Fear-Avoidance Beliefs and Chronic Pain

The Journal of Orthopaedic and Sports Physical Therapy
Robert J GatchelChristopher T Ray

Abstract

Fear-avoidance (FA) beliefs are significantly associated with the experience of pain, especially when the pain becomes chronic in nature. The anticipated threat of intense pain will often result in the constant vigilance and monitoring of pain sensations, which, in turn, can cause even low-intensity sensations of pain to become unbearable for the person. Just the anticipation of increased pain or reinjury can further stimulate avoidance behaviors. A vicious cycle may develop, in which fears of increased pain or reinjury contribute to the avoidance of many activities, leading to inactivity and, ultimately, to greater disability. Anyone who assesses and treats pain-related disability should also be prepared to assess and treat pain-related FA.

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Citations

Mar 20, 2018·Current Opinion in Supportive and Palliative Care·Stephen R HumbleArun Bhaskar
Feb 15, 2019·Musculoskeletal Care·Y V Raghava NeelapalaAishwarya Bhandary
Mar 7, 2020·The Tohoku Journal of Experimental Medicine·Michiko KanoShin Fukudo
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Jun 28, 2021·Musculoskeletal Science & Practice·Danilo Harudy KamonsekiPaula Rezende Camargo
Jul 25, 2021·Journal of Clinical Medicine·Thomas BilterysAnneleen Malfliet

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