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Managing Pain Catastrophizing and High Kinesiophobia in Chronic Musculoskeletal Patients

Topic Summary & Background: A 45-year-old chronic low back pain patient presents with Tampa Scale of Kinesiophobia score 48/68 and fear-avoidance beliefs. Patient refuses spinal mobilization due to catastrophic fear of permanent nerve damage.

Key Discussion Questions:
  • How to integrate Cognitive Behavioral Therapy (CBT) principles into physiotherapy pain education?
  • What graded exposure in vivo protocols work best for spinal flexion fear?
  • Differentiating adaptive vs maladaptive pain coping strategies in chronic pain.
Standard Clinical Consensus: Standard Clinical Consensus: Pain Neuroscience Education (PNE) combined with graded exposure in vivo significantly reduces pain catastrophizing and fear-avoidance beliefs compared to traditional bio-anatomical explanations alone.
DR
Dr. Radhika Sharma, MPT (Rehab)
Psychosocial Lead Faculty • Just now
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