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.

If you want to manage the performance of assets worth hundreds of millions of dollars, you better know what you’re doing. At the elite and professional levels of sport, strength and conditioning coaches are responsible for managing the performance of teams’ most valuable assets – The Athletes.

Join the 2026 NSCA Athleticism for Life Summit in Eugene, OR, on March 28. Explore athletic development for lasting performance, learn hands-on, + earn 0.8 CEUs

Access the video collection for the 2018 Coaches Conference High School Track Live Stream sponsored by Gatorade.

Colorado Springs, CO – The National Strength and Conditioning Association (NSCA) is proud to announce a new partnership with the National Basketball Strength and Conditioning Association (NBSCA). The agreement establishes a mutually beneficial relationship between the two associations that will support each organization’s mission to improve athletic performance and fitness.

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Are you interested in helping shape the future of the NSCA? Learn if you are qualified and how to apply to the NSCA Board of Directors. We are seeking dedicated individuals to lead the association and advance the strength and conditioning profession.