Should Exercises be Painful when dealing with Chronic Musculoskeletal Pain?

What’s This Research About?

Musculoskeletal pain (MP) and musculoskeletal disorders are highly prevalent and costly on a global scale, with back pain and neck pain being two of the most pervasive kinds of MP. It’s been estimated that 25% of the population in the United Kingdom alone, develops chronic MP.

Previously, most physiotherapy has focused on rehabbing patients by using therapeutic exercises that don’t push into pain. But there has not been a concerted effort in the research to see if avoiding pain at all costs is the most effective method of treatment. It has been shown that pain is multi-faceted and not always connected to tissue damage. It is for this reason that physiotherapists have postulated that allowing for a small amount of pain during exercise, and reframing thoughts on pain (“hurt does not equal harm”) might be beneficial.

This study reviewed the research of therapy programs utilizing load and resistance with a temporary amount of pain compared to studies with non-painful exercises.

TITLE: Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis


PUBLICATION: British Journal of Sports Medicine

DATE: 2017

AUTHORS : Benjamin Smith, Paul Hendrick, Toby Smith, Marcus Bateman, Fiona Moffatt, Michael Rathleff, James Selfe, Pip Logan

Cochrane Risk of Bias Tool: This is used to assess bias in certain aspects of the studies picked for the paper.

GRADE: Grading of Recommendations Assessment, Development and Evaluation system.This system is used to rate the overall quality of the evidence in the pooled analysis. 

PRISMA:  Preferred Reporting Items for Systematic Reviews and  Meta-analyses. This review was conducted using this protocol for meta analyses papers.

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By |2018-04-02T17:19:12-04:00April 3rd, 2018|Musculoskeletal, Pain|0 Comments

About the Author:

Catherine brings to her role as a personal trainer a wealth of education and years of athletic experience with training in track and cross country running, gymnastics and rowing, boxing and yoga. She received a B.A. in Sports Medicine and Exercise Physiology from the University of San Francisco and an M.A. in Kinesiology at San Francisco State University. She also holds certifications in ACE, FMS I and II, PRI (Myokinematics, Respiration), Neuromuscular therapy, FRCms, and FR. As an athlete she sustained several injuries, which led her on the path to study and understand the body and the mechanisms of healing. "I was fascinated with everything I learned. Throughout college, I worked with USF athletes as an athletic trainer in the prevention and rehabilitation of injuries. Soon I was able to transfer all of this knowledge into helping everyday people with their aches and pains." Her thirst for knowledge is never quenched and she continues to evolve her practice to stay up to date on the latest research and methods to help her clients with present injuries, pain, and best ways to acquire strength to maintain a healthy body. "I believe assessment is still key in starting with clients but stability, global strength and everyday movement are key to people's longevity, and quality of life. If people can slowly and systematically expose their bodies to different loads to gain strength and mobility they will better succeed to get the most out of their bodies." Learn more about Catherine Cowey.