Key Points 1.) Paralympic athletes with SCI report significantly greater neuropathic pain intensity than recreational athletes with SCI, but also higher levels of positive affect and well-being. 2.) Neither pain catastrophizing, pain coping, nor positive affect and well-being significantly moderated the relationship between athlete status (i.e., Paralympic or recreational athlete) and neuropathic pain intensity. 3.) Significant, positive correlations were observed between total weekly moderate-intensity exercise and neuropathic pain. No significant correlations were observed between frequency of heavy-intensity exercise and neuropathic pain.
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