What evidence-based interventions should I consider for managing chronic pain in patients undergoing rehabilitation?

For managing chronic pain in patients undergoing rehabilitation, consider the following evidence-based interventions:

• Supervised group exercise programmes: Offer these to people aged 16 years and over, tailored to their specific needs, preferences, and abilities, to manage chronic primary pain and support physical activity for longer-term health benefits.
• Psychological therapies: Consider acceptance and commitment therapy (ACT) or cognitive behavioural therapy (CBT) delivered by appropriately trained healthcare professionals for chronic primary pain.
• Acupuncture or dry needling: A single course may be considered if delivered in a community setting by trained healthcare professionals, with a maximum of 5 hours of professional time, or equivalent cost and training in other settings.
• Avoid electrical physical modalities: Do not offer TENS, ultrasound, or interferential therapy for chronic primary pain as there is no evidence of benefit.

These interventions should be part of a person-centred care and support plan developed through shared decision making, considering the patient’s priorities, abilities, and goals, and regularly reviewed especially during flare-ups of pain.