The Pain & Therapy Bibliography
A unique database of scientific sources about musculoskeletal pain, injury & treatment, constantly updated & annotated since 1997
Some people collect stamps; I collect science about painful musculoskeletal problems (with a smattering of important items from other areas of pain science). I have been building this database for about 29 years now. It’s big — about 3300 scientific papers, and another thousand other items like books, webpages, etc. — but it does not pretend to be comprehensive (there are huge institutional databases for that, especially the Physiotherapy Evidence Database).
What makes this bibliography valuable is that its contents were hand-picked, every record chosen for a reason, and many hundreds of them are also described and “translated,” their significance emphasized, with links to related articles. I favour sources with an interesting angle: surprising results, odd methods, profound implications, and so on.
In short, it has depth and character.
So where is it?
All around you! The bibliography is everywhere on PainScience.com, in the footnotes mostly,1Like so:
Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2010 Oct;152(2 Suppl):S2–15. PubMed 20961685 ❐ PainSci Bibliography 54851 ❐ but there is no master table of contents for it. See below for lists of the most recent entries below and Greatest Hits. Thousands of individual entires will also bibliography pages with a site search (use the search box at the top of the home page).
Anyone can cite studies that seem to support their position … or dismiss ones that seem to undermine it. There is plenty of ‘art’ involved in the wise analysis & interpretation of research.
About footnotes & citation style
A robust bibliography and “good footnotes” still set PainScience apart in modern online publishing.2My footnotes contain either extra commentary and whimsical asides, or citations to science and other sources. It’s still rare to see effective footnoting on websites.3It’s a gnarly technology and design problem. Bibliographic data and citation formats do not play nicely with modern publishing technology. There’s lots of software for wrangling references on your PC, but it’s still almost impossible to integrate them (efficiently) into blogs and websites. It still has to mostly be done “manually”… and so it mostly doesn’t get done. I have invested heavily over the years in doing it right.
I first put PainScience.com on a firm bibliographic foundation in 2007 — a “footnotes first” content management system based on the fairly exotic BibTeX data format, a huge custom programming job. In 2015, I converted my referencing format to the Vancouver system,4In 1978, editors of medical journals from around the world met here — probably close to where I live — and thrashed out a new standard. It was so difficult and tedious that they named it after the city they were trapped in. Their work is still the standard today, and it is heavily documented. the standard used by most medical journals, along with a bunch of other upgrades — a massive project.5I had to re-tool the footnote factory & re-train all the bibliography gnomes. Weirdly, I felt much more comfortable diving into this Sysyphean chore simply because the new standard was named after where I live. Every footnote is lovingly crafted by software — essential for mass production. I had to reprogram that software to speak “Vancouver style.” Read more.
All of this is extraordinary for a private educational site — unique, in fact. I take referencing really seriously!
Recent bibliography highlights
The last 20 papers added to the bibliography … with a decent summary. (Not every paper gets a summary!)
