297: Prevalence, perception, and pain management in a Mexican adult population: An observational study
Topic: Clinical Science
Subtopic: Non-specific to any diagnosis, Gender/sex differences, Assessment and Measurement of Pain/Nociception, Physiotherapy
Background and Aims: Persistent pain is a major public health problem with substantial functional, social, and economic impact and is a leading contributor to years lived with disability. In Mexico, limited evidence describes pain management from a physiotherapy perspective within primary care. This study aimed to describe the prevalence, characteristics, and coping strategies related to persistent pain in an adult population from Nuevo León, Mexico, and to examine differences according to age, sex, and functional limitation.
Methods: A cross-sectional observational study was conducted using an electronic questionnaire distributed through social media. A total of 623 complete responses were collected. After applying eligibility and completeness criteria (age ≥18 years and complete mandatory variables: age, sex, pain intensity, and functional limitation), 560 surveys were included for analysis. Descriptive statistics and cross-tabulations were used to explore associations between sociodemographic variables and pain-related measures.
Results: Persistent pain was frequent in the analyzed population. No significant differences were observed in the presence of persistent pain across age groups, while pain intensity differed significantly by sex. Additionally, patterns in pain management resources varied according to the level of functional limitation, with changes in the use of physical activity, physiotherapy, and other coping strategies as functional interference increased.
Conclusions: Persistent pain represents a prevalent and clinically relevant condition in this Mexican adult population. The findings underscore the importance of strengthening physiotherapy-led pain management strategies in primary care, emphasizing pain education, promotion of dosed physical activity, early identification of functional interference, and clear referral pathways for more complex cases. These results support the development of structured care pathways to improve access and quality of pain management in primary care settings.
References: 1. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB, First MB, Giamberardino MA, Kaasa S, Korwisi B, Kosek E, Lavand’homme P, Nicholas M, Perrot S, Scholz J, Schug S, Smith BH, Svensson P, Vlaeyen JWS, Wang SJ. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019 Jan;160(1):19-27. doi:10.1097/j.pain.0000000000001384.
2. GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023 May 22;5(6):e316-e329. doi:10.1016/S2665-9913(23)00098-X.
3. Covarrubias-Gómez A, Contreras-Garduño S, López-Collada-Estrada M, et al. Características del dolor crónico en adultos mexicanos de zonas urbanas. Rev Mex Anest. 2024;47(3):169-173. doi:10.35366/116169.
4. International Association for the Study of Pain (IASP). High-impact chronic pain (HICP) [Fact sheet]. IASP; 2023. Available from: https://www.iasp-pain.org/resources/fact-sheets/high-impact-chronic-pain/
5. Stubhaug A, Hansen JL, Hallberg S, Gustavsson A, Eggen AE, Nielsen CS. The costs of chronic pain—long-term estimates. Eur J Pain. 2024 Jul;28(6):960-977. doi:10.1002/ejp.2234.
6. Mendoza-Pinto C, Etchegaray-Morales I, Munguía-Realpozo P, Rojas-Villarraga A, Osorio-Peña ÁD, Méndez-Martínez S, García-Carrasco M. Burden of other musculoskeletal disorders in Latin America and the Caribbean: findings of Global Burden of Disease Study 2019. J Clin Rheumatol. 2024 Jan;30(1):1-7. doi:10.1097/RHU.0000000000002034.
7. Aaron RV, Ravyts SG, Carnahan ND, Bhattiprolu K, Harte N, McCaulley CC, Vitalicia L, Rogers AB, Wegener ST, Dudeney J. Prevalence of depression and anxiety among adults with chronic pain: a systematic review and meta-analysis. JAMA Netw Open. 2025 Mar 3;8(3):e250268. doi:10.1001/jamanetworkopen.2025.0268.
8. Hoffmann DE, Fillingim RB, Veasley C. The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain? J Law Med Ethics. 2022;50(3):519-541. doi:10.1017/jme.2022.91.
9. Pedulla R, Glugosh J, Jeyaseelan N, Prevost B, Velez E, Winnitoy B, Churchill L, Raghava Neelapala YV, Carlesso LC. Associations of gender role and pain in musculoskeletal disorders: a mixed-methods systematic review. J Pain. 2024 Dec;25(12):104644. doi:10.1016/j.jpain.2024.104644.
10. Chimenti RL, Frey-Law LA, Sluka KA. A mechanism-based approach to physical therapist management of pain. Phys Ther. 2018 May 1;98(5):302-314.
11. World Health Organization. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.
12. Hafezparast N, Bragan Turner E, Dunbar-Rees R, et al. Identifying populations with chronic pain in primary care: developing an algorithm and logic rules applied to coded primary care diagnostic and medication data. BMC Prim Care. 2023;24:184. doi:10.1186/s12875-023-02134-1.
13. Garcia-Larrea L, Peyron R. Pain matrices and neuropathic pain matrices: a review. Pain. 2013 Dec;154 Suppl 1:S29-S43. doi:10.1016/j.pain.2013.09.001.
14. Jones LE, O'Shaughnessy DF. The pain and movement reasoning model: introduction to a simple tool for integrated pain assessment. Man Ther. 2014 Jun;19(3):270-276. doi:10.1016/j.math.2014.01.010.
15. Gutiérrez-Robledo LM, Jácome-Maldonado LD, González-Rivero CB, Lozano-Juárez LR, Tella-Vega P, García-Peña C. Monetary cost estimation of care for functionally dependent older adults in Mexico. J Econ Ageing. 2022;21:100365. doi:10.1016/j.jeoa.2021.100365.
16. Instituto Nacional de las Personas Adultas Mayores. (2023, 28 de febrero). Alfabetización digital y envejecimiento activo. Gobierno de México. https://www.gob.mx/inapam/articulos/alfabetizacion-digital-y-envejecimiento-activo
17. World Health Organization. Rehabilitation 2030: a call for action: 6-7 February 2017, meeting report. Geneva: World Health Organization; 2020. Available from: https://iris.who.int/handle/10665/339910
Presenting Author: Raziel Eduardo Lugo Simon
Submitting Author: Raziel Eduardo Lugo Simon
Senior Author: Raziel Eduardo Lugo Simon
IASP 2026 Global Year theme of Neuropathic Pain: No
Prevalence, perception, and pain management in a Mexican adult population: An observational study
Category
Poster
Description
Session Type: Posters
Room: Exhibit Hall EH102-103
27/10/2026
03:15 PM - 04:45 PM