607: From Fear to Function: Utilizing the Pain, Mind, and Movement Framework for Neuropathic Pain Patient

Topic: Education, Societal Impact, and Others
Subtopic: Education of pain care

Background and Aims: Neuropathic pain is associated with persistent disability and reduced quality of life despite pharmacological treatment. Beyond neural injury and central sensitization, fear-avoidance behaviours and maladaptive cognitive responses contribute significantly to functional decline. Contemporary pain science emphasizes mechanism-based assessment integrated with biopsychosocial rehabilitation strategies.

Methods: A structured clinical framework was implemented in routine neuropathic pain practice at a pain clinic. The model integrates three interrelated domains:
1. Pain (Biological): Mechanism-based assessment, pharmacologic optimization, and patient education regarding neuropathic mechanisms and central sensitization.
2. Mind (Psychological): Identification of fear-avoidance beliefs, reassurance, and cognitive reframing to address maladaptive pain perceptions.
3. Movement (Functional): Graded exposure, progressive activity resumption, and structured physiotherapy integration to restore function.
The framework emphasizes breaking the fear–avoidance cycle through education and graded functional engagement.

Results: Implementation improved structured assessment and alignment between mechanism-based diagnosis and individualised rehabilitation planning. The integrated model supported transition from pain-focused coping toward function-oriented engagement in daily activities.

Conclusions: The Pain, Mind, and Movement framework provides a practical biopsychosocial approach for neuropathic pain management. By integrating mechanism-based treatment with psychological and functional rehabilitation strategies, this model aligns routine clinical practice with contemporary pain science principles and may enhance functional recovery.

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Presenting Author: BINDIYA DEVI KANGUJAM
Submitting Author: BINDIYA DEVI KANGUJAM

Senior Author: DR. GAUTAM DAS, DR SUSHPA DAS

IASP 2026 Global Year theme of Neuropathic Pain: Yes