Confronting Psychosocial Issues in Patients with Low Back Pain.

LUMBAR pain; CHRONIC diseases; PATIENT education; REHABILITATION; PSYCHOLOGY of the sick

This article provides an overview of the biopsychosocial model as it relates to low back pain. The significance of these factors in treatment outcomes and in the clinical assessment of patients with low back pain may be associated with the problems that become chronic. Specific methods of patient education and activation are discussed to help promote optimal outcomes with these patient populations. Method: Qualitative review of literature with synthesis by author for incorporation into chiropractic approaches with chronic low back pain. Summary: Identification of illness behavior through pain assessment instruments, nonorganic clinical findings, and progress monitoring should be incorporated. Any intervention should focus on specific goals aimed at reducing patient anxiety, promoting activity, and increasing patient's ability to be in control of activities of daily living. [ABSTRACT FROM AUTHOR]