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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

James Dunham
james.p.dunham@bristol.ac.uk


James Dunham
jimdunham@doctors.org.uk


James Dunham
james.p.dunham@bristol.ac.uk


Study Location:

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Be Part of Research - Trial Details - INSITE: Chronic Pain

INSITE: Chronic Pain

Recruiting

Open to: Female / Male

Age: 18 Years - 99 Years

Medical Conditions

Other soft tissue disorders
General symptoms and signs


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Chronic pain blights the lives of more than a third of all adults in the UK, with fibromyalgia affecting between 2 and 8% of the population. Unfortunately, doctors do not know why chronic pain patients, particularly those with fibromyalgia, have pain, and medications often fail to provide pain relief.

In an acute injury, specialised nerves (nociceptors) detect damage and transmit this information to the brain, which gives rise to pain. In some patients with chronic pain, including fibromyalgia, these nerves are thought to be abnormally active or "irritable". Some may be “firing” all the time, not just when damage occurs. They may also be “sensitised” so they “fire” to non-damaging events such as those that occur during normal movement or touch.

Unfortunately, we cannot detect this abnormal activity clinically, we cannot predict who has it, and we do not know what causes it. With this knowledge, we could direct currently available treatments more appropriately, optimise pain management earlier, and develop novel, targeted interventions to provide better pain relief.

Microneurography is a research technique that can directly record nociceptor activity. Whilst not suitable for routine clinical use, this approach has provided the evidence that abnormal activity in nociceptors is present in patients with chronic pain, including those with fibromyalgia.

This project will recruit patients with fibromyalgia and other chronic pain conditions. We will measure their nociceptor activity using microneurography. We will correlate this activity with clinical diagnosis, questionnaires to assess the patient experience, and careful sensory testing. This will enable us to better identify those patients with abnormal nerve activity which, in the future, will allow us to better target treatments to the cause of their pain.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

20 Feb 2025 01 Sep 2028

Observational

Observational type: Cohort study;



You can take part if:



You may not be able to take part if:


Unable to tolerate Microneurography, e.g., Needle phobia, unable to lie still, history of stress/fear/pain induced syncope Higher risk from microneurography, which includes: Neurological diseases such as Multiple Sclerosis, Parkinson’s Disease. Infection / oedema / broken skin over recording or stimulation site. Cardiac or other pacemaker/stimulation device. Taking anti-coagulants. Are deemed to be unsuitable for participation in the study in the opinion of the study investigators.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Southmead Hospital
    Southmead Road
    westbury-on-trym
    Bristol
    Avon
    BS10 5NB
  • Clinical Research Facility (crf)
    60 St. Michaels Hill
    Bristol
    BS2 8DX


The study is sponsored by University of Bristol and funded by VERSUS ARTHRITIS .




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for Trial ID: CPMS 65662

Last updated 13 February 2026

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