Talk Therapy May Treat Low Back Pain
Cognitive Behavioral Therapy Beneficial, Cost-effective, U.K. Study Finds
‘No One-Size-Fits-All Treatment’
The researchers conclude that group cognitive behavioral therapy should be
considered a useful and cost-effective treatment for chronic low back pain.
The study appears online in the Feb. 26 issue of the journal The
"There will never be a one-size-fits-all treatment for low-back pain,"
Hansen says. "Group cognitive behavioral therapy gives patients another
In an editorial accompanying the study, pain management specialist Laxmaiah
Manchikanti, MD, expressed skepticism about the ability to offer CBT for pain
management in the United States, no matter how effective the intervention
Manchikanti directs the Pain Management Center of Paducah in Paducah,
"A practical issue that remains is the availability of group cognitive
behavioral therapy on a routine basis for low-back pain in primary care, which
might be feasible in countries with national health-care systems, but not
in a country like the USA," he writes.
Hansen, who developed the CBT training program used in the U.K. study,
concedes that patients with chronic back pain in the U.S. who want to try group
cognitive therapy may have a hard time finding it.