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Article ID	#15771
Title	A biopsychological approach to chronic low back pain and disability in a private chiropractic setting: A case study [case report]
URL	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2504926/
Journal	J Can Chiropr Assoc. 2002 Jun;46(2):93-100
Author(s)	Parish KA
Subject(s)	Chronic Disease Low Back Pain / psychology Pain / psychology Psychophysiologic Disorders
Peer Review	Yes
Publication Type	Case Report
Abstract/Notes	For the clinician in private practice, a patient presenting with chronic low back disability can be challenging. Physical factors as well as psychosocial factors play a role in the development of chronicity. In fact, psychosocial factors may be the most dominant factor in the development of chronic low back pain and disability. Fear-avoidance behaviour is identified as one component of the bio-psychosocial model of low back disability. The clinician must recognize that treatment outcome will be dependent on addressing both physical and psychosocial factors. This case study presents an attempt at addressing the psychosocial factors (specifically fear-avoidance behaviour) of a patient presenting with chronic low back disability with a cognitive-behavioural approach, including screening, education and graded exposure. This approach appears to have played a role in returning this patient to modified duties after a year absence from work. More empirical and clinical studies are needed to develop and define which measures and treatment protocols are the most practical and effective for a clinician in private practice to utilize.This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

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