Journal of Novel Physiotherapies
Open Access

Up to 30% of adults and 11% to 38% of children and adolescents suffer from chronic pain, according to studies [1-3]. Its significant personal and social effects can be shown in the fact that it accounts for the highest number of years with a disability and is the most costly factor in adult work-related disability. Chronic pain in children and adolescents reduces involvement in leisure activities, makes it difficult to maintain social relationships, interferes with academic performance, lowers health-related quality of life, and increases use of medical services [3].

With a significant improvement in the scientific understanding of persistent pain over the past few decades, the field of rehabilitation research for individuals with persistent pain is advancing. Researchers and clinicians working in the field of rehabilitation have been inspired by the quick development of pain science, which has sparked ground-breaking work and the use of modern pain science in rehabilitation settings. Even yet, exciting advancements in fields like psychoneuroimmunology, epigenetics, exercise physiology, clinical psychology, and nutritional (neuro) biology have contributed to our growing understanding of chronic pain. This presents special chances to enhance chronic pain patients' recovery even more. This also means that rehabilitation interventions should be adjusted over the lifetime because age is a determinant element in the particularity of the bio-, psycho-, and social components of persistent pain. Additionally, the variety of medical specialties participating in chronic pain rehabilitation (such as doctors, psychologists, physiotherapists, occupational therapists, nurses, and coaches) offers a foundation for advancing chronic pain rehabilitation towards all-encompassing lifestyle approaches.

Interdisciplinary multimodal rehabilitation approaches for chronic pain are specifically mentioned in a number of the articles presented. According to Ringqvist et al. [4] these programmes, when given to persons receiving specialized treatment, have rather large long-term effects on pain, pain interference with daily life, and subjective health. Interestingly, they offer preliminary evidence in favour of the value of integrating an attachment-informed strategy into these multimodal pain therapies, with the goal of strengthening the partnership between patient and therapist. Harrison et al. [5] report that early research on interdisciplinary outpatient therapies for children chronic pain is encouraging in terms of changes in pain intensity, pain-related impairment, school attendance, catastrophizing, and depressive symptoms. Additionally, addressing a number of unfavourable lifestyle factors simultaneously seems to be a challenge that such interdisciplinary pain rehabilitation programmes may provide a comprehensive framework for. These factors include physical inactivity, sedentary behaviour, stress, smoking, an unhealthy diet, and inadequate sleep. It has been established that pain and poor lifestyle factors are related. This shows that multimodal lifestyle-centered treatment strategies for chronic pain may be successful. Actually, this topic is mentioned in each of the five invited submissions on the best evidence-based rehabilitation for chronic pain [5], highlighting how current it is for this field of persistent pain rehabilitation and opening up significant directions for further study.

Harrison et al. [5] study discusses the most cutting-edge rehabilitation techniques for treating children and adolescents with persistent pain. To direct future research and clinical practice, a number of emerging interventional areas are also emphasised. De Groef et al. gives the reader a modern review of the top rehabilitation techniques for cancer patients who have (chronic) pain during and after treatment. The area of oncology should pay particular attention to this paper, especially in light of recent challenges to accepted methods for treating cancer pain that result from a dearth of supporting data. For those with chronic neck pain and low back pain, respectively, Malfliet et al. [6] and Sterling et al. [7] and provide an overview of the best evidence-based non-invasive rehabilitation. Finally, a study [7] presents a state-of-theart evaluation of rehabilitation for osteoarthritis pain. The most up-todate research on rehabilitation is examined for each of these areas in a way that physicians may use it in their regular clinical practise. To do this, each of these publications includes "Best Evidence Tables," "Future Directions for Clinical Practice" sections, and important treatment manual references. This overview also assist clinical researchers in constructing future trials, implementation studies, and fresh, novel investigations based on the strongest available data.

In conclusion, the body of top-notch research included presents significant new data from both experimental lab-based and clinical investigations, all of which concentrate on rehabilitation for those with persistent pain.

All the reviews and researches conducted highlight an important development: the body of research supporting rehabilitation techniques for persons with chronic pain is steadily expanding. The evidence for multimodal lifestyle approaches as essential components of chronic pain therapy is growing as rehabilitation programmes for persons with chronic pain become more prevalent.

Contrast this with medical approaches for chronic pain like (spinal) surgery, interventional therapies like radiofrequency denervation, and analgesics that fall short after thorough scientific examination [8-10], particularly when side effects and cost-effectiveness are taken into consideration. When it comes to treating patients with chronic pain,rehabilitation is succeeding where technology and pharmaceuticals have failed.

However, there is still more to be done in terms of scientific research and execution. As a result, we think that the original and novel information will be a valuable tool for researchers and a help to clinicians in facilitating the integration of research into routine clinical practise. By doing this, we intend to provide direction for ongoing research in this field and contribute to further advancements in the standard of treatment for patients with chronic pain throughout their lives.

Not applicable.

Author declares no conflict of interest.

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