Behavioral modification is a prescribed treatment of many
illnesses, and a common treatment of chronic low back pain.
assumption of a behavioral approach is that pain and disability
are not only influenced by physical disease, but also by psychological
and social factors.
A recent study published in Spine reviewed previous
literature reporting on behavioral modification to determine
whether one’s attitude is more or less important than other
treatments of chronic low back pain, and which type of behavioral
treatment is most effective. Data, gathered by means of a
computer-aided medical database search, was pooled and investigated
as to behavioral outcomes of a myriad of chronic low back
The results of the study showed that there is strong evidence
that your attitude, modified by behavioral treatments, has
a positive effect on pain intensity levels and overall outcomes
of patients with chronic low back pain when compared to patients
without behavioral treatment.
Van Tulder MW, Ostelo R, Vlaeyen JWS, et al. Behavioral treatment
for chronic low back pain: a systematic review within the
framework of the Cochrane back review group. Spine 2000:26(3),
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