- Beyond pain intensity: Validating single-item pain bothersomeness measures. Edwards et al., 2025, J Pain. » added May 2026
- Cannabis-Based Treatment for Neuropathic Pain: A Meta-Analysis of Randomized Controlled Trials. Mitchell et al., 2026, The Journal of Pain. » added Apr 2026
- Cannabis-based medicines for chronic neuropathic pain in adults. Ateş et al., 2026, Cochrane Database Syst Rev. » added Apr 2026
- Effect of exercise on depression and anxiety symptoms: systematic umbrella review with meta-meta-analysis. Munro et al., 2026, Br J Sports Med. » added Apr 2026
- The effectiveness of instrument-assisted soft tissue mobilization on pain and function in patients with musculoskeletal disorders: a systematic review and meta-analysis. Tang et al., 2025, BMC Musculoskelet Disord. » added Mar 2026
- Knee osteoarthritis in the intact- and amputation-side knees of UK military personnel and veterans with traumatic unilateral transtibial limb loss 8- and 11-years post-injury: the ADVANCE cohort. Watson et al., 2026, Arch Phys Med Rehabil. » added Mar 2026
- Effectiveness of instrument-assisted soft tissue mobilization for the management of upper body, lower body, and spinal conditions. An updated systematic review with meta-analyses. Nazari et al., 2023, Disabil Rehabil. » added Mar 2026
- Catastrophizing contributes to the association between posttraumatic stress symptoms and pain outcomes in individuals with chronic low back pain: Differential effects as a function of sex. Yamin et al., 2026, J Pain. » added Mar 2026
- Neurophysiological potentials mediating the influence of social support on pain. Horvat et al., 2026, J Pain. » added Mar 2026
- PLAR: a combined percutaneous and arthroscopic treatment for iliotibial band syndrome description of surgical technique and short-term results: description of surgical technique and short-term results. Arnal-Burró et al., 2023, BMC Sports Sci Med Rehabil. » added Mar 2026
- Drug treatments associated with Achilles tendon rupture. A case-control study involving 1118 Achilles tendon ruptures. Nyyssönen et al., 2018, Scand J Med Sci Sports. » added Mar 2026
- Optimizing elastic band resistance training for Metabolic Syndrome components in older adults: A systematic review, meta-analysis, and meta-regression of randomized controlled trials. Saez-Berlanga et al., 2026, Arch Phys Med Rehabil. » added Mar 2026
- Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE. Jandacka et al., 2026, Br J Sports Med. » added Mar 2026
- Effectiveness of Preoperative Rehabilitation Compared With Usual Care in Total Knee Arthroplasty: A Meta-analysis of Randomized Controlled Trials. Wang et al., 2026, Arch Phys Med Rehabil. » added Feb 2026
- Prevalence of Tendon Rupture and Tendinopathies Among Patients with Atherosclerotic Cardiovascular Disease Derived From United States Administrative Claims Data. Gillard et al., 2024, Cardiol Ther. » added Feb 2026
- Mapping the effectiveness and risks of GLP-1 receptor agonists. Xie et al., 2025, Nat Med. » added Nov 2025
- Diagnosing the body in physiotherapy: the passage from discipline to control. Breedt et al., 2025, Physiother Theory Pract. » added Nov 2025
- Assessing the reliability and association of pain ratings and skin conductance responses: Insights from habituation and sensitization to pain. van der Miesen et al., 2025, J Pain. » added Nov 2025
- Restorative Neurostimulation Therapy Compared to Optimal Medical Management: A Randomized Evaluation (RESTORE) for the Treatment of Chronic Mechanical Low Back Pain due to Multifidus Dysfunction. Schwab et al., 2025, Pain Ther. » added Oct 2025
- Achilles' Tendon Experiences Reduced Depth and Volume After 3 Months of Recovery From 60 Days Bedrest. Campbell et al., 2025, Arch Phys Med Rehabil. » added Sep 2025
All-time bibliography highlights
What’s here? Several dozen of the best and most interesting are listed here — the quirkiest, the best news, the worst news, the most compelling. The greatest hits of pain science.
- Effect of exercise on depression and anxiety symptoms: systematic umbrella review with meta-meta-analysis
- Anatomy of the anterolateral ligament of the knee
- Topical glyceryl trinitrate (GTN) and eccentric exercises in the treatment of mid-portion achilles tendinopathy (the NEAT trial): a randomised double-blind placebo-controlled trial
- Once-Weekly Semaglutide in Persons with Obesity and Knee Osteoarthritis
- Inflammation-induced mitochondrial and metabolic disturbances in sensory neurons control the switch from acute to chronic pain
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study
- Comparison of neck vertebrae in patients with and without “cervicogenic” headache
- Laser therapy no better for back pain than weak red light
- A noteworthy new trial of CBD for acute back pain
- Effectiveness of customised foot orthoses for Achilles tendinopathy: a randomised controlled trial
- The incidence of plantar fasciitis in the United States military
- Is 'plantar heel pain' a more appropriate term than 'plantar fasciitis'? Time to move on
- A systematic review of causes of sudden and severe headache (Thunderclap Headache): should lists be evidence based?
