition has long been inadequately treated.
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spelling doaj-art-8ddfb2b7e80949f6a850c6e8c02ca8052025-01-24T13:24:14ZengMDPI AGBiomedicines2227-90592025-01-0113116510.3390/biomedicines13010165A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid SystemMario García-Domínguez0Program of Immunology and Immunotherapy, CIMA-Universidad de Navarra, 31008 Pamplona, SpainFibromyalgia represents a chronic pain disorder characterized by musculoskeletal pain, fatigue, and cognitive impairments. The exact mechanisms underlying fibromyalgia remain undefined; as a result, diagnosis and treatment present considerable challenges. On the other hand, the endogenous opioid system is believed to regulate pain intensity and emotional responses; hence, it might be expected to play a key role in the enhanced sensitivity experienced by fibromyalgia patients. One explanation for the emergence of disrupted pain modulation in individuals with fibromyalgia is a significant reduction in opioid receptor activity or an imbalance in the levels of endogenous opioid peptides. Further research is essential to clarify the complex details of the mechanisms underlying this abnormality. This complexity arises from the notion that an improved understanding could contribute to the development of innovative therapeutic strategies aimed at targeting the endogenous opioid system in the context of fibromyalgia. Although progress is being made, a complete understanding of these complexities remains a significant challenge. This paradigm has the potential to revolutionize the complex management of fibromyalgia, although its implementation may experience challenges. The effectiveness of this approach depends on multiple factors, but the implications could be profound. Despite the challenges involved in this transformation, the potential for improving patient care is considerable, as this condition has long been inadequately treated.https://www.mdpi.com/2227-9059/13/1/165central nervous system sensitizationchronic fatiguechronic painfibromyalgiamusculoskeletal painpain measurement
spellingShingle Mario García-Domínguez
A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
Biomedicines
central nervous system sensitization
chronic fatigue
chronic pain
fibromyalgia
musculoskeletal pain
pain measurement
title A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
title_full A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
title_fullStr A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
title_full_unstemmed A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
title_short A Comprehensive Analysis of Fibromyalgia and the Role of the Endogenous Opioid System
title_sort comprehensive analysis of fibromyalgia and the role of the endogenous opioid system
topic central nervous system sensitization
chronic fatigue
chronic pain
fibromyalgia
musculoskeletal pain
pain measurement
url https://www.mdpi.com/2227-9059/13/1/165
work_keys_str_mv AT mariogarciadominguez acomprehensiveanalysisoffibromyalgiaandtheroleoftheendogenousopioidsystem
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