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A large review of exercise research has examined the relationship between physical activity and pain, finding that regular exercise is associated with improvements in both acute and chronic pain. The analysis included evidence from 158 systematic reviews, covering more than 2,700 randomised controlled trials and nearly 250,000 participants.
The review considered a wide range of physical activities rather than focusing on one particular form of exercise. These included aerobic activities, resistance training and gentler movement-based practices such as yoga, Pilates and tai chi.
Researchers found that exercise was generally associated with reductions in pain. The findings also indicated that increasing the intensity or amount of exercise did not necessarily produce greater reductions in pain. This observation adds to evidence suggesting that people experiencing pain may not always need highly demanding physical activity to obtain potential benefits.
Gentler forms of movement can involve controlled physical activity performed at a pace that is easier to adapt to an individual's abilities. Yoga, for example, combines physical postures with controlled breathing and focused attention, while Pilates emphasises controlled movement and core stability.
The review brought together findings from a large body of previously published research, allowing investigators to examine patterns across different studies and types of exercise. However, the researchers also recognised differences between the individual studies included in the analysis, including variations in exercise programmes, participant characteristics and methods used to measure pain.
The findings contribute to the wider evidence base concerning non-drug approaches to pain management. They suggest that exercise programmes do not necessarily have to involve strenuous activity to be associated with improvements in pain outcomes.
Further research is needed to determine which types, amounts and intensities of exercise are most suitable for particular pain conditions and individual patient groups.
24-09-2026