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Papers of the Week

Papers: 2 Nov 2019 - 8 Nov 2019

Human Studies

2019 Nov 03

BMC Musculoskelet Disord



Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol.


Galán-Martín MA, Montero-Cuadrado F, Lluch-Girbes E, Coca-López CM, Mayo-Iscar A, Cuesta-Vargas A
BMC Musculoskelet Disord. 2019 Nov 03; 20(1):505.
PMID: 31679512.


Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting.