Musculoskeletal Pain and Exercise – Should it be Painful?

As Exercise Physiologists, treating people with chronic musculoskeletal pain can be very challenging. It is well established that exercise interventions are the basis of treatment for musculoskeletal pain conditions, however there is still limited understanding around exact mechanisms effecting musculoskeletal pain and optimal exercise dose and type. Looking at the biopsychosocial model of pain may be more relevant in the clinical setting.

 

Smith, Hendrick, Bateman, et al review ‘Musculoskeletal pain and exercise—challenging existing paradigms and introducing new’ is a good read and provides potential rationale for the mechanisms behind additional benefit of allowing painful exercises, over pain-free exercises, in the management of musculoskeletal disease.

 

Well worth a read, some interesting new findings.

 

https://bjsm.bmj.com/content/early/2018/06/20/bjsports-2017-098983

 

Lisa Wallbutton

(BSR, MClinicalExPhysiol(Rehab))

Accredited Exercise Physiologist (AEP) (ESSAM)