- A review of low quality evidence about exercise for neck pain
- Failed trial of vertebroplasty for compression fractures
- Famous paper may seem anti-science, but it’s the opposite
- Changes in nerve root movement and circulation in sciatica patients
- Risk factors associated with a history of iliotibial band syndrome (hITBS) in distance runners: a cross-sectional study in 76 654 race entrants - a SAFER XXXIII study
- Commonly used interventional procedures for non-cancer chronic spine pain: a clinical practice guideline
- Common interventional procedures for chronic non-cancer spine pain: a systematic review and network meta-analysis of randomised trials
- Analgesic effects of non-surgical and non-interventional treatments for low back pain: a systematic review and meta-analysis of placebo-controlled randomised trials
- Gabapentinoids and Risk of Hip Fracture
- Do Functional Movement Screen (FMS) composite scores predict subsequent injury? A systematic review with meta-analysis
- Neurophysiological reflex mechanisms' lack of contribution to the success of PNF stretches
- Long distance running and knee osteoarthritis. A prospective study
- The classic 1977 paper by Engel that introduced the now famous biopsychosocial model of healthcare
- Spinal degeneration found on MRI not linked to the severity of future back pain
- The neck and headaches
- Effect of NSAIDs on Recovery From Acute Skeletal Muscle Injury: A Systematic Review and Meta-analysis
- Obesity does not increase the risk of chronic low back pain when genetics are considered. A prospective study of Spanish adult twins
- Spinal manipulation for migraine mostly ineffective in unusually good trial
- Disc degeneration is more common in people with low back pain
- Are non-steroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration
- Manual lymphatic drainage for post-cancer lymphedema not very effective
- Online tutorials for chronic pain reduced pain, anxiety, disability
- Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1,211 Asymptomatic Subjects
- Thigh and hip exercises effective for patellofemoral pain
- The greatest hits of back pain science are a disappointment
- Spinal manipulation no better for back pain than placebos
- A large test of 3 treatment for greater trochanter pain
- Surprisingly effective back pain injection: intradiscal methylene blue
- More than 20% of manual therapy treatments do some harm
- General practitioners do not follow guidelines for low back pain care
- Nerve root impingement fairly rare, barely more common in car accident victims
- A fascinating landmark study of placebo surgery for knee osteoarthritis
- 21 therapeutic touch practitioners fail a basic test of their skills
- Beyond pain intensity: Validating single-item pain bothersomeness measures
- Cannabis-based medicines for chronic neuropathic pain in adults
- Optimizing elastic band resistance training for Metabolic Syndrome components in older adults: A systematic review, meta-analysis, and meta-regression of randomized controlled trials
- Mapping the effectiveness and risks of GLP-1 receptor agonists
- An overview of obesity-related complications: The epidemiological evidence linking body weight and other markers of obesity to adverse health outcomes
- 2D and 3D microstructural analysis of the iliotibial tract
- One-Year Trajectory of Pain, Function, and Health-Related Quality of Life in Patients With Plantar Fasciopathy
- The Problematic Nature of Fibromyalgia Diagnosis in the Community
- Restoring trust in menopause management: menopause hormone therapy is not a panacea, and physical activity remains a critical intervention
- A malevolent force: A qualitative exploration of perceptions of changes in bodily function and sensations in complex regional pain syndrome
- Preoperative Physical Therapy is Associated With Decreased Length of Stay and Improved Postoperative Mobility in Patients With Sarcopenia Undergoing Adult Spinal Deformity Surgery
- Classical Conditioning Fails to Elicit Allodynia in an Experimental Study with Healthy Humans
- Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial
- Placebo analgesia in physical and psychological interventions: Systematic review and meta-analysis of three-armed trials
- Recovery trajectories in common musculoskeletal complaints by diagnosis contra prognostic phenotypes
- Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis
- Total daily energy expenditure has declined over the past three decades due to declining basal expenditure, not reduced activity expenditure
- Inciting events associated with lumbar disc herniation
- Resurrection of endogenous retroviruses during aging reinforces senescence
- Is there a relationship between throbbing pain and arterial pulsations?
