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Physio 101: Centralization vs Peripheralization

February 03 | 2026
Posted by Sharon Tierney

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Medical terminology can be a patient’s biggest nightmare. During a session, a lot of unfamiliar terms describing symptoms, conditions, muscles, and more can be used. Today, we will be discussing a process called centralization and peripheralization that is encountered a lot during physiotherapy. To elaborate, spinal and musculoskeletal pain and other symptoms can sometimes move, change location, or feel different with certain movements or exercises. The two important terms physiotherapists use to describe these changes are centralization and peripheralization. Understanding these concepts helps you understand your treatment, reduce fear, and improve your rehabilitation outcomes. What is centralization? Centralization occurs when pain that was felt farther…

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