Exercise and Chronic Pain

Borisovskaya, Anna; Chmelik, Elizabeth; Karnik, Ashwin

doi:10.1007/978-981-15-1792-1_16

Cited by 102Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsPain Management and Treatment

Exercise and Chronic Pain

Borisovskaya, Anna, Chmelik, Elizabeth, Karnik, Ashwin·2020·Advances in Experimental Medicine and Biology

DOI 10.1007/978-981-15-1792-1_16

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Abstract

In this chapter, we describe the impact and etiology of chronic pain, the associated changes in the nervous system, and the mechanisms by which exercise may be able to affect and reverse these changes. Evidence for efficacy of exercise in different conditions associated with chronic pain is presented, with focus on chronic low back pain, fibromyalgia, osteoarthritis, rheumatoid arthritis, and migraines. While the efficacy of exercise and level of evidence supporting it vary in different diseases, exercise has direct and indirect benefits for most patients suffering from chronic pain. Effective exercise regimens include education and cognitive restructuring to promote behavioral activation and reconceptualization of what pain means, with the goal of gradually reversing the vicious cycle of pain, inertia, sedentary behavior, and worsening disability. Long-term, consistent, individualized exercise-based treatment approaches are most likely to result in improvements in pain and function.

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The impact of pain on daily functioning and quality of life (pain interference) can be improved by cognitive behavioral techniques, regardless of the person's level of physical function.
“Our results add to the body of literature showing that the impact of pain on a person’s daily functioning and quality of life (ie, pain interference) can be improved by cognitive behavioral techniques, such as cognitive restructuring and addressing maladaptive thought patterns, regardless of the person’s level of physical function [49,50].”
From Digital Mental Health Intervention Plus Usual Care Compared With Usual Care Only and Usual Care Plus In-Person Psychological Counseling for Orthopedic Patients With Symptoms of Depression or Anxiety: Cohort Study (2022) · cites this paper as [50]

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Digital Mental Health Intervention Plus Usual Care Compared With Usual Care Only and Usual Care Plus In-Person Psychological Counseling for Orthopedic Patients With Symptoms of Depression or Anxiety: Cohort Study
Leo, A. J., Schuelke, M. J., Hunt, D. M., Miller, J. P., Areán, P. A., & Cheng, A. L. (2022) · JMIR Formative Research · doi:10.2196/36203 · Cited by 41 · see citing works
“Our results add to the body of literature showing that the impact of pain on a person’s daily functioning and quality of life (ie, pain interference) can be improved by cognitive behavioral techniques, such as cognitive restructuring and addressing maladaptive thought patterns, regardless of the person’s level of phys…”
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Authors: Borisovskaya, A., Chmelik, E., & Karnik, A.
Affiliations: United States Department of Veterans Affairs (US)
University of Washington (US)
Corresponding author: Borisovskaya, Anna
Venue: Advances in Experimental Medicine and Biology
Publisher: Springer Nature Singapore
Published: 2020
Volume: 1228
Pages: 233-253
ISSN: 0065-2598 (ISSN-L)
2214-8019
DOI: 10.1007/978-981-15-1792-1_16
OpenAlex: W3020393887
Cited by: 102
References: 141
Citations by year: 2026: 8 · 2025: 21 · 2024: 25 · 2023: 18 · 2022: 22 · 2021: 8
FWCI: 28.34
Type: book chapter
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Advances in experimental medicine and biology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: physical activity, chronic pain, chronic low back pain, fibromyalgia, osteoarthritis, rheumatoid arthritis, migraine, nervous system changes, pain education, cognitive restructuring, behavioral activation, sedentary behavior, disability
MeSH terms: Exercise Therapy, Humans, Exercise, Low Back Pain, Chronic Pain

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Exercise and Chronic Pain

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