This randomized controlled trial aims to evaluate the effectiveness of the "Algo(S)Therapy" Pain Neuroscience Education (PNE) program in patients with chronic musculoskeletal pain. The study will assess whether the integration of communication skills training for physiotherapists enhances the outcomes of PNE. Participants will be randomly assigned to one of three groups: (1) PNE with communication-focused delivery, (2) PNE without communication emphasis, or (3) standard- usual physiotherapy care. The primary objective is to determine whether PNE combined with enhanced communication skills leads to greater improvements in pain, function, and psychosocial outcomes compared to the other interventions.
Adults aged 18 to 65 years
Diagnosis of chronic musculoskeletal pain in the lumbar spine, cervical spine, shoulder, or knee
Pain duration longer than 3 months
Pain intensity ≥3/10 on the Numeric Pain Rating Scale (NPRS)
Acute pain in any body region
Neurological disorders or myopathies
Chronic pain of non-musculoskeletal origin
Active cancer diagnosis