Cognitive Behavioural Approaches in Chronic Musculoskeletal Pain Management: Enhancing Physiotherapy Practice

The principles of chronic musculoskeletal pain (CMP) management in physiotherapy practice need a revamping as the recent evidence is detrimental to the existing regular biomedical practice. The current evidence broadly insists the multidimensional (Biopsychosocial model) approaches, for effective management of CMP in clinical practice. Physiotherapists may use cognitive and behavioural interventions to address the problems of individuals who present with enduring complaints may benefit from a comprehensive approach that encompasses personalised education, cognitive behavioural coping strategies, advice on physical activity, self-management and targeted interventions aimed at improving both structural and functional aspects. This multifaceted strategy has demonstrated promising results in terms of clinically significant long-term enhancements in pain management, reduction of disability, and improvement in quality of life. Physiotherapy practice for CMP conditions but also highlights the need for further research and training to ensure treatment adherence and successful implementation.