To establish the effectiveness of an internet-delivered cognitive behavioural therapy pain management programme (CBT-PMP) on people with spinal cord injury pain compared with usual care.

A pilot prospective, single blinded, randomised controlled trial with two arms an internet-delivered CBT-PMP for chronic pain post spinal cord injury (SCI) and usual care.

The CBT-PMP will contain 8 sessions over 8 weeks, with outcomes assessed at baseline, post intervention, and 6 months follow-up.

Participants will be adults with chronic pain (pain > 3 months), regular internet access and not undergoing any other psychological treatments.

Following the study those in the intervention strand will be invited to complete a focus group to explore the subjects' overall experience of the online CBT-PMP.

Inclusion Criteria:

• Traumatic or non-traumatic SCI
• Chronic SCI pain of more than three months.
• Discharged from acute hospital and rehabilitation services.
• Males/Females >18years.
• Regular computer and Internet access and working knowledge of the internet.
• Fluency in English (verbal and written).

Exclusion Criteria:

• Those who have completed a PMP before
• Mental health issue which requiring psychiatric management.
• Acute injury, currently under specialist medical care.
• Patients with confounding co-morbidities such as cancer, unstable angina / uncontrolled cardiac arrhythmias/ severe aortic stenosis, acute systemic infection accompanied by fever, systemic/inflammatory diseases eg rheumatoid arthritis/substance abuse/significant mental health issues.