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.

Learn about sport science careers and the CPSS certification program​.

This TSAC Report column summarizes physical training outcomes for firefighters and practical guidance on program design and results. Visit NSCA online to read more on firefighter fitness and tactical performance in the fire service.

This Personal Trainers Quarterly article examines a client's ability to maintain pelvic and trunk stability during a dynamic fitness screening. Visit NSCA online to read more on corrective exercises, health, and fitness.

Providing a safe and effective youth strength and conditioning program is only the foundation of their long-term athletic development.

While exercise is safe for most participants, many screening strategies have been implemented to reduce the likelihood of injury, and possibly death, from exercise. This article shares an objective strategy for selecting an appropriate assessment method based on a client’s resistance training status and experience.

Colorado Springs, CO – MAJ Donald Bigham and Mark Stephenson named the 2017 TSAC-Facilitator and TSAC-Practitioners of the Year at NSCA’s TSAC Annual Training April 3-6, 2017 in Orlando, FL.

Purchase the 2025 RSCC renewal course. - Achieve a minimum of 70% to renew your RSCC designation and earn 0.6 CEUs towards your certification.