Enabling Self-management
and Coping with Arthritic Pain
using Exercise


Rigorous evaluation and independent review show ESCAPE-pain is:

  • safe and produces better clinical outcomes [Hurley et al 2007a, Hurley et al 2012]
    • reduces pain
    • improves physical function
    • reduces depression, general well-being and quality of life
  • has lower healthcare utilisation and cost savings
    • compared with usual outpatient physiotherapy
    • lower overall healthcare costs through reduced use of A&E services, medical consultations, referrals, investigations (i.e. X-rays and MRI scans)
    • reduced use of analgesia and gastro-protective agents, side effects of medication


  • is more cost-effective than usual care [Hurley et al 2007b, Hurley et al 2009]
  • may help delay or avoid surgery
  • promotes physical activity, reducing the risk of acquiring or exacerbating comorbidities such as diabetes and cardiovascular conditions
  • patients describe how first-hand, positive experience of the programme [Hurley et al 2010]
    • alters beliefs about the importance of exercise in managing their knee pain
    • allays fears that exercise might exacerbate joint pain and damage
    • helps them appreciate the benefits of exercise
    • become more confidence in their ability to use exercise as a self-management strategy
    • are less reliant on other people
  • clinicians adopt it as the intervention of choice for chronic joint pain [Hurley et al 2009]

All the papers cited are available for free download when you have registered on the site.