From an integrative health perspective, persistent pain cannot be understood solely because of tissue damage, but rather as the result of multiple biological, psychological, behavioral and environmental factors that interact dynamically. These include low-grade systemic inflammation, sleep disturbances, disrupted circadian rhythms, chronic stress and hormonal changes, all of which can modulate pain sensitivity and the persistence of pain ...
Person-centered care constitutes one of the pillars of contemporary musculoskeletal practice. While patient preferences may influence recruitment, adherence, satisfaction and clinical outcomes, they continue to be underrepresented in randomized clinical trials ...
Invasive physiotherapy is a promising tool for regenerating or repairing injured tissue. The aim of this presentation is to explain the scientific and biological evidence supporting invasive physiotherapy in a dynamic way, incorporating the latest research from our group in this field ...
This presentation offers an in-depth reflection on the need to move beyond fragmented approaches in physiotherapy and advance toward a systemic understanding of the patient. The starting point is clear: the body does not function as a series of isolated compartments but rather as a coherent biological entity that adapts—often through compensatory mechanisms—to a complex and even hostile environment ...
For a long time, we understood pain as a direct signal of damage. If something hurts, we assume that something is wrong in the body. However, today we know that this is not always the case.
In clinical practice, we frequently see patients with severe, even disabling pain, in whom we cannot find an injury that explains it ...
