4th EuroPain School on pain-related disability. Integrated approach on Mixed pain

Mixed pain is defined as a clinical condition where nociceptive pain (tissue damage/inflammation) and neuropathic pain (nerve damage) coexist, often featuring nociplastic pain (altered pain processing). It involves overlapping, simultaneous mechanisms that create complex, heterogeneous symptoms, frequently seen in chronic disabling conditions. Mixed forms of pain, severely impacting the quality of life of those affected and society as a whole. Its epidemiological relevance is evident from its high prevalence and significant impact on public health. To effectively address mixed pain, it is essential to adopt a multidisciplinary approach that integrates different skills and therapeutic perspectives, taking into account the physical, psychological and social dimensions of the problem.
Rehabilitation and pain control are fundamental aspects in the management of the person with mixed forms of pain. Rehabilitation aims to restore functionality and improve quality of life through a program of targeted exercises, manual techniques and physical therapies. Pain control, on the other hand, focuses on reducing suffering and increasing pain tolerance, using a combination of pharmacological and non-pharmacological interventions.
There can be no one without the other.

The “Europain School” aims to address pain and pain related disability in a multidimensional, integrated and multidisciplinary way. For this reason, alongside electures on functional neuroanatomy, clinical pharmacology and functional rehabilitation, a series of workshops and hands on sessions on some non-invasive or minimally invasive treatments for pain control in a rehabilitation setting have been organised.