At-Home Transcranial Direct Current Stimulation Improves Fibromyalgia Pain

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At-Home Transcranial Direct Current Stimulation Improves Fibromyalgia Pain
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Women with fibromyalgia who used a brain stimulation device reduced their pain by 39% on average in a double-blind, sham-controlled, randomized clinical trial.

A noninvasive, home-based brain treatment with transcranial direct current stimulation can reduce pain severity, improve pain-related disability, and enhance endogenous pain modulation in women with fibromyalgia, suggested the results of a clinical trial published in

“These results are consistent with evidence suggesting that stimulating the left dorsolateral prefrontal cortex enhances top-down control over pain, emotion, and cognitive processing,” said study author Wolnei Caumo, MD, PhD, professor of anesthesia and pain in the medical school at Federal University of Rio Grande do Sul, Porto Alegre, Brazil. “The moderate to large effect sizes observed reaffirm expectations about the clinical relevance of targeting the prefrontal cortex in fibromyalgia.

In this study, tDCS didn’t act alone — the education and exercise that participants completed are also beneficial in fibromyalgia. “Sometimes patients think that their pain is in the knee or the back, and they are waiting for a solution for that,” she said. “Thanks to pain science education, we stress that we need to attend to the brain.”“Given the limited and often poorly tolerated options currently available for fibromyalgia, I do believe tDCS deserves serious consideration, particularly for patients who have not responded to conventional treatments or who struggle with medication side effects,” Baron said.

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