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Exercise for chronic musculoskeletal pain: time to prescribe with precision

Nitin Kumar Arora1,2, Lars Donath2, Clint Miller3

  • 1Division Physiotherapy, Bochum University of Applied Sciences, Bochum, Germany.

BMJ Open Sport & Exercise Medicine
|December 3, 2025
PubMed
Abstract

No abstract available in PubMed .

Keywords:
Exercise rehabilitationOrthopaedicsPhysical TherapyPhysical activityRandomised controlled trial

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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