Exercise is increasingly recognized as an effective, nonpharmacological approach for managing both acute and chronic pain. However, accurate pain assessment methods tailored to different exercise settings and populations are essential. This review evaluates existing pain assessment techniques, highlighting self-report measures such as the Visual Analog Scale and Numerical Rating Scale, as well as quantitative measures, such as Pressure Pain Threshold and Conditioned Pain Modulation. These techniques provide valuable insights into the neurophysiological mechanisms behind pain reduction. Although exercise commonly produces a temporary reduction in pain sensitivity known as exercise-induced hypoalgesia (EIH), the effectiveness of this response depends on various factors, such as exercise intensity, psychological state, and pre-existing pain conditions. In addition, exercise itself can sometimes lead to short-term discomfort due to muscle fatigue or delayed-onset muscle soreness. This review offers strength and conditioning providers, as well as researchers, a clear framework for (a) selecting appropriate pain assessment tools, (b) designing research protocols, and (c) customizing exercise interventions for specific populations and pain conditions. By examining self-report and quantitative assessment techniques, along with considerations for data analysis and practical application, this review helps strength and conditioning professionals interpret the literature surrounding EIH and apply practical pain monitoring strategies to guide training and recovery in various populations.

Join 2026 NSCA Tactical Annual Training in Orlando for evidence-based tactical human performance education. Learn hands-on, explore new tools, and earn 2.0 CEUs

Join the 2026 NSCA Performance Science Integration Summit in Austin, TX, on March 28. Explore applied sport science research, train hands-on, and earn 0.8 CEUs.

This NSCA Coach article examines the importance of hip-shoulder separation on performance in baseball pitching. Visit NSCA online to read more on athletic performance and sport science.

Matthew Ibrahim, Co-Owner of TD Athletes Edge, talks to the NSCA Coaching and Sport Science Program Manager, Eric McMahon, about using setbacks as a learning opportunity. Topics under discussion include creating a holistic approach to a client’s training by collaborating with other professionals, and the importance of deceleration technique and eccentrics in his programs for skill acquisition. Find Matthew on Instagram: @matthewibrahim_ | Find Eric on Instagram: @ericmcmahoncscs or Twitter: @ericmcmahoncscs

This article summarizes current populations and descriptions of sedentariness and deconditioning, and offers practical considerations for personal trainers working with these behaviors.

The purpose of this article is to define the roles of personal trainers and physical therapists and to learn how their combined expertise can influence long-term physical health improvements for their clients.

Despite best efforts, musculoskeletal injuries among active duty service members continue to be pervasive and on the rise. Tactical facilitators can each do their part as a member of one team to avoid the injuries that are preventable and to rehabilitate, recondition, and optimize performance in the ones that do occur and are treatable.