How can I assess the effectiveness of physiotherapy in patients with chronic pain conditions?

To assess the effectiveness of physiotherapy in patients with chronic pain conditions, a person-centred assessment should be conducted to identify factors contributing to pain and its impact on the patient's life, including their priorities, abilities, and goals. This assessment should be collaborative and involve shared decision making with the patient, ensuring they actively participate in their care and understand the potential benefits and risks of physiotherapy as part of their management plan. Specifically, for chronic primary pain, offering a supervised group exercise programme tailored to the individual's needs, preferences, and abilities is recommended, and encouraging ongoing physical activity for long-term health benefits is important. Effectiveness can be monitored by reviewing changes in pain impact, function, and the patient's ability to meet their goals, with reassessment during flare-ups or changes in symptoms to adjust the care plan accordingly. This approach aligns with NICE guidelines emphasizing comprehensive, person-centred assessment and management strategies for chronic pain, including physiotherapy as a key non-pharmacological intervention ¹.