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
- 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.
- 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.
- 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.