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MSK Pain – Improves general wellbeing

Improves general wellbeing

Evidence summary

One systematic review with meta-analysis looked at the effect of the physical activity components of self-management programmes on global wellbeing in those with chronic musculoskeletal pain. A moderate benefit was observed in the short and medium-term [1]. One RCT of 21 patients included within a Cochrane review demonstrated an improvement of 40 on a self-reported 0-100 scale [2].

Quality of evidence

Moderate quality

Strength of recommendation



Regular physical activity may improve general wellbeing in those with chronic musculoskeletal pain. Many may report improvements due to the recognised benefit on their pain and function. Consider referring those presenting with a significant psychosocial contribution to group-based exercise intervention programmes with a psychological component.


1         Carnes D, Homer KE, Miles CL, et al.Effective delivery styles and content for self-management interventions for chronic musculoskeletal pain: a systematic literature review. Clin J Pain2012;28:344–54. doi:10.1097/AJP.0b013e31822ed2f3

2         Busch AJ, Webber SC, Richards RS, et al.Resistance exercise training for fibromyalgia. Cochrane Database Syst RevPublished Online First: 2013. doi:10.1002/14651858.CD010884