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REVIEW article

Front. Psychol.

Sec. Mindfulness

Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1518141

This article is part of the Research TopicNovel Intervention Models Transcending Borders for Stress Management - Volume IIIView all 19 articles

Why Mindfulness Matters in Musculoskeletal Therapies: A Narrative Review

Provisionally accepted
Peter  BablisPeter Bablis1,2Ryan  R DayRyan R Day1*Sophia  BablisSophia Bablis1Henry  PollardHenry Pollard3
  • 1Universal Health, Sydney, Australia
  • 2University Research Institute of Maternal and Child Health and Precision Medicine, National and Kapodistrian University of Athens, Athens, Greece
  • 3Faculty of Health Sciences, Durban University of Technology, Durban, South Africa

The final, formatted version of the article will be published soon.

This narrative review explores the integration of mindfulness-based interventions (MBIs) into musculoskeletal (MSK) care, based on the premise that addressing the mind–body interface can enhance patient outcomes. First, we outline how chronic stress affects twelve physiological systems and contributes to the onset and persistence of MSK conditions. Second, we synthesise evidence showing that MBIs mitigate these stress effects through mechanisms such as improved attention regulation, interoceptive awareness, and reduced catastrophising. Third, we highlight Neuro-Emotional Technique (NET) as a practitioner-facilitated hybrid-MBI exemplar that targets unresolved emotional stress patterns and aligns with the biopsychosocial model of healthcare. We also note contraindications via red and yellow flag considerations, emphasising the importance of careful patient selection and responsible application. Taken together, this review provides a rationale for incorporating MBIs as adjuncts to conventional therapies, supporting recovery, fostering resilience, and advancing patient-centred MSK care.

Keywords: mindfulness-based interventions (MBIs), Musculoskeletal therapy, Chronic Stress Management, Biopsychosocial Model of Healthcare, Neuro-Emotional Technique (NET), Psychoneuroimmunology Mindfulness, Mind-body interventions, stress physiology

Received: 28 Oct 2024; Accepted: 29 Sep 2025.

Copyright: © 2025 Bablis, Day, Bablis and Pollard. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ryan R Day, ryandaychiro@gmail.com

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