What Are Probiotics?

Probiotics are live microorganisms that, when consumed in adequate amounts, confer health benefits. They support a healthy gut microbiome, which influences many body systems including immune function and potentially pain.1

Gut-Brain Connection2

  • Gut communicates with brain bidirectionally
  • Gut bacteria produce neurotransmitters
  • Influence inflammation and immune function
  • May affect pain perception
  • Emerging area of research

Potential Benefits for Pain

  • Reduce systemic inflammation
  • Help IBS symptoms
  • May improve mood (depression, anxiety)
  • Support immune function
  • Research ongoing for fibromyalgia, RA

Common Probiotic Strains3

  • Lactobacillus - L. acidophilus, L. rhamnosus
  • Bifidobacterium - B. longum, B. lactis
  • Saccharomyces boulardii - Beneficial yeast
  • Different strains have different effects

Food Sources

  • Yogurt (with live cultures)
  • Kefir
  • Sauerkraut (unpasteurized)
  • Kimchi
  • Kombucha
  • Miso

Choosing a Supplement

  • Look for specific strain names
  • CFU count (billion colony-forming units)
  • Third-party testing
  • Proper storage
  • Match strain to intended benefit

References

  1. Hill C, Guarner F, Reid G, et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics consensus statement. Nat Rev Gastroenterol Hepatol. 2014;11(8):506-514.
  2. Cryan JF, Dinan TG. Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nat Rev Neurosci. 2012;13(10):701-712.
  3. Ford AC, Quigley EM, Lacy BE, et al. Efficacy of prebiotics, probiotics, and synbiotics in irritable bowel syndrome and chronic idiopathic constipation. Am J Gastroenterol. 2014;109(10):1547-1561.