Back pain, described as the century’s evil, impacts 4 out of 5 people at least once. However, people with persistent back pain often have a clear idea of the cause: they attribute it to an injury or another problem like arthritis, which would make the pain pervasive and difficult to combat. However, according to a new study, rethinking pain as coming from the brain and not from the back itself could cure this condition.
Reattributing pain to a mental process
The study started from an observation: certainly, pain can find its origin in an injury, but the biological pain system would remain blocked in this process, even if the injury had healed.
The researchers then decided to evaluate the effectiveness of a psychological treatment called “pain reprocessing therapy” on chronic back pain. To do this, 151 adults suffering from persistent back pain were included in a cohort. The participants thus received the real therapy, a placebo. Interventions included cognitive, behavioral, and somatic techniques to help reattribute pain to non-dangerous, reversible mental or brain causes.
“These results are remarkable because previous trials of psychological treatments have rarely resulted in a complete cure for chronic pain,” say the researchers.
Rethinking pain, a treatment option for lasting pain?
Above all, these results demonstrate that back pain that becomes chronic is caused by brain changes, not an injury that persists. In this sense, it would be important to consider this dimension when seeking treatment.
We know, in fact, that 7% of low back pain today becomes chronic and leads to autonomy at the central level, that is to say, cerebral, even though the initial lesions diminish or disappear. This may be due to personal or professional environment, beliefs, etc. It is in this type of case that it can work.
The doctor indicates that the recommendations of the High
Authority of Health also goes toward non-drug treatment with the intervention of a psychologist and CBT (behavioral and cognitive therapies) for persistent back pain.
We need to get a little closer to what is done in this study. The idea is to change the minds of patients and make them understand that their pain is not or no longer of organic origin, but of psychological origin, linked to stress, etc. Through these techniques, they reprogram the brain and patients have less pain.
It remains to be seen how the researchers proceeded exactly (the study does not detail the therapy). But yes, it is an interesting idea because 12 to 33% of French people and readers, for example, have back pain at this very moment.
Also Read: Main Causes of Stomach Pain?
