How Mindset Enhances Treatment Effectiveness of Chronic Back Pain

Mindset

In the past few decades, biomedical advancements in diagnostics and treatment have drastically increased patient outcomes and relief from chronic back pain. However, recent research in the psychology field has created an opportunity to add value to the treatment effectiveness of chronic back pain; the patient-practitioner mindset. How exactly does enhancing the patient-practitioner mindset add therapeutic value to chronic back pain relief?

In simplistic terms practitioners gather information about the patients’ complaints and then communicate illness and treatment information. However, at an emotional level, the conversation can evoke a sense of mutual trust and motivation. The patient-practitioner mindset can drive motivation and alter physiology to enhance clinical outcomes and relief from chronic back pain. 

Trusting Your Practitioner

Mindsets are lenses or frames of mind that orient an individual to a particular set of associations and expectations. They are moulded by outside influences such as culture, religion, media, social networks, and trusted people. In healthcare, it’s imperative to develop trust between the patient and the practitioner. From the practitioners side, for better or worse, it’s crucial to be honest with the patient about the severity of their condition and the length of time required for effective treatment. From the patient side, continually being open with your practitioner about concerns or limitations allows for a synergistic relationship based on trust, empathy, support, and reassurance. A recent study found patients reported more beneficial health behaviours, fewer symptoms and higher quality of life and were more satisfied with treatment when they had higher trust in their health care professional.

Being Open To New Ideas 

Humans rely on mindsets to simplify and make sense of the complex world. While natural and sometimes effective, rigid mindsets can have consequential effects that profoundly affect health and well-being. Regarding how effective a back pain treatment may be, having a broader mindset about the nature of back pain can significantly increase relief from chronic back pain. One of the most challenging mindsets we see within our clients is the difficulty accepting that stress management often plays a critical role in the chronic back pain treatment journey. This deeply embedded perception that a biomechanical back injury is entirely separate from a psychological state of mental or emotional strain is a common mindset, yet, incorrect. A 2017 study on the correlation between stress and chronic lower back pain found that of 22,948 participants enrolled, severe stress was associated with a 2.8-fold increase in the risk of chronic low back pain compared to the general population.

Being Open To New Ideas 

Humans rely on mindsets to simplify and make sense of the complex world. While natural and sometimes effective, rigid mindsets can have consequential effects that profoundly affect health and well-being. Regarding how effective a back pain treatment may be, having a broader mindset about the nature of back pain can significantly increase relief from chronic back pain. One of the most challenging mindsets we see within our clients is the difficulty accepting that stress management often plays a critical role in the chronic back pain treatment journey. This deeply embedded perception that a biomechanical back injury is entirely separate from a psychological state of mental or emotional strain is a common mindset, yet, incorrect. A 2017 study on the correlation between stress and chronic lower back pain found that of 22,948 participants enrolled, severe stress was associated with a 2.8-fold increase in the risk of chronic low back pain compared to the general population.

Being Honest About Treatment Efficacy

A crucial mindset that matters in back pain treatment and management is being open about the effects of treatment (e.g. “this therapy will help break down scar tissue which helps with chronic pain relief”). Research shows that mindset or expectations to heal, similar to placebos, can trigger specific neurobiological systems, including the immune, cardiovascular, and neuroendocrine systems. However, unlike placebos that have a deceptive premise, mindsets can be changed non-deceptively to improve the effectiveness of active medications and behavioural treatments. Another example includes the use of morphine for pain relief after surgery. It was found that morphine was more effective at relieving pain when telling the patient, “I’m giving you morphine, a strong pain reliever,” compared with administering the same dose of morphine without the patient’s awareness. 

More research is needed into the limitations and potentials of correct mindset in managing and treatment of back pain. But it is already clear that being honest and thoughtful with the words and concepts used throughout the treatment process can be a vitally important aspect of the treatment application.

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