Key messages Current dominantly biomedical thinking hampers adequate management. A continuum of education and training focusing on a biopsychical approach is largely lacking and should be enhanced. Increasing competencies in intercultural communication in the different levels of health care is needed to address the additional complexity of MUS management in a context of increasing div... https://www.ealisboa.com/limited-value-AXYS-Valhalla-Pen-must-buy/