Chronic Pain Congress 2022 logo

Active Coping Unit


From this research, a project was developed to transfer the research to clinical practice. This project presented the active coping programs for patients with chronic pain and was the beginning of a revolution and a paradigm shift in the treatment of chronic pain within Primary Care and Community Health of the public health system. 

On July 7, 2019, the project for the implementation that in 2018 received the SEDAP-Ferrer Award for the best innovation in Primary Care, materialized with the birth of the first "Active Coping Strategies Unit for Chronic Pain in Primary Care" (from Sacyl) in the Alfonso VIII Building of the University of Valladolid, next to the Regional Center for Sports Medicine. On December 13, 2021 the Unit was officially inaugurated, although it was already working with patients since July 2018.

Behind this pioneering Unit, there is the human component of its two promoters, Federico Montero and Miguel Ángel Galán, who have inspired us all, patients, professionals and managers, to end up building the necessary network of stalwarts to bring about more changes in the approach to chronic pain from primary care in the rest of the autonomous communities.

The post-pandemic context has highlighted the need to reorganize Primary Care and the message that Fede and Miguel Ángel advocated almost alone a few years ago is beginning to be normalized and heard in the media:

"It is necessary to address chronic pain from Primary Care, as advised by clinical practice guidelines, in which interventions based on education and exercise occupy the first therapeutic line. We are not aware of the existence of such units in the public health system.

There are specialized units for the treatment of pain. These pain units are located in hospitals and use mainly passive procedures based on drug administration, invasive techniques, and even surgical techniques. There will be patients and processes that will have to end up coming to hospital pain units, but many cases of persistent pain can benefit from the interventions that we propose at the first level of care and that have proven to be effective."

"With the Unit we aim to approach pain in a way in which the patient is actively involved in the treatment, working primarily with educational strategies and activities based on movement and exercise.

We aim to empower the patient who suffers persistent pain, providing them with knowledge and tools that allow them to improve their functionality, their quality of life and also allow them to reverse the processes involved in the perpetuation of pain."

Aware that the challenge also lies in training professionals, the "Unit of Active Coping Strategies for Chronic Pain in Primary Care Sacyl" was born with the aim of becoming an interdisciplinary unit that works simultaneously in three areas: care, teaching and research.

Much has been done, as you will see in this Congress, but much remains to be done. Patients and offering them the best approach based on the recommendations of the clinical guidelines must be the focus of the convergence of the views of managers and healthcare professionals.

image This website uses cookies. You can manage your cookie preferences in the settings button. Accept Settings


Unidad de Estrategias de Afrontamiento Activo del Dolor