A qualitative exploration of people's experiences of pain neurophysiological education for chronic pain: The importance of relevance for the individual
Open accessAbstract
Pain neurophysiology education (PNE) is a distinct form of patient education in pain management. The aims of this study were to explore the experience of PNE for people with chronic pain and to gain insight into their understanding of their pain after PNE. This was a qualitative study, based on Interpretive Phenomenology Analysis, using individual semi-structured interviews to collect data. We recruited a purposive sample of 10 adults with chronic musculoskeletal pain (men and women; mean age 48 years; with a mean pain duration of 9 years) who had recently completed PNE delivered as a single 2-h group session. The interview transcripts were analysed for emerging themes. We identified three themes: perceived relevance for the individual participant; perceived benefits for the individual participant; and evidence of reconceptualisation. An interlinking narrative was the importance of relevance. Eight participants viewed the session as relevant and reported benefits ranging from a better understanding of pain, improved ability to cope with the pain, and some suggested improved levels of physical activity. Four of these participants showed evidence of reconceptualisation, which we describe as partial and patchy. Two participants reported no benefit and did not perceive the material delivered within PNE to be relevant to themselves. Relevance to the individual needs of a person with chronic pain may be a key factor in the success of PNE, and this is a particular challenge when it is delivered in a group situation.
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PNE from a primarily didactic approach can be felt as confronting to a person's beliefs, which may then be met by a reluctance to accept the education, including potentially labeling the training as irrelevant to one's situation.
“PNE from a primarily didactic approach can be felt as confronting to a person’s beliefs which may then be met by a reluctance to accept the education (including potentially labeling the training as irrelevant to one’s situation).28,56”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [56]
The Procedure (p. 7) describes the PNE session as primarily didactic, and the Results (p. 11) report that two participants found it irrelevant to their circumstances. The paper does not establish that they felt their beliefs were confronted or that this caused reluctance to accept the education; one participant said it was educational but not helpful (Results, p. 13). (LLM, conf=0.86)
Experimental — accuracy not yet measuredShifting the mode of delivery from more didactic approaches to emphasizing patient-centered communication may foster receptivity to examine one's beliefs, support willingness and readiness for change, and explore personal relevance.
“Shifting the mode of delivery from more didactic approaches to emphasizing patient-centered communication may foster receptivity to examine one’s beliefs, support willingness and readiness for change, and to explore personal relevance.20,28,50,52,56”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [56]
The Clinical implications (p. 19) recommend making education relevant to each patient by allowing more time for questions, and the Conclusions (p. 20) favor applied understanding over teaching pain as a general topic. This supports the emphasis on personal relevance, but the study used a didactic group session; it did not test a shift to patient-centered communication or establish effects on receptivity, willingness, or readiness for change. (LLM, conf=0.86)
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Understanding How Patients With Lumbar Radiculopathy Make Sense of and Cope With Their Symptoms
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Chronic migraine patients have low level of knowledge about pain neurophysiology
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Wilson, M. V., Davis, A., BRAITHWAITE, F., Arnold, J. B., Ninnes, P., Wing, M. N., Nicoll, A., & Stanton, T. R. (2025) · Pain · doi:10.1097/j.pain.0000000000003664 · Cited by 3 · see citing works
Seçer, E., & Seçer, M. B. (2025) · European Journal of Physiotherapy · doi:10.1080/21679169.2025.2609085 · Cited by 2 · see citing works
“…output from the brain and can be a completely real experience even in the absence of ongoing tissue damage [1]. compelling evidence consistently supports PNe’s effectiveness in enhancing patients’ knowledge and attitudes, leading to a less threatening understanding of their condition [2].”
Pun, J., Franklin, J., & Ryan, C. G. (2024) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2024.103196 · Cited by 2 · see citing works
Self-citationRoy, J., Massé‐Alarie, H., Dubé, M.-O., Pinard, A.-M., Lamontagne, M., Sole, G., Tittley, J., Laberge, M., Dupuis, F., Fiset, F., et al. (2025) · JMIR Research Protocols · doi:10.2196/77574 · Cited by 1 · see citing works
Wilson, M. V., Davis, A., BRAITHWAITE, F., Arnold, J. B., Gwilt, I., Campbell, S., Porton, J., Petropoulos, O., & Stanton, T. R. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106193 · Cited by 1 · see citing works
McCarron, M., Agnew, F., Briggs, C., Brooks, J., Dempster, M., Granleese, J., Rainey, D., & Vowles, K. E. (2026) · European Journal of Pain · doi:10.1002/ejp.70223 · Cited by 1 · see citing works
“Consistent with prior research (Louw et al. 2016; G. L. Moseley 2003; Moseley et al. 2004; Robinson et al. 2016), our findings suggest that participation in the education programme supported a process of pain reconceptualisation.”
