Francis J. Keefe|Chris J. Main|Steven Z. George
Advancing Psychologically Informed Practice for Patients With Persistent Musculoskeletal Pain: Promise, Pitfalls, and Solutions
Duke University|Keele University|Duke University|Clinical Research Institute|American Physical Therapy Association
abstract growing interest psychologically oriented pain management past 3 4 decades including 2011 description psychologically informed practice pip low back pain pip requires broader focus traditional biomechanical pathologybased approaches traditionally used manage musculoskeletal pain major focus pip addressing behavioral aspects pain ie peoples responses pain identifying individual expectations beliefs feelings prognostic factors clinical occupational outcomes indicating progression chronicity since 2011 interest pip seems growing evidenced use large trials inclusion scientific conferences increasing evidence base expansion musculoskeletal pain conditions primary care physicians physical therapists delivered pip part stratified care approach involving screening targeting treatment people high risk continued painassociated disability furthermore pip consistent recent national priorities emphasizing nonpharmacological pain management options perspective pip techniques range complexity described considerations implementation clinical practice offered future directions advance understanding pip outlined