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Current clinical research, education and practice commonly approaches musculoskeletal pain conditions in silos. A focus on body regions such as knee, hip, neck, shoulder and back pain as separate entities is manifest by region-specific clinical guidelines, conferences and working groups. Emerging evidence demonstrates that musculoskeletal pain disorders are frequently comorbid and share common biopsychosocial risk profiles for pain and disability.1–5 There is broad consensus across clinical guidelines on the recommendations for best practice, irrespective of body region.3 We contend that a shift to focus on the person is needed. This best practice approach will encourage clinicians to (1) focus on patients’ context and modifiable biopsychosocial factors that influence their pain and disability3; (2) use education to facilitate active management approaches (targeted exercise therapy, physical activity and healthy lifestyle habits) and reduce reliance on passive interventions; and (3) consider evidence-based surgical procedures only for those with a clear indication and where guideline-based non-surgical approaches have been rigorously adhered to.
We recommend five actions to manage a person with musculoskeletal pain, irrespective of body region
To adopt a person-centred active approach to treating musculoskeletal pain and disability, clinicians should:
1.Screen for biopsychosocial factors and health comorbidities
Clinicians need to communicate clearly with the patient to identify potential …
Twitter @jpcaneiro, @ewa_roos, @DrChrisBarton, @kieranosull
Contributors JPC, POS, EMR and CJB developed the concept. JPC drafted the manuscript. All authors contributed to and approved the final version submitted.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests Several authors (JPC, CJB, KOS, KMC, and POS) are members of the editorial board of British Journal of Sports Medicine. Four authors (JPC, POS, KOS and CJB) deliver educational workshops on patient-centred care.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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