- Intimate Partner Violence During Recovery from an Orthopaedic Injury: An Exploratory, Prospective, Multicenter, Observational Cohort Study
- 'Myths and facts' education is comparable to 'facts only' for recall of back pain information but may improve fear-avoidance beliefs: an embedded randomized trial
- A failure to replicate the extraordinary result: lasting effect of open-label placebo
- A negative trial of exercise for knee arthritis, with clever use of saline injection as a sham
- Association between Inter-Limb Asymmetries in Lower-Limb Functional Performance and Sport Injury: A Systematic Review of Prospective Cohort Studies
- A rare good quality trial of magnesium supplementation for pain
- Relationship between pain intensity, pain catastrophizing, and self-efficacy in patients with frozen shoulder: a cross-sectional study
- Can you forget pain?
- Creatine for osteoarthritis has no effect
- Leg massage during pregnancy with unrecognized deep vein thrombosis could be life threatening: a case report
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects
- Psychotherapy for pain (mostly CBT) damned with faint praise
- Study: Medial gastrocnemius stiffness linked to plantar fasciitis with elastography
- Study: Plantar fasciitis strongly linked to tight calf muscles
- Trajectories and predictors of the long-term course of low back pain: cohort study with 5-year follow-up
- Exercise probably helps anxiety, but it remains unproven
- Seventy-six genes linked to multisite chronic pain
- Noninvasively measuring the hemodynamic effects of massage on skeletal muscle: a novel hybrid near-infrared diffuse optical instrument
- A Bayesian model-averaged meta-analysis of the power pose effect with informed and default priors: the case of felt power
- The clinical course of low back pain: a meta-analysis comparing outcomes in randomised clinical trials (RCTs) and observational studies
- Kinetic risk factors of running-related injuries in female recreational runners
- Can we identify types of back pain patients that respond better to treatments?
- The effect of heat on skin permeability
- Root compression on MRI compared with clinical findings in patients with recent onset cervical radiculopathy
- Surface effects on in-shoe plantar pressure and tibial impact during running
- Diazepam Is No Better Than Placebo When Added to Naproxen for Acute Low Back Pain
- Only a history of neck pain and being a woman are likely risk factors for neck pain
- Mechanisms-based classifications of musculoskeletal pain: part 1 of 3: symptoms and signs of central sensitisation in patients with low back (± leg) pain
- Both too little and too much load are linked to illness and injury in athletes
- A Systematic Review and Meta-Analysis on the Effectiveness of Graded Activity and Graded Exposure for Chronic Nonspecific Low Back Pain
- Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial
- Frozen shoulder: long-term outcome following arthrographic distension
- Four orthopedic surgeries no better than placebo
Articles about science, research, and citing
- 15 Kinds of Bogus Citations: Classic ways to self-servingly screw up references to science, like “the sneaky reach” or “the uncheckable”
- Studying the Pain Studies: Tips and musings about how to understand (and write about) the extremely flawed science of pain and musculoskeletal medicine
- Is Diagnosis for Pain Problems Reliable? Reliability science shows that health professionals can’t agree on many popular theories about why you’re in pain
- Statistical Significance Abuse: A lot of research makes scientific evidence seem much more “significant” than it is
- Most Pain Treatments Damned With Faint Praise: Most controversial and alternative therapies are fighting over scraps of “positive” scientific evidence that damn them with the faint praise of small effect sizes that cannot impress
- Ioannidis: Making Medical Science Look Bad Since 2005: A famous and excellent scientific paper … with an alarmingly misleading title
- A Historical Perspective On Aches ‘n’ Pains: Why is healthcare for chronic pain and injury so bad?
- Why So “Negative”? (seems off-topic, but it has some sections about the null hypothesis at the end)
- Better citations needed: a big upgrade to the PainSci bibliography (2015)