Nearly all fitness professionals are forced to address low back pain (LBP) to some extent, regardless of the age or population with which they work. The purpose of this article is to shed light on contemporary research surrounding LBP.

Many personal trainers work with clients who are dealing with musculoskeletal pain that has negative consequences both on the client’s ability to exercise and their activities of daily living. This article discusses the different types of pain, and describes targeted approaches for training clients with persistent musculoskeletal pain.

Exercise is increasingly recognized as an effective, nonpharmacological approach for managing both acute and chronic pain. However, accurate pain assessment methods tailored to different exercise settings and populations are essential. This review evaluates existing pain assessment techniques, highlighting self-report measures such as the Visual Analog Scale and Numerical Rating Scale, as well as quantitative measures, such as Pressure Pain Threshold and Conditioned Pain Modulation. These techniques provide valuable insights into the neurophysiological mechanisms behind pain reduction. Although exercise commonly produces a temporary reduction in pain sensitivity known as exercise-induced hypoalgesia (EIH), the effectiveness of this response depends on various factors, such as exercise intensity, psychological state, and pre-existing pain conditions. In addition, exercise itself can sometimes lead to short-term discomfort due to muscle fatigue or delayed-onset muscle soreness. This review offers strength and conditioning providers, as well as researchers, a clear framework for (a) selecting appropriate pain assessment tools, (b) designing research protocols, and (c) customizing exercise interventions for specific populations and pain conditions. By examining self-report and quantitative assessment techniques, along with considerations for data analysis and practical application, this review helps strength and conditioning professionals interpret the literature surrounding EIH and apply practical pain monitoring strategies to guide training and recovery in various populations.

The primary focus of this article is to provide personal trainers with an evidence- and practice-based approach to exercise selection and implementation in those with low back pain.

This article provides an overview of the scientific evidence comparing specific motor control exercise intervention to using a more general exercise approach, and concludes by discussing the practical implications for strength and conditioning professionals from an exercise programming perspective.

In this session from the 2017 NSCA Personal Trainers Conference, Kamal Patel explains the main mechanisms involved in the development of pain, and identifies the nutrients and supplements that play a role in pain and recovery.

This Personal Training Quarterly article discusses how myofascial techniques can reduce pain, improve mobility, and enhance quality of life for women in breast cancer recovery. Visit NSCA online to read more on recovery, health and fitness.

This article explores the possible causes of low back pain, as well as three potential strategies that a personal trainer may use to work with someone dealing with low back pain.

This article seeks to provide personal trainers with eight brief modifications that clients can benefit from if they suffer from both acute and chronic lower back pain (LBP).

This TSAC Report article examines the primary risk factors contributing to shoulder pain in tactical athletes and provides evidence-based rehabilitation strategies. Visit NSCA online to learn more about exercise research for tactical athletes.