Musculoskeletal pain and exercise—Challenging existing paradigms and introducing new
Open accessAbstract
What are the new findings? Central and peripheral pain mechanisms, the immune system and affective aspects of pain appear to respond differently when pain is allowed during exercise. Pain during therapeutic exercise for chronic musculoskeletal pain need not be a barrier to successful outcomes. There is a potential rationale and mechanisms behind the additional benefit of allowing painful exercises, over pain free exercises, in the management of chronic musculoskeletal pain.
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The mechanisms that cause pathological pain and those that cause exercise-induced muscle pain are different from each other.
“This is because the mechanisms that cause pathological pain and those that cause exercise-induced muscle pain are different from each other [41,42].”
From Acute effects of brief mindfulness intervention coupled with carbohydrate ingestion to re-energize soccer players: a randomized crossover trial. (2020) · cites this paper as [42]
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- Authors
- Smith, B. E., Hendrick, P., Bateman, M., Holden, S., Littlewood, C., Smith, T. O., & Logan, P.
- Affiliations
- University of Nottingham (GB)
- London Road Community Hospital (GB)
- Arthritis Research UK (GB)
- University of Oxford (GB)
- Corresponding author
- Smith, Benjamin E
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2018-06-20
- Volume
- 53
- Issue
- 14
- Pages
- 907-912
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- PMC
- PMC6613745
- OpenAlex
- W2808973129
- Cited by
- 166
- References
- 86
- Citations by year
- 2026: 18 · 2025: 28 · 2024: 17 · 2023: 28 · 2022: 28 · 2021: 20 · 2020: 18 · 2019: 8 · 2018: 1
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- British Journal of Sports Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Edge Hill University Research Information Repository (Edge Hill University) (submittedVersion, other-oa)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion, cc-by)
- Funders
- National Institute for Health Research
- 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
- musculoskeletal pain, physical activity, chronic pain, pain mechanisms, exercise-induced immune response, exercise therapy, pain management
- MeSH terms
- Central Nervous System, Exercise Therapy, Humans, Cognitive Behavioral Therapy, Chronic Pain, Musculoskeletal Pain
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