Adenis, N., Wieczorek, V., Potel, P., Soust, I., Hanot, Q., Moretto, F., & Thévenon, A. (2022) · Kinésithérapie la Revue · doi:10.1016/j.kine.2022.06.002 · Cited by 1 · see citing works
Petersen, B., Steyl, T., & Phillips, J. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07879-z · Cited by 1 · see citing works
“Knowledge of psychosocial factors and how they influence the pain experience is necessary in assisting people in making sense of their pain and preventing unhelpful beliefs from manifesting [20].”
BackgroundPatient education best practice; enhancing physiotherapy students’ self-efficacy and skills
Forbes, R. (2017) · The University of Queensland · doi:10.14264/uql.2018.93 · Cited by 1 · see citing works
“…patient education interventions can improve patient awareness of inappropriate beliefs and behaviours and increase self-efficacy for improved therapeutic outcomes including pain, disability and function (Clarke et al, 2011; Louw et al, 2011; Van Oosterwijck et al, 2011; Robinson et al, 2016).”
BackgroundGiovinazzi, R., Tamborrino, A., Marelli, M., Pellicciari, L., & Innocenti, T. (2021) · medRxiv · doi:10.1101/2021.03.04.21252912
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Qazi, A., & Castano-Betancourt, M. C. (2025) · Pain and Rehabilitation · doi:10.59210/q0wbrm27
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Butler, P., Johnston‐Devin, C., Costa, N., O’Leary, S. P., & Sterling, M. M. (2026) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2612457
“From this perspective, understanding beliefs in a healthcare context is important since they play a role in how people manage (or struggle to manage) their health [22–24].”
Kühn, L., Wengemuth, E., Kleist, L., & Choi, K. (2026) · PAIN Reports · doi:10.1097/pr9.0000000000001420
“34 Data collection methods were predominantly semistructured inter-views 3,8,17,18,34,36,40,41,56 and focus group studies.”
InfluentialAdenis, N. (2025) · theses.fr (ABES) · doi:10.70675/37675cd0z9427z45fczaa8az3f1af854d94e
Leake, H. B., Wallwork, S. B., & Moseley, G. L. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106304
Pain Retrained: Outcomes Analysis of an Online, Interdisciplinary Chronic Pain Education Programme
McCarron, M., Agnew, F., Briggs, C., Brooks, J., Dempster, M., Rainey, D., & Vowles, K. E. (2026) · European Journal of Pain · doi:10.1002/ejp.70288
Pain Catastrophizing: Mechanisms and Clinical Implications
Zhang, Q. Y., Ma, Y. Y., Dai, Z., Wang, Q., Wen, Y., Liu, S., & Li, J. (2026) · Journal of Pain Research · doi:10.2147/jpr.s592713
“119,120 Pain neuroscience education (PNE), a form of biopsychosocial education, aims to help individuals reconceptualize their pain experience.”
Collin, E., Gillet, D., Ghadi, S.-M., & Coutaux, A. (2025) · Dunod eBooks · doi:10.3917/dunod.poisb.2025.01.1730
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Sharma, K., & Friedman, J. (2026) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000008017
“53 Crucially, the broad reductions in self-reported pain were consistent despite the site of primary neurolysis or the presence of concomitant secondary neurolysis (Table 3), and even among challenging subgroups, such as those with no known mechanism or negative EMG/NCS results, those who did not…”
What young adults with persistent musculoskeletal pain need from generative AI between visitsPreprint
Pang, J., Li, Z., Xu, C., & Ge, C. (2026) · Research Square · doi:10.21203/rs.3.rs-11494498/v1
- Authors
- Robinson, V., King, R., Ryan, C. G., & Martin, D. J.
- Affiliations
- James Cook University Hospital (GB)
- Teesside University (GB)
- Corresponding author
- Ryan, Cormac G.
- Venue
- Manual Therapy
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 22
- Pages
- 56-61
- ISSN
- 1356-689X (ISSN-L)
- OpenAlex
- W1958304292
- Cited by
- 69
- References
- 36
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 6 · 2023: 7 · 2022: 5 · 2021: 10 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 1
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- green
- research.tees.ac.uk
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Manual Therapy (publishedVersion)
- PubMed (publishedVersion)
- Teesside University Research Portal (Teesside University) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic pain, patient education, musculoskeletal pain, perceived relevance, pain coping, physical activity, group education, patient experience
- MeSH terms
- Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Patient Education as Topic, Qualitative Research, Chronic Pain, Pain Management
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