Acceptance and mindfulness in the management of persistent pain

Key messages from this Snapshot Summary include:

  • Mindfulness-based interventions (MBIs) can positively influence the way in which individuals respond to and cope with pain experiences. Evidence that MBIs alter the experience of pain itself is weak.
  • Depression is a common comorbidity, and patients with persistent pain are more likely to have higher levels of anxiety symptoms.
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Exercise therapy in the management of shoulder pain

Key messages from this Snapshot Summary include:

  • For rotator cuff disorders, Exercise therapy — including stretching, range of motion exercises, and strengthening — may result in greater pain reduction when combined with other therapies, including manual therapy and acupuncture.
  • For frozen shoulder, exercise should only be recommended once movement can be tolerated after the acute phase.
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Manual therapy in the management of tendinopathy

Key messages from this Snapshot Summary include:

  • Tendinopathy is generally accepted to be the result of tendon derangement and adverse mechanical loading, in the absence of inflammation.
  • For patients with rotator cuff tendinopathy, there is low-to moderate quality evidence supporting the use of manual therapy to reduce pain, but not to improve function.
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