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Neck Pain1 min read

A population-based survey of beliefs about neck pain and its associated disorders: a cross-sectional study.

BMC musculoskeletal disorders·December 2025·Mirella Forte, Federica Nasti, Stefano Schiavone et al.
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Key Finding

Italian adults with neck pain demonstrate significant skepticism toward conventional treatments (70% distrust surgery and medications) and hold negative beliefs about recovery, particularly those with chronic or associated symptoms.

What This Means For You

Researchers in Italy surveyed over 1,000 adults to understand what people believe about neck pain and whiplash injuries. The study found that many Italians hold negative views about these conditions, with most people (62%) believing neck pain significantly impacts quality of life and about one-third worrying it will affect their work ability. Interestingly, many participants were skeptical about conventional treatments—70% distrusted surgery, 70% had concerns about medications, and about half were uncertain about painkillers. Between 23-36% of respondents were unsure whether conservative approaches like exercise or rest would help. The study also revealed that people who currently experience neck pain or have chronic symptoms tend to be more pessimistic about recovery compared to those who've never had neck problems. Most respondents agreed that anxiety and stress influence how they perceive pain. What does this mean for patients considering acupuncture? Since many Italians distrust conventional medical approaches and recognize the mind-body connection in pain, acupuncture may offer an appealing alternative. Acupuncture addresses both physical pain and stress-related factors without medications or surgery, potentially aligning well with patient preferences revealed in this survey. The study suggests that healthcare providers need to better understand and address patients' beliefs about neck pain to improve outcomes. When considering acupuncture for neck pain, seek a licensed acupuncturist with specific experience treating musculoskeletal conditions.

Clinical Notes for Practitioners

This cross-sectional survey (n=1,034) examined neck pain and whiplash beliefs among Italian adults using the Whiplash Beliefs Questionnaire (WBQ). Demographics: 65% female, 37.6% aged 35-50, predominantly white-collar workers. Key findings revealed negative beliefs about neck pain's impact on quality of life (61.9%) and work (30-32%). Significant treatment skepticism emerged: 70.3% distrusted surgery, 69.7% medications, and 51.2% painkillers. Using linear regression analysis, researchers found significantly lower total WBQ scores among those with recent pain versus asymptomatic individuals (mean difference=-1.82; p=0.002; 95% CI -2.98 to -0.66). Recovery pessimism scores were significantly higher among those with associated symptoms (mean difference=0.45; p=0.01; 95% CI 0.09 to 0.79). Clinical takeaway: Italian patients present with substantial treatment skepticism and negative prognostic beliefs, particularly those with chronic symptoms. Acupuncture practitioners should address psychological factors and educate patients about realistic recovery expectations while offering non-pharmacological alternatives that align with patient preferences for conservative, non-surgical interventions.

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